[Question #13843] Exposure from Oral F2M

1 months ago

First and foremost Thank you in advance for what you all do.

On a recent work trip Sunday into Monday I experienced an encounter where a 21 year old girl performed oral sex on me (male) which could not have been longer than 3-5 minutes and not to climax. We also French kissed for a bit. No other acts were performed.

My question looms on my possible exposure for being on the receiving end for STI’s and both versions of Herpes. Additionally, the anxiety has lead me to take Cefixime (sp) and Doxycycline Mono 100mg approximately 60 hours after exposure.

I don’t think I have had any symptoms.

My other concern is that approximately an hour after taking the medication I had brief unprotected oral and vag sex with another partner and then finished with a condom.

My main concern is exposure and then passing it on to the other person I had sex with just after taking the medication. I have read that Gonnorhea (sp) is prevalent among young women and am extremely worried about passing it on.

Additionally, does me taking the pill will now show me a negative if I test in a few weeks was I still at risk if I had it passing it on to the girl I had sex with. My issue is I will never know if I had it or passed it on because of taking the medication. And the other question is can transmission be that soon from both encounter, can I pass it on that quickly if I was infected? If I was impacted with gonorhea would I have seen or become aware of symptoms this soon?This is worrying me a lot. Thank you!

1 months ago

A follow-up question would be - I am aware that tests for gonorrhea are highly reliable any time more than 3-5 days after an exposure which leads to infection.

So if I get a blood test today with taking the Cefixime yesterday would it still show up in my system so then I would know if I had it?

Or is it possible the Cefixime can remove it from showing up on tests that early.

Another question would be when and where would genital and mouth herpes begin to show if I was exposed to that? When would the symptoms reveal themselves.

Thank you again

Edward W. Hook M.D.

1 months ago

Welcome to the Forum. The exposure you describe was low risk. Some of what you read, probably on the internet is incorrect. Oral gonorrhea is not particularly prevalent. Most people do not have STIs and most exposures, particularly receipt of oral sex do not lead to transmission. The possibility of gonorrhea was further reduced by the antibiotics you took. Those same antibiotics would prevent transmission to your subsequent partner in the unlikely event that you had gonorrhea.

There is virtually no chance of getting HSV-2 from receipt of oral sex and if you don’t have HSV-1 as about 60% of people do, your risk of infection is substantially less than 1%. If you don’t develop herpes lesions with 10 days of your exposure, you can be confident you did not get herpes.

Gonorrhea is not diagnosed with a blood test. A urine test will tell you if you got gonorrhea from the initial encounter you described.

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