[Question #3417] Risk of STD transmission?

37 months ago
Hello,

Received protected (condom) oral sex 1 time.
37 months ago
Accidentally submitted too soon below... Hello, I received protected oral sex (condom). My partner did not appear to have any sores on her mouth. She did touch her vagina, then touch my penis (still with the condom on), I also touched her vagina and then touched my penis (still with the condom) on. Afterwards I washed my hands and removed the condom and showered. No intercourse or kissing. What are my risks for STIs? Especially herpes? While I don't know if she had anything, I might have seen a healing or healed sore on her thigh crease. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
37 months ago
Welcome to the forum. Thanks for your question. It came in while I was logged in myself:  most users shouldn't expect nearly real time replies.

Herpes questions generally are answered by Terri Warren, but despite your selection of the herpes category, your question suggests you are concerned about all STDs.

Oral sex should be viewed as safe sex. It isn't entirely free of STD risk, but even without a condom the chance of all STDs is low and for some it is zero -- very different than the risks associated with vaginal or anal sex. The main STDs risked by receiving oral sex (i.e. mouth to penis, assuming that's your concern) are gonorrhea, herpes due to HSV1 (the cause of oral herpes), and nongonococcal urethritis (NGU), probably often due to harmless oral bacterial. Syphilis is possible, but heterosexually transmitted syphilis is rare in most of the US and other industrialized countries. There is little or no risk for HIV, HPV, chlamydia, or viral hepatitis.

In any case, you say it was condom protected. For sure your expousre was zero risk for all STDs. You do not need testing for anything and if you have a regular partner, you can safely continue your normal sexual practices without putting her (or him) at risk.

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

HHH, MD
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H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
37 months ago
My reply above was written before your second, clarifying comment. However, the addiional information does not change my professional opinion or advice. All is well, no worries!---
37 months ago
Thank you  Dr. Handsfield  I suspected this would be your response. Just confirming... could there be additional risk if any vaginal fluid on her hand (or my hand for that matter) touched anywhere on me outside of the area the condom protected? 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
37 months ago
Hand-genital contact doesn't transmit STDs, even when genital secretions are used for lubrication. This doesn't change my evaluation or advice.---