[Question #14093] Protected vaginal sex and deep French kissing

2 hours ago

Deep regret coming back, I am a male have exposure last night with a Asian female 20 year old “sex worker” not exactly sex worker, we meet on dating website, but she agree to exchange money for sex at the end, I assume she didn’t do this first time. She mentioned she didn’t sex with anyone but me recently, I really cannot tell based on her sex performance and cautions.

We had sex twice, she touch my penis with hand, we French kissed, and we have condom protected vaginal sex twice, both last around 10 minutes, she is a bit dry maybe, and complain painful in her vaginal for the last one. I may put my penis around her vaginal opening a few second but definitely not inside before putting on condom, but I am not sure if really touch her vagina. Overall she is super careful, I forget to ask her status, or she didn’t answer.

1. Do I need to doxypep for syphilis now, I know condom didn’t fully protected this? I also worry if I take doxypep it will postpone test window for syphilis?

2. I cannot tell if my penis touch her vagina before putting condom on, there is chance we do for a few seconds, but there is no penetration just outside touching. What is risk penis tip touch vagina?

3. Is kissing carry any STI risk, I had cold sore before, no outbreak now. Wonder if kiss will pass hiv, hep A B C to me, or gono etc

4. Do I need to worry about this event and getting test for hiv, syphilis, hep etc, urine STI etc in the future? Do I need to avoid sex with my future normal date tomorrow to avoid passing anything to her if thing goes well.

I couldn’t not understand why I engaged in that, and now I don’t know how I can move on

Edward W. Hook M.D.

1 hours ago

Welcome back to the Forum. Thanks for your continuing confidence in our service. I'll be glad to comment. Your questions about kissing resemble questions you ask when we interacted about 19 months ago. The answers I provided then are still applicable. At that time I said "STIs are occasionally transmitted through kissing but this is a rare event which most often occurs when deep kissing is between men kissing other men. In that situation, there are rare instances in which gonorrhea has been transmitted from one person's throat to another. Theoretically, if one person who kissed another had a syphilis sore on their lips or mouth, then kissing might transmit syphilis as well. Both of these occurrences are quite rare however and there is little reason to test for STIs following kissing another person accept to relieve any anxiety that a person might have."

This was a low risk encounter. Condom protected sex is safe sex with close to zero risk for syphilis as well as other STIs. Deep kissing, as explained above, is close to zero risk as well. I would not be worried. In response to your specific questions:

1. Do I need to doxypep for syphilis now, I know condom didn’t fully protected this? I also worry if I take doxypep it will postpone test window for syphilis?

I would not recommend doxypep at this time. It is unlikely that your partner had syphilis and condoms prevent the vast majority of infections when partners are infected. Your risk is close to zero and, as you point out, taking doxypep will only delay when you can test accurately.

Zero risk

3. Is kissing carry any STI risk, I had cold sore before, no outbreak now. Wonder if kiss will pass hiv, hep A B C to me, or gono etc

See my comments above.. There is no known risk for hepatitis or HIV and little meaningful risk for gonorrhea.

Testing is always a personal choice and many of our clients such as you with virtually no risk appreciate the added assurance that negative tests provide. Personally, I would not bother but testing is up to you.

I hope this information is helpful. Please don't worry. EWH

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43 minutes ago

Thanks

1. I don’t need to worry or test for syphilis from kissing or potentially genital touching without condom

2. I can have vagina sex without condom with my regularly partner tomorrow without putting her at risk?