[Question #12841] Std

4 months ago

So I know it’s way to early to test but last night I had protectected anal sex with another guy I was the top and I’m pretty sure the condom was fully intact, but now today im all worried in my head that I could have caught something from this encounter, there was 2 other guy and both were touching my penis before I but the condom on, is there any way an std can transfer this way? And what could I get even tho I wore a condom? Everything was protected there was no oral involved, should I take pep to be sure? How likely is it that I could have caught something from this encounter? I will also say that they both said they just tested negative for everything on a panel but I honestly don’t know if I should trust it

H. Hunter Handsfield, MD

4 months ago

Welcome to the forum. Thank you for your confidence in our services.

This was a very low risk exposure, zero risk for all practical purposes. I don’t recommend any testing at all. Probably your partners aren’t infected; people rarely lie about these issues when asked directly. In addition, condoms for anal sex are highly effective, and oral sex is inherently low risk.

Of course, you are free to test for reassurance, despite absence of significant medical or risk-related need. if you decide to be tested, there is no point in doing it now. Accurate urine testing for gonorrhea and chlamydia can be done for 4-5 days after exposure. You can have highly reliable syphilis and HIV blood tests at four weeks, although six weeks is necessary for 100% conclusive results.

I hope these comments are helpful. Let me know if anything is clear.

HHH, MD

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4 months ago

What are the chances of catching herpes from that encounter? And when is testing conclusive for hsv

4 months ago

And should I consider taking pep?

4 months ago

If I take doxypep can I do a test for hiv early detection and chlamydia and gonorrhea in 2 week?

H. Hunter Handsfield, MD

4 months ago

These additional questions suggest you didn't read, didn't understand, or maybe just didn't believe my replies above. Which is it? Is there maybe a language barrier, if English is not your native tongue.

Herpes risk -- zero for all practical purposes. You should not be tested for HSV.

"...consider taking PEP?" The answer is obvious. With your risk of HIV so low that testing isn't needed, of course PEP is not recommended.

"If I take doxypep...?" You should not take doxy-PEP, which is recommended after unprotected anal sex. Doxy-PEP reliably prevents only syphilis and chlamydia. Since you were at zero risk for both, doxy-PEP is not advised.

Doxy-PEP has no effect on HIV risk therefore taking it makes no difference in HIV test timing. As I said above, if you're going to test for gonorrhea and chlamydia, do it in 4-5 days. If you take doxy-PEP this science-based advice, there will be no point in testing for syphilis or chlamydia.

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4 months ago

Ok I get that it was low risk, but just to ease my mind, will a negative hiv rna test in 2 weeks be conclusive or do I still need to test at 6 weeks, and if I take doxypep for my fear of syphilis how effective is it if I hypothetically caught it yesterday? I know that I was safe about the encounter its just my mind won’t relax unless I do something about it thank you for your responses

H. Hunter Handsfield, MD

4 months ago

The HIV PCR RNA test is conceive at 11 days; you don't need to wait til 2 weeks. Doxy-PEP would be 100% effective in preventing syphilis from an exposure one day earlier.

That completes the two follow-up comments and replies included with each question and so ends this thread. Please note the forum policy against repeated questions on the same topic. This being your second about near-zero risk sexual practices, it must be your last. Repeated anxiety driven questions are deleted without reply and without refund of the posting fee. ASHA does not want to collect fees for questions with obvious answers; repeated replies often prolong anxiety rather than relieving it (there's so often a "yes but" or "could I be the exception" sort of thinking); and such questions have reduced education value for other users, one of the forum's goals. So no more about zero risk exposures -- it is not our role to manage irrational anxieties! Thank you for your understanding.

I do hope the two discussions have been helpful. Best wishes and stay safe.

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