[Question #13866] risk assessment insertive unprotected vaginal encounter

4 days ago

Hello, I am unfortunately back again but this time with a new encounter different from the one I had a year ago. Yesterday I had unprotected vaginal sex and received unprotected oral with a woman and I am an uncircumcised male. This wasn't supposed to happen, we had been talking for about a day and I asked her about her previous sexual encounters. She is going through a divorce, so since 2026, she has had two sexual encounters: one with her ex who she mentioned had a clean panel, and another encounter with a different guy 2 weeks ago where they used a condom for everything except oral. I asked her 3 times before penetrating and she told me she was clean each time. She is a grad student in a medical field.

Should I go see a doctor and get DoxyPep for STIs and PEP for HIV while I still have time? I am worried because I do have a partner. What are my STD chances for everything including HSV?

H. Hunter Handsfield, MD

4 days ago

Welcome back to the forum. Like your several previous questions, this one seems to reflect much greater worry about STIs than the situation warrants. Do you have OCD? Germophobia?

I really wouldn't be at all worried about the exposure described in terms of STI/HIV risk. You describe a partner who almost certainly has no active STI of any importance, i.e. no realistic probability of gonorrhea, chlamydia, syphilis or HIV (which collectively can be consider the four "biggies" in terms of STI risk). And the chance of HSV -- either HSV1 or 2 -- in this situation is near zero as well, probably under one chance in many thousand. Did your STI discussion with your partner include asking her about herpes?

I would advise strongly against either PEP or doxyPEP in this situation. I don't even advise testing for anything.

Have you discussed your concerns (after the event) with your partner? From her perspective, I would consider you a greater risk for her than vice versa -- and maybe you would find she is just as concerned about the situation as you are. If so, the two of you might consider both being tested for common STIs, for mutual reassurance.

Like your several previous questions, this one seems to reflect much greater worry about STIs than the situation warrants. Do you have OCD? Germophobia? If thoughts like these dominate your life as much as indicated by your first four forum questions, perhaps you would benefit from personal counseling. I suggest it from compassion, not criticism.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD

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