[Question #13535] Risks and Evaluations
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1 months ago
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Hello Doctors,
I apologize for my repeated questions. These exposures are different than those that I have previously asked about.
I visited a CSW for an hour (350$ so higher end through booking). The service comes with high reviews and repeat customers that I have read reviews of.
The woman I saw offers unprotected services but as I am in a relationship I opted to use protection I provided. I wanted to know what your thoughts were on the following exposures:
1. Deep French Kissing both before and after the oral sex.
2. Unprotected Oral Sex (Receipt I did not give her oral sex)
3. Protected Sex. The condom kept slipping down but never off, and I eventually started to use my hands to keep it situated at the base as much as I could. Due to using my hands I got what I imagine is a mix of her fluids and lube all over my hands and genital areas that were not covered.
4. She rimmed me. I also french kissed her before and after this as well.
5. I used a vape device throughout the session and wanted to know if somehow those fluids from my hands got onto the device and therefore into my mouth does it raise any concerns with Oral exposure as otherwise all I did was deep french kiss.
The booking service noted that these women take preventative antibiotics and prep. As well as get tested everytime they are “on vacation” due to menstruation.
Do you feel that I should test and/or refrain from usual sex life with my partner for any longer than 5-7 days (this would be how long any gonnorhea/chlamydia from the unprotected oral would take to show).
Thanks!
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Edward W. Hook M.D.
1 months ago
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While the partner you describe is different, the nature of the exposures is similar. In reviewing our earlier interactions the principles outlined there are applicable to your current situation. This was a very low risk encounter. To repeat those principles:
1. Most commercial sex workers do not have STIs. You have been told the steps that have been taken to make her a low risk partner.
2. Condoms are highly effective for STI including HIV prevention
3. Receiving oral sex, including analingus is very low risk
4. Sharing cigarettes or vaping devices is not a risk
5. Most single exposures to infected partners ( unlikely in your current situation)do not result in transmission of infection
6. Testing is always a personal choice
I would not be concerned about the exposures you have described. EWH
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1 months ago
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Regarding the condom usage. Does the slippage and fluids getting all over unprotected parts due to me having to hold it in place at the base affect reliability and are there any possibilities of STDs raised by this?
I imagine using rubbing alcohol and soap would be enough to clean my hands after the fact.
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Edward W. Hook M.D.
1 months ago
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Slippage of the condom makes no meaningful difference in its protective effect. Surface contact of genital secretions with the outside of your penis is not a concern.
Rubbing alcohol is an irritant and might cause external discomfort as would excessive washing with soap.
No change in my ass assessment or advice. EWH.
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1 months ago
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Last question. It has been a week since the exposure and I have a itch on one side if my genitals where around the base. I am assuming its most likely jock itch/rash from recent long workouts and tight fitting clothes, however wanted to know what you thought the chances of getting herpes from a protected sexual encounter was. The details of the encounter are in the earlier comments.
What would be the steps to determine if it is in fact herpes or not.
Thanks
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Edward W. Hook M.D.
1 months ago
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If the sensations you are feeling were due to herpes, lesions would quickly ( with a few hours) form at the site where you feel that sensation. If that has not occurred, what you are experiencing is almost certainly not herpes. In addition, not only are the activities you describe very, very low risk for herpes but the location did you describe is also a place where her peace virtually never occurs.
As you know, this is my final response in this thread will now be closed. Please don’t worry. There should be no reason to return with further questions regarding this encounter. EWH.
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