[Question #12791] Broken condom exposure
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5 months ago
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Good morning Doctors. A friend of mine referred me here. I searched a little bit and didn't really find anything that quashed my anxiety so here goes. I apologize if this is a redundant question here.
I am a 54 year old, married white male and I had sex with a 52 year old CSW 16 days ago. Website based lady. Oral sex on her and vaginal. On visual inspection, she was very very clean. No blemishes of any kind, odor, etc. Unprotected oral if it matters. We used a condom for sex but it broke and we were not aware. It was bunched up like a ring at the very base of my penis when we finished. Also, she started her menstrual cycle at some point after I penetrated her. Neither of us realized the condom was broken or that she had started bleeding. Her blood was all over my penis, testicles, and the skin around that area. Even on the insides of my legs. I also ejaculated inside her. And I had just shaved down there 5-6 hours before this encounter. So I'm sure I had abrasions or tiny cuts in my skin.
I am a 54 year old, married white male and I had sex with a 52 year old CSW 16 days ago. Website based lady. Oral sex on her and vaginal. On visual inspection, she was very very clean. No blemishes of any kind, odor, etc. Unprotected oral if it matters. We used a condom for sex but it broke and we were not aware. It was bunched up like a ring at the very base of my penis when we finished. Also, she started her menstrual cycle at some point after I penetrated her. Neither of us realized the condom was broken or that she had started bleeding. Her blood was all over my penis, testicles, and the skin around that area. Even on the insides of my legs. I also ejaculated inside her. And I had just shaved down there 5-6 hours before this encounter. So I'm sure I had abrasions or tiny cuts in my skin.
If it matters, she freaked out running to the bathroom to clean herself. She was quite upset, so I got the impression she tries to be safe in her trade. When she calmed down we discussed this and she must have asked me fifty times if I was clean. And she assured me over and over that she was as well. And I'm fixed. So no worry over pregnancy.
The anxiety over this has built up to the point I discussed it with my friend and he referred me to this site. I have not been tested for anything and as of yet, and I have no symptoms of any kind aside from anxiety. What do you recommend? Should I be as worried as I am? What are the chances I contracted any STD's? Thanks for your time doctors.
The anxiety over this has built up to the point I discussed it with my friend and he referred me to this site. I have not been tested for anything and as of yet, and I have no symptoms of any kind aside from anxiety. What do you recommend? Should I be as worried as I am? What are the chances I contracted any STD's? Thanks for your time doctors.
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Edward W. Hook M.D.
5 months ago
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Sorry to hear of your condom mishap. FYI, condoms, even when used correctly, break about 1% of the time. I'll be happy to provide some information. This was a low risk encounter. Here are the reasons I say this:
1. Most CSEs do not have STIs. Related to their profession, they tend to get checked regularly and to take precautions. This is particularly true for those with established practices such as your partner's on-line access. The your partner was concerned is a good sign. So were her reassurances.
2. Even in the unlikely circumstance that she had an STI, most single exposures do not lead to transmission of infection.
3. Exposure to menstrual blood is no more risky than exposure to vaginal secretions. The amount of infectious material in a menstruating partner's secretions are no different that if she were not menstruating.
4. It has been more than 2 weeks since the encounter. The most common STIs, such as gonorrhea or chlamydia would be symptomatic by now. That you are asymptomatic is a good sign.
Th likelihood that you are infected is quite low. You may wish to test however to address th anxiety you are experiencing. If you wish to test, tests for gonorrhea and chlamydia will be completely reliable and conclusive. Syphilis and HIV are very unlikely and a regular, 4th generation test for HIV and syphilis tests will not be conclusive until 6 weeks after the event but you can completely rule out HIV with an HIV RNA PCR Test. We recommend against testing for herpes. If you were going to experience an outbreak you would have done so within 10 days of exposure and the herpes blood tests are unreliable with both falsely negative and falsely positive results.
I hope that this perspective is helpful. If anything is unclear, you have up to 2 follow-ups for clarification. EWH
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