[Question #2238] real concern or my OCD?

46 months ago

I had an encounter with a CSW a couple weeks ago.  She is relatively higher end ($200/hr or more) has her own website, very clean and screens all of her potential clients before meeting them.  I used protection as always (in fact she put it on me), but after we finished and was pulling out, she said that the condom may have come off.  When I pulled all the way out it was in fact off.  She assured me that it was on the entire time I was inside of her and only came off as I was coming out.  I actually asked her multiple times if that was the case and she assured me it was.  She was not concerned at all, took a shower, we talked, hugged and I left. 

  Intellectually, I believe that this situation should be ok for a variety of reasons but I suffer from OCD and thus keep replaying the situation over and over.  I have always found your website to be informative and reliable and therefore would like to get your perspective on this incident. 


Thank you so much.

Edward W. Hook M.D.
Edward W. Hook M.D.
46 months ago
Welcome to the Forum.  this was a low risk event.  Most CSWs do not have STIs and the "high end" CSWs are professionals who take better precautions than many other people at preventing and testing for STIs.  Your risk from this encounter, statistically, is lower than your risk if you had met and had a one-night stand with a new partner.  Further, as your partner stated, when condoms come off as a man is removing his penis from the vagina after sex, the condom has done its job.  Finally, why would this person not tell the truth?  Thus, to summarize, this is not an exposure that I would be particularly worried or concerned about.  Having said that, if you are worried there is no real downside to testing for the most common STIs (chlamydia, gonorrhea).  This latter statement about testing is not waffling - we recommend periodic (yearly or more, depending on the frequency of partner change) screening (testing in the absence of symptoms) for all of our clients with multiple partners.  It's just good sexual health maintenance.  The tests are affordable, highly accurate and can be done on a voided urine specimen.  No real reason for testing for other still lower risk STIs such as syphilis, HIV or herpes. 

I hope this is helpful to you.  EWH
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