[Question #4594] Semi-Protected oral sex received from stripper.

28 months ago
Last night I stupidly went to a strip club, which was more like a nude club because the girls were nude.  I got a lap dance from one of the girls, and then it led to more.  She rubbed her body all over me, including her breasts all over my face, then she pulled down my pants and performed protected oral sex on me while I had a condom on.  However, she fit my entire penis down her throat, *so the base of my penis and my groin area was touched her mouth a lot, unprotected.  She also *licked all over my testicles and thus my inner thigh/groin area was all exposed to her saliva.  The encounter lasted for a good 10 minutes.  The only part of me that was covered was the top 2/3 of my penis.  The other areas had skin to skin contact with lots of saliva.

About this girl:  She was 30, african american, and claims to be a nursing student who "doesn't do this often".  However, she also claimed to be "very into" hardcore kinky stuff, like receiving hard anal, having orgies, etc.  Real hardcore stuff.  She also claimed to be a germaphobe, and was STI free to her knowledge.  This all paints a complicated picture of who this person was.

This situation is making me very uneasy, especially since I have a partner.  The only STI I feel I could feasibly contract is herpes, so I'm mostly worried only about herpes.  She had no lesions or anything indicating she had it, although her skin was dark brown, so it might not be easy to spot.  I live in the NJ/NY area.  I woke up today with a sore throat, even though I am extremely hydrated and didn't drink alcohol yesterday, which makes me nervous, although it seems it couldn't be Mononucleosis because that takes a few weeks to develop.  In addition to feeling guilty, I also don't want to risk infecting my partner.  Do you think I have any significant risk of having caught something?  Or are the chances so remote that it is not worth worrying about or testing.
28 months ago
Dr. Hook or Dr. Handsfield, would you like to take this one?  By looking at the boards, I see that "herpes" is Warren's responsibility, but it's been 2 and 1/2 days since I submitted this, and I noticed you guys answer very quickly, usually within hours.  So, would one of you like to fill-in and answer my original question while Warren is busy?  Thanks.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
28 months ago
I apologize for the lateness in responding to your question.  We have been out of the country and just returned. You are correct that the only sort of reasonable risk at this encounter is herpes but the risk of acquiring herpes and the situation is low because it was the single encounter and mostly protected. Have you ever in your life had a cold sore on your left or in your nose? If yes, then you already have HSV one infection and would be highly unlikely to acquire this genitally. Let me know the answer to this question if you don't mind. By the way, waking up with a sore throat has nothing to do with whether you might acquire herpes genitally or not. I don't think that testing is necessarily warranted here and in addition to that, the test for HSV one, which is what you would be at risk for, is not great. The IgG test for HSV one misses 30% of infections compared to the gold standard Western blot

Terri.
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28 months ago
Hi Terri, Thanks for the answer.  To answer your question, I have never had a cold sore or any outwardly visible HSV anywhere on my body.  This doesn't mean I don't have the virus.  In fact, I bet I do have it based on my sexual experiences, and it just never surfaces or causes any blisters.  I've never been tested though, so there's no way for me to know.  
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
28 months ago
No, there is no way to know for certain without testing.  And based on the experience that you describe above alone, I would not recommend testing.  If you do ever decide to test for any reason, I recommend the western blot from the University of Washingnton. 

terri
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28 months ago
Terri, I've seen statistics that say that even if you have daily sexual activity with an infected partner for one year, your chances of contracting something herpetic is still <10%.  Is that true?  Because if so, my chances are like <1% .  If I'm off base, please let me know.  I'm not asking for a definitive answer, I'm just playing the odds.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
28 months ago
A man can have intercourse 102 times in a year with a woman with HSV 2 and there is only a 4% chance that he would contract HSV 2 (no condom, no medicine).  That is the more accurate statistic.  Your chances are WAAAAAAY less than that.  If you have had no symptoms (and my guess is that you are looking carefully for symptoms, I think you should feel quite reassuraed that you are not infected by this encounter.

Terri
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