[Question #4299] Questions for the experts

30 months ago
My Gender: Male
Sexual Preference: Straight
Sexual History: Always protected vaginal sex and unprotected blowjob (penis to mouth)
Last Known Exposure: Unprotected blowjob in 2017
Testing History: Tested for HIV using ORAQUICK AT HOME ORAL SWAB test 7 months after last blowjob
Test Result: Negative
Background: Married man wants children and planning on it actively
Health breakdown:  I'm going to have root canal on Monday, 9/24. I'm also going to have crown placement on the root canal on Wednesday, 9/26. Also, I'm currently having dry skin on my penis. I scrubbed it too hard in the shower today and it is literally bleeding. And, I'm uncircumcised.

Hopefully the above breakdown gives you enough info about me.

I'm going to Cancun, Mexico on 9/27 on a guys trip. On 9/28, we are going to brothel in Cancun hotel zone. They charge upwards of $200 per hour and claim to have their Spanish girls tested for all the STDs including HIV. 

My potential planned exposure on 9/28: Condom protected rough blowjob (my protected penis in her mouth). Aggressive kissing.

Questions:

1) Is condom protected rough blowjob going to put me at risk of any STDs or HIV? 
2) If base of my penis skin which is not protected by condom or the skin on the balls gets in touch with her mouth or tongue and let's assume she has herpes or warts in her mouth...would that put me in risk of getting herpes or any other skin to skin type STD?
3) I'm not expecting dry skin on the penis to improve by 9/28. Is that going to be increase my risk of getting HIV through protected BJ?
4) With recent root canal and crown procedure, should I skip the kissing adventure? Would aggressive kissing with recent dental procedure put me in increased risk?
5) Assuming she has HIV and all the STDs in the world, would properly condom protected blowjob put me at risk of getting any of the STDs?
6) Do I need to take any special precautions while removing condom?
Edward W. Hook M.D.
Edward W. Hook M.D.
30 months ago
Welcome to our Forum and thanks for your detailed description of your situation.  Please find my comments to your questions below:

1) Is condom protected rough blowjob going to put me at risk of any STDs or HIV? 
There are no instances in which a person has acquired HIV from receipt of oral sex - you are not going to be the first.  REceipt of unprotected oral sex is an inefficient means of acquiring STIs and most CSWs to not have STIs BUT that makes receipt of oral sex low risk, not no risk.  There is a small risk for gonorrhea, chlamydia or NGU from receipt of oral sex.  These infections are most often symptomatic.  If you do not develop symptoms within a week of your trip to the brothel, your risk for STI is very low.  That the oral sex may be rough does not change this

2) If base of my penis skin which is not protected by condom or the skin on the balls gets in touch with her mouth or tongue and let's assume she has herpes or warts in her mouth...would that put me in risk of getting herpes or any other skin to skin type STD?
Most STIs are transmitted to the head of the penis.  The risk for "skin to skin" STIs is low but, of course, not zero from contact with the portion of the penis not covered by a condom.

3) I'm not expecting dry skin on the penis to improve by 9/28. Is that going to be increase my risk of getting HIV through protected BJ?
No.  It is a no risk event.

4) With recent root canal and crown procedure, should I skip the kissing adventure? Would aggressive kissing with recent dental procedure put me in increased risk?
No STIs including HIV are not transmitted by kissing and your dental work will not change this.

5) Assuming she has HIV and all the STDs in the world, would properly condom protected blowjob put me at risk of getting any of the STDs?
Yes

6) Do I need to take any special precautions while removing condom?
No, no special precautions are required.

I hope this information is helpful to you. EWH
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30 months ago
Thanks for quick answers but I'm bit thrown off by answers to question #1 and #5.

Answer #1: You wrote  receipt of oral sex low risk, not no risk. I was asking about condom protected blow job. Is that also not a zero risk? I thought condom protected oral sex is zero risk event. Please advise.

Answer #5. You wrote yes to "Assuming she has HIV and all the STDs in the world, would properly condom protected blowjob put me at risk of getting any of the STDs?" So that means even though I'm limiting my exposure to condom protected BJ,  I am at increased risk of HIV and STDs if she is infected?

Lastly, you wrote "Most STIs are transmitted to the head of the penis.  The risk for "skin to skin" STIs is low but, of course, not zero from contact with the portion of the penis not covered by a condom." Can you please describe which skin to skin STIs can potentially transfer by the skin/area that is not covered by condom? 
Edward W. Hook M.D.
Edward W. Hook M.D.
30 months ago
1.  Sorry, I understood you to mean unprotected oral sex. With a condom receipt of oral sex becomes no risk.

5.  Again a misunderstanding.  Receipt of condom protected oral sex would not put you at risk for STI. 

Sigh, in theory syphilis which is very, very rare in CSWs, or possibly herpes if you do not already have cold sores or HSV-1 infection (60% of adults do have HSV-1 although most do not know it) 

Sorry for the confusion.  Thanks for your commitment to safe, condom protected sex.  EWH
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