I’m a little concerned with a few exposures that I have recently had over the last few months.

Around the last week of May this year and the first week of July, I met a lady and had unprotected oral both ways and protected vaginal sex. We did this 3 times. Twice in may and once in July. 

The occasion in July she said that she was having a very light period. She ended up performing unprotected oral on me and we had protected vaginal sex. She also had some small anal beads which I inserted in her. 

During this encounter we masturbated each other so I’m a little concerned with blood and touching my penis. Also perhaps blood on my penis from our hands before applying the condom.

She is a nice intelligent lady and would assume she would tell me if she thought she was infected. However she is a police officer so I guess I'm a little worried about hepatitis risks etc.

2nd exposure. 2nd August, I saw a sex worker. She gave me a handjob and covered blow job. She was touching her vagina before giving me a handjob, she then applied a condom with her mouth, and finished me with a handjob.

3rd exposure 22nd August.

I met a man on Grindr. He was staying in a motel asking for bareback sex. I visited him and mutually masturbated with him. Nothing more. However I know he had seen other men that day and possibly was exposed their semen on his body etc. the man said that he was on prep and doxypep. But obviously he’s engaging in very risky behaviour. I’m not overly concerned with this exposure though considering we were just masturbating however. I thought I should add it.

I was tested for standard sti’s two days ago, hepatitis a, b, c. Chlam, ghon, syphilis and hiv.

I’m still awaiting the results and am just very concerned. Normally I receive them after 48 hours.

Thank you 

In your previous two questions several months ago, we addressed exposures similar to these and the zero risk for STI/HIV transmission except by insertive sex. With no penile penetration into a partner's vagina, rectum or mouth, you are at little if any risk; STIs are not transmitted by hand-genital contact, regardless of "blood touching my penis" -- or genital fluids or saliva. If you had asked before you were tested, I would have advised that none of the tests you had was necessary. You definitely can expect negative results. That the results are taking a bit longer than usual does not suggest they will be positive.

In your previous threads we also discussed the high quality of services available at any of Australia's federally funded sexual health centres. If you develop any symptoms or should any tests be positive, I would advise at least calling and perhaps visiting your nearest SHC. (There also are many excellent private health care providers and clinics in Australia that provide very good STI services.

Let's hold off on further discussion until you have your test results, which we can then discuss. In the meantime I hope these comments are helpful.

Results were all clear as you expected. 

I think it was just the extra day delay that got me a little concerned (even though it’s pretty normal). Also the fact that when I started going down the rabbit hole of googling sti transmission chances, the information seems to be overinflated or worse case scenario. 

Anyway I figured it was best to discuss with you as you have so much experience and are held regard in this area. Your comments put me at ease and I appreciated them greatly.

One thing it did show was igg antibodies to hep a, but not b or c.

I’m not sure if I was vaccinated as a kid, although I thought the vaccine was for an and b combined?. Or I have been exposed to hep a at some stage (I assume through food). I don’t remember being sick from it. Anyway I understand that I’m immune to hep a now. 

Thanks again Dr for the service you provide.

Combination hep A-B vaccine is generally used, but maybe not when you were young. If you received HBV vaccine, you're probably protected despite negative IgG testing. However, this isn't certain and you could speak with your doctor about being (re)vaccinated now. There's no harm in extra vaccine doses.

Thanks for the thanks.