Dr.’s, I am so glad to have found you after using Medhelp in the past. I think I know the answers but personal reassurances always help my anxiety. On Friday night I went to visit a high end erotic massage place and saw someone I’ve seen plenty of times. We often engage in oral sex as your wisdom has given me the knowledge that receptive oral is not an  H IV risk and low risk for most all stds. Anyway, this past Friday we went further and I foolishly penetrated her vaginally with no protection for probable 1-2 minutes maximum. I quickly pulled out and finished outside. I’ve known her 9 months now. She claimed to have tested only two weeks ago and was clean. Also has an iud so pregnancy worries not there either. Being married and having anxiety I’ve been a mess. I already this morning went for urine test for ghonorhea and chlamydia. Based on old threads I believe you would say I should not worry about this and if you were in the same situation you’d continue unprotected intercourse with your wife and not even be tested. I know she’s telling me she was just tested but I also know myself and at the three week mark will get a rapid hiv test. I would just like to be able to be with my wife in the meantime. Thanks for all that you do. 

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Thank you. In fact after communicating with her today she replied that I have nothing at all to worry about. I did offer to go for rapid HIV test however she doesn’t seem interested claiming she was just tested and she is understandably getting annoyed by me. Assuming the tests for gonorhea and chlamiyda come back clear is it safe to resume sex with my wife and not seek additional testing related to this?

Yes, once your gonorrhea and chlamydia tests are negative, it would be safe for you to resume unprotected sex with your wife without further testing.  EWH---

Thanks doc. To be clear that means no need for an hiv or syphillis test at all after this event? Again thanks for everything you do. 

No, I see no medical reason for testing for either syphilis or HIV following the encounter you have described.  Your risk is very, very low (a fraction of 1%).  EWH---

Doctor I believe I have one more follow-up, at least I hope I do. I was reading older questions (I know that leads to over thinking) and in a similar situation where a man had unprotected intercourse at a strip club you recommended a 28 day hiv test. In my question you said I could safely resume intercourse with my wife once the tests I’ve taken clear up. I curious why the seeming difference here? Is it because the woman I was with (high end massage girl) has assured me she recently tested? Yes I’m riddled with anxiety and guilt but your answers provide so much comfort. Finally since even if inresume intercourse I’m going to have an hiv test, can I do the rapid test at 3 weeks or do I have to wait 4? What about those 9-11 day tests? Thank you again and this will obviously be my final comment here. 

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