I have used CSW services for quite some time and have always used condoms for vaginal sex and in prior years did not use condoms for oral although that has changed in the last year where oral is now always protected as well. 3 days ago, I used the services of a CSW who is known to also offer penetrative sex without a condom. I used protection with said CSW for both oral and vaginal. What is the likelihood that I would contract HSV-2? She claimed to be clean and showed me photos of a multitude of prescriptions she uses everyday that I assume are used to prevent transmission. I’m feeling a bit uneasy about this exposure and looking for expert advice to calm my mind. 

One does not acquire HSV 2 from receiving oral sex, that would be HSV 1, if it happens at all. We don't have data on transmission of HSV 1 from the mouth of one person to the genitals of another.  When you say her prescriptions, did it include acyclovir or valacyclovir  or famciclovir?

Terri

We don't have an accurate % of risk for a single encounter that is scientifically based by research, so I am not going to provide that, but it is low.  Low because it was condom protected, low because it was a single encounter and low because clearly she is getting medical care and takes medication to protect herself and clients.  If you are going to develop symptoms, you will likely do so within 2-10 days.  However,  people who have HSV 1 are less likely to be symptomatic when they acquire HSV 2.  So I would recommend that you observe the genital area for any skin changes, and if you have none during that time frame, be reassured.  HSV 1 from oral sex is not a risk because you already have it (and condoms were used)

Terri 

If you test, use labCorp  - they have the newest, best test now.

Terri