[Question #2408] STDs Safe Activities ?!!

47 months ago
Dear Doctor,

I'm planning to see two ladies who are independent companions in Canada. By nature, i'm an obsessive person, so, I want to be sure that I don't engage in any activity that isn't safe. I will list the activities that I would think would take place and would like your kind feedback on which ones are safe in terms of STDs especially the big ones like HIV.
- Kissing/ French Kissing
- Cunnilings
- Unprotected oral (receptive) which is usually called a BBJ
- Annulings
- Protected vaginal intercourse
- Fingering vagina and anus
- Hand and body contact with vaginal fluids, mouth for sure
- Swallowing their saliva

Thank you in advance.

Regards,
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
47 months ago
Welcome to the forum. Thank you for your confidence in our services.

I trust you understand that there is no such thing as 100% sexual safety in the cirucmstances you describe. Also, there are no numerical data available to give precise estimates for the various exposures you describe. All I can do is give you rough estimates based on limited data and my professional experience and opinion. Also, the risks are not the same for all STDs. Finally, the unknown factor will be the lifestyle and STD risks fo the two ladies whose services you plan to enjoy. But I would suggest you forego these pleasures unless you are confident they a) use protection for their other clients/customers/partners and b) have been tested recently, with negative results, for STDs, especially HIV.

Kissing:  No risk for any STD; some risk for oral herpes.

Cunnilingus:  Low to zero risk risk for all infections.

Fellatio (insertive):  Very low risk overall, including no risk for HIV. Slight risk for gonorrhea, herpes due to HSV1, and nongonococcal urethritis (NGU) due to normal oral bacteria and, rarely, chlamydia.

Analingus:  The main risk is for intestinal infections, viral diarrhea, etc. Little risk for any STD.

Condom protected vaginal sex:  Significant risk for all STDs should the condom break. Even without breakage, modest risk for herpes and HPV. Also a theoretical risk for syphilis, except in North America syphilis is predominantly a problem in men having sex with men, rare in partners like the ladies you have in mind. All these risks are because condoms allow skin contact above the penis covered by condoms.

Fingering, hand/body/skin contact, saliva: No known risk for any STD.

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

HHH, MD

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47 months ago
Thank you Doctor for your detailed reply. 
They both test every 3 months and according to them, they have never acquired any STD while in business. They both use protection for intercourse but not for orl. However, ons of them have a fluid bound partner with home she doesnt use protection but she said he also tests regularily for STDs. They seem to be very healthy and following very safe lifestyle, their indivudual rate for an hour is around 275 USD, they are also selective and uaually keep working with the same clients.
If i limit the activities only to protected oral and hand genital contact, i presume i wont have any risk even if they are high risk ?
Dr. Handsfield, based on the above knowledge about the ladies, would you engage in activities with them if you find yourself in my place ? 

Thank you again Dr. Handsfield
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
47 months ago
While I cannot envision myself in excactly this situation, if somehow it happened I would not be worried about STDs. There is little or no chance of infection from hand-genital contact and if all insertive sex, including oral, is condom protected. The risk may not be zero; some people think HPV or herpes could be transmitted by hand-genital contact, and rare condoms break or are defective. But the risk would be extremely low.

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47 months ago
Thank you so much Dr. Hansdfield, As I understood, all activities in my first post arr zero risk for HIV given the condoms stay intact, isnt it ? I think i have a terrible HIV paranoia.
This is the last post from me, please keep up the great work you have been doing, humanity appreciates it.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
47 months ago
Given your "terrible HIV paranoia", you should think seriously about whether to proceed with the planned sexual adventure. With these fears, it seems likely that when it's all done, you'll still fret about the possibility of HIV infection and maybe even be tempted to return to this forum to ask about it. Or just suck it up and go ahead as planned. Life is short, and most of us don't forego the basic pleasures of life, whether it's sex, fine wine, or sky diving, solely because they carry some risk. Just living is risky.

Thanks for your kind comments about our services. Best wishes for a long, fruitful, and romantic (and sensual) life.
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