[Question #12536] Unprotected oral

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7 months ago
Ok so I’ve been in here before and I know what you’ve said before but I made a stupid decision again while drunk, but Friday night which was about 3 days ago I received unprotected oral for about a minute from someone I met online they had told me that they just took a test the following week but and everything was negative, I also gave unprotected oral for about 30 seconds at most no one had ejaculated, now I’m kinda concerned about gonorrhea and syphilis I know there’s not much else to catch from this particular encounter but I can’t stop worrying now, my question is if you were in my shoes would you worry about taking a test? And should I really be worried about this encounter?
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7 months ago
I will also say that the next day I had a sore throat and is still kinda sore now but doesn’t hurt to swollow just kinda scratchy 
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H. Hunter Handsfield, MD
7 months ago
Welcome back. But perhaps no surprise, you won't hear anything you haven't been told in the replies to your two previous questions. The specific situation might be different, but the responses there really answer these questions. Receiving oral sex is low risk for all STDs, and cunnilingus (oral vaginal contact) even lower risk than fellatio. And you describe a partner who probably doesn't have any active bacterial STDs or HIV, since most people are truthful when asked directly about STD status and recent testing. You even say you "know there's not much risk...."

To answer your closing question directly, no:  if somehow I were in your situation I would not be tested for anything. And no, you should not be worried. That said, of course you are free to be tested if you wish:  we understand that a negative lab test sometimes is more reassuring than professional advice, no matter how expert. (We don't take it personally!) In that case, you can have a valid urine and throat swab tests for gonorrhea and chlamydia any time you wish (they're valid any time more than 3-4 days after exposure) and blood tests for HIV and syphilis at 6 weeks. But truly, you don't need them -- I raise the possibility strictly if you need it for reassurance, not for actual risk.

As for sore throat the next day, it cannot have anything to do with the sexual event. No infection of any kind -- STDs rarely cause sore throat, and no infection (whether STD or common cold viruses) can start to cause symptoms in under 24 hr. 1-2 full days is the minimum. That problem had nothing to do with the sexual encounter, unless it was from anxiety over the event.

I hope this reply is helpful. Let me know if anything isn't clear.

HHH, MD
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7 months ago
I’ve read that it takes 21 days for syphilis to show up in your blood is it very accurate at that time and what would symptoms of gonorrhea be on the 4th day if any happen?
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7 months ago
And does the duration of the encounter matter?
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H. Hunter Handsfield, MD
7 months ago
You read wrong about syphilis testing; 21 days is too soon. The test often would be positive by 21 days, but not always; 6 weeks is the accepted standard.

Gonorrhea symptoms typically begin 3-5 days after exposure.

The shorter a sexual encounter, the less likely is an STD. But there are no data by which to judge how much difference it makes.
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7 months ago
Any lab test now have an oral std panel that says syphilis is apart if it any idea how that works and if it would be a good test to help with my current anxiety about it all? I’m trying not to freak out I even reached back out to that person and they reassured me they were negative for everything just one last question I had for you thank you for your responses 
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H. Hunter Handsfield, MD
7 months ago
The only lab tests for syphilis are blood tests. If the "oral panel" includes blood tests, in addition to throat swabs, I would think syphilis would be included. On the other hand, the only commonly done oral tests are NAATs for gonorrhea and chlamydia.

I would encourage you to stop asking questions of the lab and especially going online about your obviously inflated perceptions of STD risk. Most anxious person are selective drawn to information that inflames rather than calming their fears. It isn't worth it. Anyway, let's make this your last one unless and until you have a genuinely risky exposure. From this plus your two other threads, I'm confident you will be able to accurately predict our replies!

I do hope this discussion has been helpful. Best wishes and stay safe.
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