[Question #2425] Risk of Stds and times to wait to test

45 months ago
Hi, I am a white male and had an encounter with a female that has had several partners by her own admission. I am white, circumcised. Live in Alabama. We kissed a couple of times, she gave me unprotected oral sex for about 5 minutes or so.. Then we switched to intercourse with a condom. We did a position for about 5 minutes or so and when I pulled out to switch positions the condom had slipped to covering only the head. ( any risk here) I then pulled it back down and we had more intercourse for a couple of minutes. I then pulled out and the condom was completely off of me. She said she was multi-orgasmic and she came twice. but didn't notice any rush of fluid. I told her the condom was off and she went looking for it and I am not sure if it was hanging out or completely in her. She was a csw/ sugar baby and we both insisted we used condoms. She then proceeded to masturbate me and more oral on me until I ejaculated in her mouth and she swallowed it. She says she enjoys the taste so I assume she does this regularly. (Does that increase my risk) I always try to be safe and usually do oral with a condom as well and did not this time.. What risks did I have in this encounter. By her own admission she says she is freaky and met some freaky guys,  and I believe she said she has left men before because they insisted on not using condoms and she would not have sex with them. What stds including HIV was I at risk for. Should I be tested and if so how long should I wait. Some HIV test sites say 10 days for some of there HIV tests. Expensive but accurate. She mentioned during conversation she was just tested days before clean of std's and she tests regularly. I saw no mouth or lip sores but when looking closer later her lips looked chapped or cracked some. Thanks in advance. I would love to know your professional thoughts. I hope my timeline and info is concise and easy to read. Thanks again.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
45 months ago
Welcome to the forum. Thanks for your question.

Through all those details, a few important factors stand out. First, people (including CSWs) rarely lie about HIV/STD status when asked directly. Your partner probably was indeed tested recently and believes she isn't infected. Obviously that's not proof, and it sounds like not all her sexual contacts are entirely risk free. However, the odds are she doesn't have HIV. Second, penile slippage inside a condom is common, and sometimes the condom remains in the vagina when the penis is withdrawn. This is still considered protected sex:  the important thing is that the head of your penis and the meatus (urethral opening) were continuously covered. Third, oral sex is safe sex:  not completely risk free, but much safer than unprotected vaginal or anal, with low risk for all STDs and virtually zero for some, including HIV. Fourth, hand-genital contact ("she masturbated me") is risk free. Finally, whether you ejaculated or not (or where), and whether a woman is orgasmic make no difference in STD risk. Neither does female "ejaculation", which is generally believed to be a squirt of urine.

Since there was some doubt about your penile exposure during vaginal sex, I agree it is reasonable for you to be tested for common STDs. But don't overdo it. The standard urine test for gonorrhea and chlamydia is valid any time 5 days or more after exposure, so you can do that pretty much any time. The risk of HIV is low enough that I definitely do not recommend an RNA test at 10 days; better to wait and have both a routine HIV test (4th generation, i.e. antigen-antibody) and syphilis blood test at 6 weeks. In the meantime, the chance you have either of these is low enough that if you have a regular partner you can safely continue unprotected sex without putting her at risk.

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

HHH, MD

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45 months ago
The Dr. Triple H. I am sorry for being over detailed but I wanted everything included. I will follow your advice, quit worrying get the Ghonorea and chlamidea urine test next wee and wait approx 42 days and have the 4th Gen HIV and syphilis test. I have been over thinking this and freaking out and wouldn't want to expose anyone to anything. I am generally so safe and careful. A little slippage can can create a lot . LOL. Thanks again.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
45 months ago
Thanks for the thanks. No worries about the detailed question:  better too much detail than too little!

Your testing plans are exactly right. Stay relaxed as the time passes before testing. You definitely can expect negative results.

Best wishes and stay safe.

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