[Question #1408] What are the STD risks?

46 months ago
Hi, how are you? I have a question regarding std risk.

I recently visited a strip club, in which I chatted with one of the strippers for a while. We were both into one another. Eventually, I invited her back to my house, in which she accepted my invitation. While there I gave her a back rub, kissed her on the lips, touched one another's bodies, and made love. 

She was clean, in which she washed her hands before having sex. She asked if I had a condom, which I used. I always use condoms for sex. The condom was a Trojan, which I prefer to use. We didn't engage in oral, or anal sex. However, we did engage in vaginal sex, in which I was on top of her in the missionary position. After I ejaculated, I pulled out, with the condom still on. Nothing came out from the condom, and the semen remained in tact inside the condom. She did not "cum," so there was no fluid exchange. There probably wouldn't be anyway, since I wore a condom the whole time. After, I went into the bathroom, cleaned myself up, and threw the condom away. 

She did eventually "cum," in which she masturbated herself on the couch until she finally climaxed. While doing so, I just rubbed her legs and butt, but put my clothes back on. She was the only one still naked during this time. From what I described, what are the std risks? Is vaginal sex with a condom safe? Is kissing on the lips safe? 
Also, I recently was tested for std's, in which everything came back normal. She too, said she has been recently tested, about a month or two or ago, and she was clean as well.

Thank you, have a nice day.

- Tim
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
46 months ago
Welcome to the forum. Thanks for your question.

This was a very low risk exposure. The important information in your detailed question is that you used a condom, and it sounds like it was used correctly and didn't break. It also sounds like you have a careful partner who does her best to stay sexually healthy, so is probably at low risk for having any active STDs. Kissing and hand-genital contact (fingering, etc) transmit no STDs. Had you not been tested already, I would have said testing isn't necessary. (In relatively safe situations like this, I do not recommend testing after any single exposure. A smarter approach is to plan on regular testing from time to time, like once a year or after several new partnerships.) That said, the standard STD tests are very accurate, so you and your partner both can be confident you are free of those infections for which you were tested.

The only slight wrinkle is that her tests apparently were a few weeks previously, so in theory she could have been infected in the meantime. Also, it take a few weeks for some tests (HIV and syphilis blood tests, for example) to turn positive. But still, for the reasons above, even without the testing, there is little or no chance you were infected. I really woudn't worry about it.

I hope this information has been helpful. Let me know if anything isn't clear.

HHH, MD

---
46 months ago
Thank you sir for your thorough response. I do feel better. I'm glad you responded. I know you're the best in the business. So no need for STD testing right? If I decided to, when is a good time? Or is there a specific time? 

Also, I forgot to ask earlier, what is the chance of pregnancy? Or, is there really any chance? Since I wore a condom, and no fluid was exchanged.

So bacially, there really isn't a need to worry. Since it's very low risk. This is something I'm not accustomed to, so I got a little nervous.

Thank you again for all your help!

- Tim
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
46 months ago
I thought you had already been tested after this exposure. If not, I don't think there is any need, as I explained above. If you decide to do it anyway, a urine gonorrhea/chlamydia test is valid any time more than 3-4 days after exposure, and HIV duo (4th generation) blood test at 4 or more weeks, and a syphilis blood test at 6+ weeks. If somehow I were in your circumstance, I wouldn't do any of this.

There is no realistic chance of pregnancy, and I would guess your partner uses good contraception. But if in doubt, ask.

Thanks for the thanks. I'm glad to have helped.

---
45 months ago
Thanks again Dr. Handsfield. Since this was a very low risk event, what is considered high risk? Is it mainly unprotected vaginal, anal, and oral sex? I know HIV is very low risk from oral sex, are other STD's riskier from oral sex?

In all, what are the main ways to transmit STD's? 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
45 months ago
Yes, it takes unprotected insertive sex to make a high risk HIV situation. In fact, since HIV remains rare in most women in the US, including sex workers, an unprotected heterosexual exposure usually is low risk even with vaginal or anal sex without a condom. Truly high risk would get into casual sex between men, or unprotected vaginal/anal with a known infected partner.

Oral sex can be considered safe sex for all STDs, with low risk for all and virtually zero risk for others. By far the main activites that transmit any and all STDs are unprotected vaginal or anal intercourse.

---