[Question #13952] Cunnilingus exposure from 18 months ago
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1 months ago
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46 year old male. I performed cunnilingus on a high end escort over 18 months ago. Never got a throat swab. I just recently performed cunnilingus on my partner for the first time since that event. Did I put her at risk for gonorrhea, chylamidia, trich, or MGEN?
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H. Hunter Handsfield, MD
1 months ago
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Welcome to the forum. Thank you for your confidence in our services.
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The news is good. For a few reasons you should not be at all worried. Cunnilingus is one of the safest of all sexual practices: few STIs ever are transmitted. Gonorrhea rarely if ever occurs by oral-vaginal contact (my forum colleague Dr. Hook was the senior investigator on one of the most important studies on this topic). Chlamydia rarely infects the throat no matter what kind of exposure. And oral infections with either one is always cleared by the immune system within a few weeks. Oral herpes due to HSV2 is possible but extremely rare; our forum colleague Terri Warren, who has run a herpes clinic for 50 years, has rarely (maybe never?) seen a patient who had oral herpes due to HSV2. Syphilis is possible but rare in women. There has never been a known case of HIV by such an exposure. Trichomonas and Mycoplasma genitalium do not infect the oral cavity at all -- and either of these also would be cleared by the immune system long before 18 months.
For those reasons, there is no realistic chance you caught any STI. and zero chance you caught something and still could transmit it to a partner. Neither you nor your partner needs testing for any STI.
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
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27 days ago
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Thanks Doctor. Any concerns about kissing my partner over that 2 year time frame and any ping pong of potential reinfection, assuming there was even one to begin with?
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H. Hunter Handsfield, MD
27 days ago
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No concern whatsoever. It's clear you're obsessed with a sexual decision you regret and confusing it with STD risks and fears. Deal with the first aspect as you need (counseling maybe?) but disregard all STDs. Ignore any further thoughts or questions about it; there is no other information or question you might think of that could change my assessment or advice.---
