[Question #2864] Massage Parlor - Drunken Mistake

40 months ago
On a business trip, I had a bit too much to drink last night.  At some point, and for the first time in my life, I found myself in a massage parlor.  After roughly 30 minutes of massage, she took my penis into her mouth for about 1 minute or less, causing orgasm.  I don't know if she used any protection, as I can only say that she left the room and returned moments before she took me into her mouth.  How "at risk" am I, and how long before I can be with my wife again?  I admit that, like many on here, I'm freaking out very heavily right now.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
40 months ago
Welcome to the forum.

Oral sex is safe sex. It's not completely risk free, but the risk is low for all STDs (much lower than for vaginal or anal sex) and virtually zero risk for some. In the absence of symptoms within 10 days or so (discharge from the penis, penile sores), it is safe to assume no infection was acquired. However, the risk is not zero, and you could consider having a urine test for gonorrhea (valid any time more than 2-3 days after the event) and blood tests for HIV and syphilis (at 6 weeks). (Chlamydia testing is pretty much automatic along with gonorrhea testing, but chlamydia is rare from oral sex and not at all likely.) Herpes due to HSV1 is possible but very low risk from any single exposure. The last potential concern is nongonococcal urethritis (NGU), but when acquired from oral sex is often due to normal oral bacteria that are not believed to harm sex partners; and in any case, absence of symptoms after 10 days makes it especially unlikely.

If somehow I were in your situation, I would continue unprotected sex with my wife without worry -- especially after 4-5 days, after which gonorrhea is very unlikely if no discharge or painful urination have appeared. The chance of HIV or syphilis is too low to warrant holding off on sex at home for several weeks.

All in all, I would urge you not to worry much about this. The overall chance of anything at all is very low.

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

HHH, MD


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40 months ago
Thank you for the response -- I am on an extended business trip for 14 more days.  Am I safe to assume conclusion of that trip as a reasonable period (you reference 10 days)?  Also, and finally, would you recommend having the test while on my trip, or perhaps waiting the 10 days for onset of any symptoms (or not)?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
40 months ago
As long as you're traveling, I think you can safely hold off on any exam or testing for the next 10 days. In absence of symptoms, you could have sex upon your return (assuming this is pretty routine after you travel, as it would be for many couples). You still could be tested at that time, but without symptoms, with high confidence the results would be negative. 

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40 months ago
Thank you, Doctor.