[Question #4993] Quick sexual encounter with no ejaculation but precum

25 months ago
Hi doctors. I am 25 female and I recently had a small amount of unprotected contact w a 21 yr old male. We live in a suburban place, educated people, in the US and although I’d love to think people care about this stuff that they use protection, obviously that’s not true. I gave a blow job for a short period of time and although we didn’t fully have sex it was definitely around my vaginal area and also inserted slightly for a small period of time but no ejaculation in my mouth of vagina. There was precum. I took plan b as a emergency contraceptive. 
He says he uses condoms as protection with all women beforehand. I noticed no sores warts anything but I know that isn’t always a clear story. I scheduled a testing date 48 hours from last night feb 18 for chlamydia, ghonnorhea and trich. I know I must wait longer for an HIV test. I feel absolutely scared out of mind with anxiety . Do you believe there is a high chance from this kind of small contact ? Am I just being too cautious ( in my mind I feel as though that is never an issue)
 I’m assuming I should not have any sort of sex , esp unprotected with anyone else for a while before I could find out if I have anything. Do you agree ?  I’ve been reading about PEP for HIV prevention. Do you think that would be a course I should take for my carelessness?  Let me know if you need any other sort of details.  I know I am definitely clean as this is my first encounter with someone I have not been monogamous with for over a year.  I’ve had my hpv shots but am curious if other forms of Hpv could still be possible. Please let me know. I’m having major anxiety over this and I feel as though all research is basically pointing that I could most definitely have caught something. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
25 months ago
Welcome to the forum. Thanks for your confidence in our services.

In all honesty, I think you're overreacting. Without penile penetration, there is little if any risk for gonorrhea, chlamydia, or other STDs. And oral sex is quite safe, with low risk for all STDs and nearly zero for others. In addition, it sounds like he is at low risk of STD and unlikely to be infected. And all things considered, the chance you caught HIV is zero for all practical purposes.

Therefore, I see no need for you to even be tested for HIV or any other STD. However, I would understand if you would feel better with negative test results, and for that reason perhaps you should have a urine or vaginal swab test for gonorrhea and chlamydia (valid any time more than 4-5 days after the event) and blood tests for syphilis and HIV at 6 weeks. For sure you should not take PEP to prevent HIV -- indeed, I doubt you could find any doctor or clinic willing to prescribe it, if you are truthful about the sexual event.

I hope this information is helpful. Let me know if anything isn't clear.

HHH, MD


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25 months ago
Thanks for your response and I hope I am over reacting! I’m sorry if you feel like you’ve wasted your time answering this. Like I said there was kissing, him giving me oral sex, me giving him oral sex , penis rubbing on my vagina and also insertion of his penis for less than a minute in my vagina but no ejaculation. I guess my major issue is that he told me he has had about 6 partners in the past two months . (Idk how many over the past yr since hes been tested) He says he wears condoms but what if he’s doing oral to them and vice versa, wears a condom during the act but doesn’t actually start with a condom? Does that make the chances higher for me? Or him? ESP if he hasn’t been tested since these encounters.  Doesn’t precum carry diseases if I were to swallow it or have that inside of my vagina?  Or even ‘skin to skin’ contact like all these std informations I’m reading about ? Or how herpes doesn’t even always have symptoms, or can that only be contracted thru an open sore? Just seems like a lot of variables even tho I agree compared to other situatuons this is quite low risk . 
I’m sorry if this is ranting. I’m worried that the monogamous relationship I was in beforehand bc I think it will rekindle, would it be safe to have condom sex with him within the next four weeks ? I also may be ram-baling but I haven’t had any casual hook up in years  so yah that is also causing my major anxiety. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
24 months ago
I apologize for taking almost a month to reply to your follow-up message. Not sure how I missed it! I discovered it in preparing to close the thread as we approach 4 weeks. I hope you see this delayed reply.

The various details you describe all are biologically plausible -- i.e. it is easy to imagine that these various kinds of contact, without actual intercourse, could risk HIV or other STD transmission. However, even the busiest STD and HIV clinics almost never see infected persons whose only possible exposures were of these types:  everybody has had insertive sex, i.e. penile-vaginal, -anal, or -oral penetration. There is a safety factor in HIV:  large amounts of virus must come into contact with certain kinds of cells that are mostly deep inside the body. And all the STD bacteria and viruses evolved to require actual intercourse for transmission or at least, for HPV and HSV, fairly vigorous physical contact, with the virus being massaged into exposed tissues for infection to take hold. Brief and superficial contacts are generally zero to low risk. (This also is why STDs are never acquired in public toilets, by shared towels or vathrooms, etc.)

The bottom line is that you really have not been at any signficant risk of HIV. Even if your past partner(s) had HIV, these sorts of contacts were risk free. With the passing of almost a month, perhaps you have already made your decision about sex with our new partner. And as I said in my original reply, I can understand how testing might be more reassuring than my advice.

I'm leaving this thread open another week or so, in case you see it and have additional comments or questions. Apologies again for missing it for almost a month!
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