[Question #13803] Oral STI/HIV
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12 days ago
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Hi! It’s again me….
Yesterday I had protected oral sex(I was the receiver) with a sex worker and the condom broke at the end and I received unprotected oral for a couple of seconds. My question is do I need any test on hiv or other stis? Or can I continue my intimate life with my wife?
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12 days ago
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Also I had small fresh scab of a recent wound on my lip, and she just gave me a kiss there (not prolonged and deep kissing). I don't know if this changes something.
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Edward W. Hook M.D.
12 days ago
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Welcome back to our forum. Thanks for your continuing confidence in our service. I’ll be glad to provide some information. I’m sorry to hear that your condom failed. Condoms break about 1% of the time they are used. The exposure you described did not put you at risk for HIV as there are no proven cases of HIV acquired from receiving oral sex. On the other hand, there is a very low risk of acquiring other STI’s, in particular gonorrhea.
Most commercial sex workers do not have STI‘s, and when they have STI‘s most single exposures do not result in infection. In your case, the brief duration of your exposure, also somewhat reduces your risk of infection. Occasionally persons acquire gonorrhea from receiving oral sex. Syphilis is rare and chlamydia is rarer still. If you acquired gonorrhea over 90% of the time you would become symptomatic within 3 to 5 days of your exposure with an obvious penile discharge. Thus, summarize your risk of infection is low, but not zero. Testing is always a personal choice and if you choose the test, the most important test would be a year of test for gonorrhea and chlamydia.
I hope this information is helpful to ewh
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12 days ago
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Thanks! Do you think testing is necessary in this case?
And if yes, when to test?
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Edward W. Hook M.D.
12 days ago
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As I said above, the decision to test is a personal choice. Your risk is quite low and in my opinion, unless you develop symptoms, I would feel no need to test. If you choose to test, testing for gonorrhea anytime more than 3 to 5 days after you were encountered will provide conclusive results. EWH.---
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12 days ago
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Got it Dr. And the final question: what about chlamydia? Need to test? If yes then when?
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Edward W. Hook M.D.
12 days ago
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Final response. Following receipt of oral sex, chlamydia is even rarer than gonorrhea. If you choose to test a chlamydia test is typically done at the same time as the gonorrhea test. Your risk of chlamydia is very, very low.
End of thread. EWH
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