[Question #5774] Oral Sex Risk
72 months ago
|
Hi Doctors, you've helped me ease my mind in the past by confirming some non risk situations for me. Thank you again for that. I do have a new situation though, unrelated to any past experience. I think I may be at very low or no risk, but it helps to ask about my particular situation.
Recently I met a woman in a bar. We proceeded to head back to my hotel room, where she undressed completely and I stayed in my T Shirt and underwear, and we cuddled. I then washed my hands, removed my underwear and put a condom on my penis. She performed very vigorous oral sex on me. It took a long time (30 mins) as I was a tad intoxicated. When I finished, I removed the condom, checked for leaks by filling it with water (there weren't any), then washed my penis and dressed again. She then asked me for money (which is when I realized she was a North Americsn CSW). I paid her and she left. Am I at any risk for HIV in particular, or any other STIs? Condom stayed on throughout (although the bottom portion may have rolled up a bit during the act, but was rolled back down quickly...penis head stayed covered throughout). No other sexual contact took place. Only other possible risk I can think of is when I was removing the condom, if fluids on the outside were in contact with my penis, but I can't really think of how any vaginal fluids would get on there, except via her hands.
Do I need to test for anything? Thank you in advance. Brent.
![]() |
Edward W. Hook M.D.
72 months ago
|
Welcome back to the Forum. I'll be glad to help. In reviewing this and our earlier interaction, I have the sense that you think STIs are easier to get than is, in fact, the cases. Please remember that most people, including most commercial sex workers, do not have STIs including HIV. Further, even when they do, most unprotected exposures do not lead to infection- for instance, only 1 in five unprotected vaginal exposures to an infected woman lead to acquisition of gonorrhea or chlamydia and for HIV only 1/10th of 1% of exposures result in infection. With condoms, STI risk goes to close to zero as long as the condom is worn throughout sex and does not break. Thus:
1. Cuddling- no risk for ANY STI
2. Receipt of condom protected oral sex- no risk
3. Masturbation, either by yourself or a partner, even if they have genital secretions on their hands- no risk
4. contact with vaginal secretions while removing a condom- no risk
Thus you have nothing to worry about an no reason for testing of any sort. I hope that this information is helpful. EWH
---
72 months ago
|
Thank you again for your help Doctor! You are absolutely right in figuring out that I have a skewed view on how difficult it is to acquire an infection. It's something I need to work on, and will do so, likely through counseling. But thank you again. The one thing I am able to do is put these events behind me once I speak to you folks, so that is very, very much appreciated.
Thanks again!
![]() |
Edward W. Hook M.D.
72 months ago
|
Thanks for your thanks. Glad I could help. EWH---
72 months ago
|
Hi Doctor, so sorry for bringing up a second question, but could you let me know if I put myself at risk for HSV-1 (or I guess HSV-2) infection through the protected insertive oral sex? Concern for me would be the lower part of my penis shaft, close to my groin, which may not have been fully covered at all times during the activity based on slight condom movement. I don't have any noticeable compromised skin there. Thank you in advance!
![]() |
Edward W. Hook M.D.
72 months ago
|
Your risk for HSV (1 or 2) is miniscule. Further, in the absence of any sort of outbreak/rash, we specifically warn against testing for HSV. My advice is to not worry- condoms are highly effective for HSV prevention. If you acquired HSV, you would be expected to have an obvious outbreak within 10 days of your exposure. If you do not have such an experience, you are in the clear. EWH ---
72 months ago
|
Thank you again sir!
![]() |
Edward W. Hook M.D.
72 months ago
|
I am glad I could help. E DrPH ---