[Question #13174] STI/HIV Risk

1 months ago

Long story short:

5 hours ago I picked up a female street worker in Seattle, WA. She told me that she was 24 years old, but I did not ask about her sexual health status. She also mentioned that I was not the first person she had seen that night. We engaged in some foreplay where I licked and sucked on her breast and nipples (10 minutes). Kissed her on the neck a couple of times too and she kissed me on the neck as well. We then proceeded to have protected sex (my penis in her vagina). Sex lasted about 10 minutes and she was really wet down there throughout the whole session.

1 months ago

When we finished and I pulled out, the condom was only covering about 30-40% of my penis. This has me very scared at the moment. After that, we proceeded to have sex a second time after we both used the bathroom. The second time, we had protected sex again (penis inside her vagina) for 15 minutes. This time I had to readjust the condom multiple times because it kept slipping up but never completely came off and exposed the top 25% of my penis.

1 months ago

My questions are:

1) I’m concerned that her fluids have increased my odds of catching std. Especially with the condom slipping multiple times during both sessions.

1 months ago

2) I have a long time partner and want to resume having unprotected sex with her. She will be back from a work trip on July 9th. I cannot spend too much without having unprotected sex once she’s back with me or I’ll have to address everything to her before I start therapy. Sadly, I’m not ready for that convo. When would be a good time to test and what stds should I test for? When will the results be conclusive enough for me to have unprotected sex with her again?

1 months ago

3) Can I resume unprotected sex with my long term partner by July 9th if I have no symptoms by then? That would be 12 full days from today.

Thank you very much! Hope to hear from you soon

H. Hunter Handsfield, MD

1 months ago

Welcome back. However, having reviewed your just completed discussion, I don't see anything here that wasn't answered by Dr. Hook -- or at least the answers should be obvious from that discussion. Therefore brief replies to your numbered questions.

1) It is entirely normal for vaginal fluids to contact the penis above the area covered by the condom. This does not significantly raise the risk of any STI.

2,3) As Dr. Hook said, your STI risk was low enough that you could continue unprotected sex at home, but he also said you could be tested if you would like the reassurance of the negative results. Did you not read or just forget his reply? Here it is again:

...my advice would be to get tested at some point more than 3 to 5 days following your exposure. A urine test for gonorrhea and chlamydia will provide conclusive results. The risk of syphilis and HIV is negligible however, if you also wish to rule those infections out, you could get blood tests at six weeks following your exposure."

Let me know if anything still isn't clear -- but let's not return to any issues or questions already covered here or in your previous thread. Thanks.

HHH, MD

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