[Question #3239] worried

37 months ago
hello Doctor, yesterday evening the following protected encounter took place. I am in Spain, and I contacted a 26 year old portuguese transexual SW via an internet ad. When I arrived at the apartment, she was a doll like blonde very femenine transexual. She said that she just arrived in Spain from Portugal 2 days ago (looking for better work oportunities). I asked her if I could smoke and have a drink, and she gave a can of beer, but she said that she didnt like to smoke or drink . She had a quick shower first and asked me if I had showered recently. She seemed concerned about my "higiene". She said she liked going to the gym and didnt like "poor areas". With all this in mind  and her attitude, it gave me certain "trust".things we performed:1. We both put a condom on and performed mutual blowjobs (69) for a some minutes.2Hello. I am in Spain, and I contacted a 26 year old portuguese transexual SW via an internet ad.

 When I arrived at the apartment, she was a doll like blonde very femenine transexual. She said that she just arrived in Spain from Portugal 2 days ago (looking for better work oportunities). I asked her if I could smoke and have a drink, and she gave a can of beer, but she said that she didnt like to smoke or drink . She had a quick shower first and asked me if I had showered recently. She seemed concerned about my "higiene". She said she liked going to the gym and didnt like "poor areas". With all this in mind  and her attitude, it gave me certain "trust".
Things we performed:
1. We both put a condom on and performed mutual blowjobs (69) for a some minutes.
2. She than asked me if she could penetrate me ( I was curious), so with the condom still  she got a bit on top of me (I was lying down) and started to insert  me a little (I never tried It before, this was the fIrst time). I believe only a little/half? penetration took place (the tip I think, I dont know), and that part only lasted less than 60 seconds I presume, because when I started to feel more uncomfortable I told her to stop because it kind of hurt  and I "closed my ass",  She stopped and got up with the condom still on, and I observed that the front part of the condom was  a bit "looser". She then took that condom off (I helped her), and put a new condom one.
3. I performed a little more oral on her with that condom on, and then she took it off and masturbated and ejaculated on my chest (I cleaned woth paper towel). She sucked me a little more and I then ejaculated inside my condom that was still on me since the beginning.
4. I took my condom and the first one she took off and wrapped them in paper and put them in my bagpack. when I got home, I filled both condoms with water and noticed they were intact.

Do I need to test for any STD? HIV? etc I woke up very worried about HIV.
Thank you

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
37 months ago
Welcome to the forum. Thanks for your question.

You provide far more detail than necessary to judge the risk here. Your opening comment says all that needs to be said with "protected encounter". There is nothing in the details that indicates any penetration, of either of you by the other, that was not condom protected. The "water test" was unnecessary. It's an urban myth that condoms can have small holes that would leak water in sufficient amount to allow infection. If a condom does not break wide open, protection was complete.

So I don't recommend any testing on account of this event. For sure you are not at risk for HIV.

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

HHH, MD
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37 months ago
Hello, Dr Handsfield, thank you for the answer.

I wanted to be as detailed as possible for what I could recall.

I had a couple of drinks, so I was a little "drunk". It was the next day that when I woke up I started thinking about the penetration part, which is what really concerns me (point 2 on the thing we performed) >  I guess that the fact that I was penetrated by a transexual, got me thinking of the whatifs. I thus checked in the medhelp, and started reading the scary parts, about receptive penetration risk etc etc and my anxiety went wild. and thought of the biological possibilities.

Like I said, when she penetrated me briefly, I think it was a bit vigorous and the fact that I coudnt "see" her penis going in and the condom is what got me thinking. The fact that the condom seemed a bit "looser" on her from the front part when I turned around, got me thinking what if something leaked or somehow the friction with softer condom part rubbing could pose a risk etc etc etc.

So from a medical point of view, is it true that only completely unprotected would mean a risk, and in this case I can completeley forget about this incident?

Thank you


 




H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
37 months ago
Of course I cannot judge whether the condom was in place he penetrated you. I know, she's transgender. But she is anatomically male, so this carries the same potential risk as sex with other men. But you were there and I wasn't. From what you say, it seems it was protected, but you're the only one who can know. If it was protected, indeed you can "completeley forget about this incident".

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37 months ago
Hi again, and thanks. I think its the anxiety that makes the brain start to think of scenarios. 

As a last follow up, and from what I stated about her and her attitude, and tha fact that I called her the next day and said she said sehe loves herself and was clean and last time was 2 months ago in portugal, she didnt get checked in spain yet since she just arrived 3 days ago.

Do these two things change anything?:

1. The Fact that in the end she ejaculated on my chest and I just wiped off with paper towel and I didnt shower till the next day when I woke up, does this change anything from the whole encounter?

2. The fact that the condom I think seemed a bit "looser" on her from the front part when I turned around, got me thinking what if something leaked or somehow the friction with softer condom part rubbing could pose a risk etc etc etc. 

So Finally, what is your final conclusion about this encounter regarding any ITS and specifically HIV in regards to testing risk.

Thank you very much 
 

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
37 months ago
Most people don't lie about HIV or STD status when asked directly, so this further suggests it is unlikely your partner has HIV.

1) Skin contact of infected blood or body fluids is no risk.

2. No comment. I haven't a clue whether or not the condom was "loose". But if the head of the penis and urethral opening are covered, protection is complete.

My final conclusions and advice are unchanged. However, you should consider being tested for common STDs (gonorrhea, chlamydia, and syphilis) and HIV. Not because there was any real risk, but because it seems obvious that you are going to continue to worry about it. Negative test results sometimes are more reassuring than expert opinion based on probability and statitistics. So I suggest you visit a doctor or clinic for testing for gonorrhea and chlamydia (urine, plus throat and rectal swabs), which are valid any time more than 4-5 days after exposure; and blood tests for syphilis and HIV (after 6 weeks).

This does not mean I believe there is any chance you are infected. I suggest testing strictly for reassurance, and these recommendations definitely are optional. If you decide to be tested, stay relaxed in the meantime:  I am sure they will be negative.

I hope the discussion has been helpful. Best wishes.

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