[Question #3511] Brief Oral (male inserting female)

37 months ago
Dear Docs, 

Thank you so much for all you do. It really means so much. 

5 days ago I met a new woman I do not know much about. I put my fingers in her in mouth for a couple minutes. Afterwards she gave me very brief oral (1-2 seconds tops) and I removed my penis from her mouth.  Shortly after, she began to give me a footjob, which lasted around 8 minutes, and midway through she added a lubricant. I did not ejaculate and I have noticed no obvious STI symptoms, outside of the typical ones anxiety might cause. 

My questions are: 

1) What are my STI/HIV risks from this encounter? I'm mainly concerned about receiving genital HSV-1 as I do not have HSV-1. 

2) could the footjob after the brief oral increase the risk of receiving genital HSV-1, assuming I was exposed to it? I've read Dr. HHH say the virus must be "massaged in" 

3) Did putting my fingers in her mouth (slightly aggressively) increase my chances of being exposed to genital herpes as I may have given her a tiny cut in her mouth, though I don't think I did. 

4) If you had to put a number (sorry for the annoying question) on the chance of contracting genital HSV-1 from this encounter what would it be?

Thanks so much. 

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
37 months ago

1) What are my STI/HIV risks from this encounter? I'm mainly concerned about receiving genital HSV-1 as I do not have HSV-1.

How do you know you don't have HSV 1?  The IgG test misses 30% of hSV 1 infections so not that reliable.  I think your risk from this encounter is very very lcose to zero

2) could the footjob after the brief oral increase the risk of receiving genital HSV-1, assuming I was exposed to it? I've read Dr. HHH say the virus must be "massaged in"

 No

3) Did putting my fingers in her mouth (slightly aggressively) increase my chances of being exposed to genital herpes as I may have given her a tiny cut in her mouth, though I don't think I did. 

No
4) If you had to put a number (sorry for the annoying question) on the chance of contracting genital HSV-1 from this encounter what would it be?

0.005%

This is just not a risky experience!

Terri
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37 months ago
Okay. Thank you.  I also should mention that the other person just tested negative on an HSV-1 IgG test. Given that the  tests are not always reliable, and the other person could have contracted HSV-1 in the last few weeks and it might not have show up, does this make any difference to your answer to #4- my chance of contracting HSV-1? Perhaps if they have a new infection is it more easily spread?   

2. Am I at risk for anything else?   
3. Do you recommend any testing? 
4. If I see no lesions at 10 days, should I assume I do not have genital hsv-1? Or can I do so now? I know it can often be asymptomatic, though I am not sure what percent of the time genital Hsv-1 shows no symptoms. 

Many thanks. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
37 months ago
While it is possible that the other person could have recently contracted the infection and it isn't showing up yet, it is also possible that the test is missing the HSV 1 infection.  Yup, both are possible but what can you do about that?  I guess you could ask them to get tested by western blot and so could you but I still think that the nature of the contact is so short and singular that HSV 1 infection is unlikely.  While it is possible to acquire other sexually transmitted infection via oral sex, it is rare and I do not recommend other testing if you have no other symptoms.  You could do it, but I'm just saying I think it would very likely result in negative results.  I think if you have no lesions at day 10, you can assume that new infection with HSV 1 is extremely unlikely.  Given the lack of sensitivity of the HSV 1 IgG test, we honestly don't know if you had HSV 1 before the encounter or not, right? 

Terri
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