[Question #3728] I received a blowjob from a sex worker. A condom was used. Am I at risk?

33 months ago
Hello doctors,

I'm in the USA.  A few weeks ago I received a blowjob from a sex worker. A condom was used. 

The reason I'm a bit concerned, other than feeling guilty about this, is that I thought I was only going to get a massage, but in the middle of the massage she pulled out a condom and I realized she thought I was there for sex. When I told her "no" she thought I meant "no, I don't want to use a condom" to which she said "that'll be extra".  I clarified that I did not want to have sexual intercourse.

In the end she gave me a massage, put the condom on, gave me a blowjob, I ejaculated, she carefully took the condom off, cleaned me off, and sent me on my way.

  • Should I put this out of my mind? 
  • Should I get tested?
  • Am I at any risk of a STD/HIV? 
  • Can I continue to have unprotected sex with my wife?
I'd like to move on past this but would like expert confirmation that this was a no-risk encounter.

Thank you.
33 months ago
Hello doctors, after reading through the many anxiety ridden posts you've replied to (and thank you for for what you do) I realize now that I probably already know the answer to my questions. 

I am just looking for reassurance that this encounter was a no-risk event for STDs/HIV. I'm ready to put this behind me and move on. I have been tested prior to getting married and passed with a clean bill of health. The guilt of doing this (doh!) got the better of me today and the guilty feeling caused my life to flash before my eyes. I love my wife and child and don't want to put them in harm's way or lose them for this one poor decision. Thank you in advance.
Edward W. Hook M.D.
Edward W. Hook M.D.
33 months ago
Welcome to the Forum. I'll be answering your questions and it will be my pleasure to assure you that the events you describe did not put you at any risk for any STI, including HIV.  There's an old joke about men only having enough blood to supply either their brain or their erect penis but not both.  In such situations, when the blood starts to return to the brain it is absolutely normal both the feel guilt and to worry.  It sounds like that was where you were a few hours ago but that your brain is working well and that you have already correctly anticipated my response - no risk.

To elaborate, few STIs are acquired during unprotected receipt of oral sex and use of a condom from beginning to end transforms a low risk event to a no risk event.  While some STIs may rarely be transmitted through receipt of oral sex, no one has ever gotten HIV in this way.  This was no risk.  You are in the clear.  There is no medical reason for concern and no medical reason for testing.  I hope that this reply is helpful in affirming that you are not at risk and will allow you to move forward.  EWH
33 months ago
Dr. Hook, 

Thank you for your reply! Just a single follow-up if I may, I forgot to mention that I did for a moment or two lightly touch her vagina, no fingers were inserted, just a graze over the labia/clitorous. I take it that this was also a no-risk variable?

Thank you and hope you're having a great day.

All the best!
Edward W. Hook M.D.
Edward W. Hook M.D.
33 months ago
Correct.  Touching the genitals or genital secretions of a person with HIV or othe STIs does not put you at any risk for infection.  You are still in the clear.  EWH---