Doctors, last year your advice helped me to go through my particular sexual situation, I follow your test recommendations, my test was negative and started my vaccine series shots for Hep B.

After that episode I did not get physical with another man (I´m a 35 woman) until May 2019. I want to believe that in this particular episode my practices were safe: French kissing, I masturbated him with my hands and my breast and gave him oral sex, he wore a condom all the time. However, he went a little rough at the end and now I´m afraid I could have damaged a few the condom with my teeth and possible be in contact with his fluids, however I didn’t recall have tasted anything.

Is there a risk for HIV if I was in contact with his fluids (pre-cum and semen) in my mouth?

Can you explain the risk  when you are the one who perform the oral?

What about the risk of other diseases, Hep B (my third shot is in October), Siphilys, Gonhorrea, Chlamydia?

Do you recommend taking a test for this episode or I’m overthinking? It has been two weeks since the episode.

Thanks for your comments

Dr. Hook,

I’m sorry to be a little paranoid about the event it is just that the “very low risk” is still a powerful phrase who dissipate my fears and I’m pretty sure the fears of other users in the forum.

About Hep B, there was an unusual situation, I took my shots in the correct intervals, however in the last shot performed in May 2019, I realized that the second shot was not an adult dose, it was a junior dose.  So now the recommendation is to invalid the junior dose, take the May shot as second and take the third dose in another 6 months. This situation bothers me and I might not be complete protected.  Besides, the sexual episode took place the day I went to take my supposed third shot.

Perhaps my biggest concern about this event is Hepatitis B and HIV.

So in your medical opinion will you recommend testing specifically for these two?

Finally, I know that is pretty dump to ask for this naïve concerns but I just want to take advantage of my replies. Can you reafirm those as safe practices?

-Self Masturbation (fingering myself and using sex toys (exclusively used for me)

-Hand- genital / Breast- Genital contact with fluids involve.

-Someone sucking and pressing my nipples very vigorously, with plenty of saliva involve.

Thanks again appreciate your patience and comments. 

Doctor

Just for future references, and using my last reply I have a couple more general inquires.

I’m not really a very sexual active person, I started my sex life at the beginning of my 30’s, and this was my second time with a man sharing this grade of intimacy.

In my first experience I committed imprudence and when the relationship was over I realized my lack of sexual education (yes, in my 30’s!!) and I got panic and as a result I was over tested (several HIV Test, VDRL, Hep B, C and A, Vaginal Swabs, Herpes, Pap Smear, even a blood test for Gonorrhea, which perhaps was pretty useless). Unfortunately, where I live there are not specific sexual clinics and medical advice has a conservative approach to test for every episode. I spent a lot of time and money. I don’t want to repeat that again.

So a person in my situation, taking tests once a year considering not a specific high risk will be appropriated?

And just to finish some considerations before taking an HIV test. 

Could the result can be affected by:

-Being in my period at the time of the test.

- Using Hormonal contraceptives (pills, implants, patch and hormonal shots) at the time of the test.

- Having taken a vaccine previous to the test.

-Being medicated with sertraline and clonazepam at the time of the test.

- Fasting / Not fasting before taking a test.

My next visit to the Gynecologist is in November I would like to take that time to have a complete check up. I will bring to my doctor the possibility to get an HPV vaccine, my last pap did not show anything abnormal. In your opinion with my sexual history and my age (35). Could I still be a candidate? Seems that 26 years old is the limit.

Promise this will be my last post and I hope my last time asking in the forum. Your information has been very useful for me and hope for other users.

Thanks again for taking the time to read and comment about my particular situation and questions. I applaud the labor that you and your colleagues do on this platform, providing reliable information for those confused like me.  Wish you the best.