Thank you for the service you offer! It’s very helpful to all of us.

My situation is the following:

Last Wednesday and today I visited an Asian massage parlor in town. Each time was with a different lady.  Both times I received fellatio that started w/condoms that ended w/intercourse using condoms.  After finishing, both times the ladies cleaned me up real well.  My questions are as follows:

1) what is my risk of acquiring HIV and other sti’s From both exposures using condoms that appeared to have remained in tact covering my penis throughout each event?

2) would you recommend testing for hiv and sti?

3) can you please leave this open so I can follow up with test results?

I struggle w/anxiety and trying to tell myself that using condoms protected me from HIV and STI though there’s always a little voice commenting about the very rare incidents that could occur. I know that I made poor choices in the last week being married w/kids and don’t want to risk passing anything to my wife b/c she will expected unprotected sex since I’ve had a vasectomy. I really hope I didn’t screw things up as I promised myself I’ll never do this again due to fear and anxiety as well as needing to be a faithful husband.

Thank you for your time

This was a nearly zero risk exposure. Over 99% of of massage workers and female sex workers in the US do not have HIV, regardless of Asian or any other ethnicity. (If anything, in general those of Asian ancestry are at lower than average risk for HIV.) Nobody has ever been conclusively determined to have caught HIV from oral to penile exposure, even without condoms. With a condom, that event was truly zero risk, even if your partner had HIV. And condom protected vaginal sex also is very safe. To your specific questions:

1) Zero risk for all practical purposes.

2) No HIV or STI testing is necessary. Of course all people who are sexually active outside mutually committed monogamous relationships should be tested from time to time for common STIs, like once a year. So if not tested recently, consider a urine gonorrhea/chlamydia test and blood tests for HIV and syphilis. But not because of this particular event.

3) All threads are left open until there are two follow-up comments and replies, or 4 weeks, whichever comes first. As noted, you don't really need testing -- but feel free to post the results if you decide to do it.

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

HHH, MD