[Question #3760] Is there any risk in this?

34 months ago
Hello Drs. I hope you are all well.

I recently went on a lads holiday in Asia and I slept with a girl from a go go bar when I was there. I was wondering if there was any risk in the following actions:

1. Unprotected oral sex (receiving)?
2. Protected vaginal intercourse ?
3. Fingering (there were no obvious cuts or anything on my hands, but the skin near the end of my index and ring fingers was quite dry and flakey at the time, is this a risk?)
4. Incidental contact, like getting vaginal fluids on the leg/stomach etc, brushing the foreskin with fluid on the fingers when removing a condom etc.?
5. receiving a hand job if the woman has fluids on her fingers?

I received oral for about 20 seconds and then had protected vaginal intercourse. There were no condom ruptures or anything  but they were local condoms and only covered about half of my penis shaft at some points, does this increase risk at all? I am in an open relationship with my long term partner and she is hoping to have a child soon. Is it safe to engage in unprotected sex with her?

Thank you for your time doctors.

Regards.


Edward W. Hook M.D.
Edward W. Hook M.D.
34 months ago
Welcome to our Forum.  I'll be glad to comment.  Before I do, let me congratulate you on your practice of safe, condom protected sex.  This will do much to reduce your risk for STIs of any sort.  In general, let's agree that your partner was a commercial sex worker and her risk for STI is somewhat higher than persons who do not engage in transactional sex.  At the same time, as it is "bad for business" such persons also tend to get checked regularly and this most such persons do not have STIs of any sort.  In addition, following a single sexual exposure with an infected person, most people will not acquire an STI (i.e. every exposure does not lead to infection, in fact, most do not).  I'll work through your questions. 

1. Unprotected oral sex (receiving)?
The most common STIs from receipt of oral sex are gonorrhea and non-gonococcal urethritis.    Both are typically symptomatic with symptoms occurring within 7-14 days of exposure at the outside.  If you do not have symptoms by then, there is really very little to worry about.  No one has ever gotten HIV from receipt of oral sex so there is no risk for HIV.  Infections such as syphilis or herpes have been reported in this situation but are very, very rare and would present with sores or lesions, again within 2 weeks for herpes and typically within three weeks for syphilis.  Personally, I would not be worried following an exposure of this sort and would not test unless you have symptoms.

2. Protected vaginal intercourse ?
Virtually no risk- safe sex as along as the condom was worn from start to finish and did not break.

3. Fingering (there were no obvious cuts or anything on my hands, but the skin near the end of my index and ring fingers was quite dry and flakey at the time, is this a risk?)
No risk for any STI, including HIV.

4. Incidental contact, like getting vaginal fluids on the leg/stomach etc, brushing the foreskin with fluid on the fingers when removing a condom etc.?
Same as no. 3 above.

5. receiving a hand job if the woman has fluids on her fingers?
Same as number 3 above.  Mutual masturbation, even when persons get each others' genital secretions on one another is considered safe sex without risk for any STI.

I hope these comments are helpful to you.  Take care.  EWH
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