[Question #12444] Silly Question About Oral Sex

7 months ago

Hello! Thursday night I received protected oral sex from a low end worker. I placed the condom on and she worked hard at providing me pleasure. I kept asking her to suck harder. I drove for a couple of minutes and dropped her home. I did not check the condom's integrity until a couple of minutes later. I noticed the condom was above off my penis but lying on my lap. However, to the best of my knowledge, it was on the whole time. When I checked the condom it was fully ejaculated in and not torn. My concern is this: What is the chance MAYBE ( I know) the condom came off while she was sucking my penis but I still came in the condom? My guess is the condom came off afterward because I became soft or she pulled it with her mouth after finishing. I imagine it would be difficult to cum inside the condom if it came off in her mouth. What I am looking for is a second opinion if this is a no risk event. Like I said I checked the condom and it was not broken and it was full of sperm. What is your STI risk assessment from this event and should I seek testing? Thank you!

H. Hunter Handsfield, MD

7 months ago

Welcome to the forum. I'm happy to address your questions. The same ones have been asked many, many times, so my replies are brief. You can find more details if you'd like to use the search function to see other similar questions and replies. Try searching for such terms as "oral sex", "HIV risk", and do on.

As for whether the condom came off or not, it doesn't matter, since HIV and all STI risk is so low from oral sex even without condom protection. And I agree what since your semen was inside the condom, it obviously did not come off during your exposure.

HIV: There has never been a proved case of HIV transmitted mouth to penis, even without condom protection. The risk of HIV might not be truly zero, but obviously it's very nearly zero. And with a condom, there was of course no chance at all.

Other STIs also are low to zero risk. The most important risk is for gonorrhea, but since oral gonorrhea is quite uncommon in female sex workers, probably there would have been no risk even without a condom. With the condom, the risk was zero. The same can be said for herpes, chlamydia, syphilis, and HPV.

I would not advise testing for anything after this sort of exposure. Of course you are free to be tested anyway, if you feel you need the additional reassurance of negative test results. If so, you can have a urine test for gonorrhea and chlamydia (valid any time more than 4-5 days after exposure) and syphilis and HIV blood tests in a few weeks. But if somehow I were in your situation, I would not be tested and would continue unprotected sex with my wife knowing I could not infect her with anything from this event.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD

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7 months ago

Thank you doctor. Happy New Year!

H. Hunter Handsfield, MD

7 months ago

Thanks for the thanks; I'm glad to have helped. Happy new year yourself.---

7 months ago

May I ask a separate question related to STI and vaginal sex? I am very concerned about catching an STD. If I wear underwear that I can place my penis through and use a condom, will this be effective against Skin to Skin STIs?

7 months ago

Hi Doc..let me know your thoughts. Thanks

H. Hunter Handsfield, MD

7 months ago

This would not significantly reduce STI risk. It would only provide coverage of your pubic area, groin, and perhaps scrotum -- but no STIs are transmitted by contact with these sites. There still would likely be contact of your penile skin (above the condom) with a partner's labia, vaginal opening, etc -- which would be low risk, but not zero (which is why condoms are less effective in preventing the skin-to-skin STIs (herpes, syphilis, HPV). That these STIs are transmitted primarily by skin-skin contact doesn't mean ANY skin contact. Skin-skin transmission only refers to genital-genital contact, not dry skin elsewhere.

That completes the two follow-up comments and replies included with each question and so ends this thread. I hope the discussion has been helpful.

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