[Question #5206] strip club event

25 months ago
hello doctors

i was at a strip club in california yesterday.  i remained fully clothed but a girl dancer did not.  somehow i performed analingus on her for 30-90 seconds.

we exchanged emails after and anxiety got me so i contacted her and she told me 13 days ago she was tested for every sti and was clean. 

i have no idea if that is true.  

by me licking her anus and sticking my tongue deep inside is there any risk of me getting hiv? syphilis? anything?

thank you. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
25 months ago
Welcome to the forum. Thanks for your confidence in our services.

Analingus is generally low risk for all STDs. In theory, there is a slight risk of oral gonorrhea, syphilis, herpes due to HSV2, and maybe HPV an HIV. However, I am unaware of any actual risk, i.e. reported cases of anyone acquiring an STD by anal to oral transmisssion. Certainly there are no proved HIV cases, to my knowledge. By far the main risk is for various non-STD gastrointestinal infections, like norovirus, various enteroviruses, and so on. Hepatitis A is a potential risk, but the chance any particular outwardly healthy person has hep A is almost zero.

In addition, most people don't lie about having STDs when asked directly, and most likely the woman was truthful about recent STD testing.

So I don't recommend testing for anything, assumng no diarrhea, nausea, vomiting, etc. But if you want special reassurance, you could visit a clinic for a throat swab to test for gonorrhea and, after a few weeks, blood tests for HIV and syphilis. However, I would not feel any need for these if somehow I were in your situation.

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

HHH, MD


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25 months ago
thank you.  

my real concern is hiv.  

i’ve read in previous replies on this forum (Hook as i recall) and others, including CATiE and San Francisco City Clinic websites that state oral to anal sex does NOT provide a route for HIV transmission and thus is not a risk, period.  

nothing in life is 100%, but i was most curious as to whether you agree with them: no risk for HiV in this activity?

if i have to get tested for reassurance, when can i do so at the earliest and which test is best?

thank you for the work. 




H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
25 months ago
As I said, there has never been a reported, proved case of HIV transmission by analingus. Perhaps it can happen, but if so, it must be exceedingly rare. In addition, the chance any particular female stripper or sex worker has HIV is very low, probably less than one chance in a thousand. As you say, "nothing in life is 100%", but I would consider this a zero risk event for all practical purposes.

If you decide to be tested anyway, I suggest a single lab-based (not rapid) antigen-antibody ("duo", "4th generation") test 6 weeks after the event. But that you also continue unprotected sex at home, assuming you have a regular partner.

Thanks for the thanks!
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