[Question #4127] std

30 months ago
Hi I unprotected oral sex  yesterday with who I think is a drug user.   I received and gave.   I'm really nervous.    I was given a one time 2g dose of Zithromax and 2 400 mg pills of Suprax for a one time dose.   im worried about ngu, gon ,and the clap.   also worried about syphilis and Tric.   This encounter and I never do this.   we didn't have intercourse.   im worried about aids to.   I don't want to bring anything home to my wife.     Thanks for your help
Edward W. Hook M.D.
Edward W. Hook M.D.
30 months ago
Welcome to the Forum.  I will be glad to comment.  to be honest, I am not sure why the health care provider you saw gave you these medications.  Your risk for medication side effects is far higher than your risk for any STI including HIV.  Giving oral sex is a slightly higher risk activity for STI acquisition than receiving it but both are very low risk events and in your case, the medications you have taken pretty much assure that you will not have gotten an STI.  Most drug users, like most commercial sex workers do not have HIV or STIs.  When they do, most exposures do not lead to infection.  Further, the medications you took would have certainly prevented gonorrhea, chlamydia, NGU, and syphilis if exposed.  Trichamonas is not transmitted by oral sex.  finally, there are no proven cases in which HIV has been acquired from receipt of oral sex from an infected person.  There are a handful of cases in which HIV MAY have been acquired through performing oral sex on an infected partner but it is statistically unlikely that your partner had HIV and even if he/she did, your risk for infection is calculated as being less than 1 infection for every 10,000 sex acts.

I would not worry further about STI or HIV risk from this encounter.  I see no reason for concern, no reason to abstain from sex with your wife and no reason for testing.  EWH
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30 months ago
Thank you Doc!   I was so freaked out when I went in so he prescribed these meds.   I feel a lot better.   In the handful of cases about hiv.  Who got exposed the person giving or receiving.   I read where it might could happen if sperm got in there mouth.   Thank you 
Edward W. Hook M.D.
Edward W. Hook M.D.
30 months ago
For kissing there is no detail on giving or receiving- typically both partners are similarly involved. 

In the instances where transmission may have occurred with oral sex it was the person giving/performing oral sex who is at slightly higher risk for infection.  EWH
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