[Question #13569] Unprotected oral sex and protected sex
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1 months ago
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Good Day Dr Handsfield and Dr Hook,
Your site is very informative and a great source for info.
3 days ago I had unprotected oral sex, protected vaginal sex, and hand masturbation with her spit as "lube" in that order from a stripper/CSW (high class CSW as has a website profile with contact info and had a high end SUV).
After researching on your site, HIV has never been transmitted by oral sex. Looks to be gonorrhea and NGU would be the most common or only concern, and from the info I've seen very rare? Should there be any other concerns?
I have high anxiety over this, something I never do so have been over thinking which seems to be the norm. What would be a good rule of thumb that I haven't caught gonorrhea, NGU, etc. As its been 3 days since this went down, no discharge or etc (but thinking maybe over thinking everything in that area right now), seems I saw something if in 10 days no symptoms then you are in the clear?
What is your thought on if testing is necessary?
Thank you, look forward to your response.
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H. Hunter Handsfield, MD
1 months ago
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Welcome. Thanks for your confidence in our services, and for reviewing our responses to questions similar to your own.
Yes, you can consider yourself "in the clear" if no penile discharge or painful urination within 10 days; and no penile blisters/sores within 2 weeks. Oral sex is low but not zero risk. The main possibilities of importance indeed are gonorrhea, NGU, and herpes due to HSV1. Absence of symptoms (penile discharge, painful urination) by itself is strong reassurance against gonorrhea if no symptoms within 3-5 days, and against NGU if no discharge within 10 days. And most new herpes would cause obvious penile blisters/sores within 2 weeks. We do not advise testing in absence of symptoms after these intervals. Using saliva as lubrication is not significantly risky: saliva rarely transmits STIs and never HIV as far as known.
Some anxious persons are more reassured by negative test results than by professional opinion and advice, no matter how expert. (We don't take it personally!) In fact, we almost never recommend testing after ANY single sexual exposure. If somehow I were in your situation, in absence of symptoms I would not be tested and would continue unprotected sex with my wife with no worry of transmitting anything to her. But I'm not you, and if you're going to lose sleep over this, consider a urine test for gonorrhea/chlamydia in a few days and syphilis and HIV blood tests after a few weeks. (The HSV blood tests are not accurate enough for testing in this situation, with risk of misleading results.)
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
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