[Question #12917] Risk assessment from recent experience
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3 months ago
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Hello docs. Curious on my risk level with recent experience. M/M experience, no anal, oral sex on both sides, no ejaculation on either side. A little mouth play around anal area, light kissing and some finger play. Other partner asked if I was “clean” and I said yes, asked if they were, they said yes and said they’re tested regularly. No sores seen or present on either of us at time of experience. This took place 2 days ago. No issues as of right now, but this is a new experience for me and I’m curious what you think the risk level is and if testing after a couple weeks is necessary, and can I engage in unprotected sex with long time partner? Thank you
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Edward W. Hook M.D.
3 months ago
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Welcome to the Forum. Thanks for your questions. I'll be glad to comment. The encounter you describe was very low but no no risk. Her are my thoughts:
1. Your partner told you had had been tested and was negative. Indeed, most people do tell the truth and thus it was unlikely he was infected.
2. The exposures you describe- oral both ways but no insertive or receptive ano-genital intercourse. There was no known risk for acquistion of HIV from receipt of oral sex and the estimated risk for acquistion of HIV from performing oral sex is estimated to be less than, on average, one infection per 10,000 encounters. As far as other STIs, risk is likewise low but not zero. The most common STI acquired from receipt of oral sex is gonorrhea which typically becomes symptomatic within 3-4 days of exposure. Other STIs are rarer still
3. Kissing is a no risk encounter.
What to do- if I were you and remained asymptomatic (if you were going to develop symptoms, they should be obvious and not require "squeezing" or other manipulation) I would not worry. OTOH, if you are anxious, Many clients choose to test and find negative test for the most common STIs, gonorrhea and chlamydia, reassuring. If you choose to test, a urine test and a throat swab should be entirely conclusive 3-4 days after the encounter
I hope that this information is helpful. EWH
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3 months ago
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Thanks doc. So is your consensus here I should be tested before engaging in sexual activity with my partner or not? Assuming that engagement happens this evening and no symptoms show as of now… Thanks
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Edward W. Hook M.D.
3 months ago
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If I were you, I would not bother to test but testing is always a personal choice and the results would be reassuring if you choose to test. EWH---
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3 months ago
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That’s fair. Thank you, doc.