[Question #5802] RE: When to Get Tested

18 months ago
Hello Experts,

On July 27, 2019 I wen to Puerta Vallerta and had sex with a stripper at a club I went too. I used a condom for vaginal intercourse as well as when she performed oral on me. I am due to do my annual physical and blood work in December 2019 and wondered if waiting until then to get tested would be okay to do? Since I was sober, used a condom and kept the condom on throughout receiving oral and intercourse I kept things as safe as I could have. Thank you for your help and expertise. 
Edward W. Hook M.D.
Edward W. Hook M.D.
18 months ago
Welcome to our Forum and thanks for your questions.  congratulations as well on your commitment to safe, condom-protected sex.  It will do much to keep you sexually healthy.  By way of background let me remind you that most commercial sex workers do not have HIV or other STIs and even most unprotected exposures to infected partners typically do not result in infection. Further, condoms remain the most effective means of preventing STIs. Thus your risk from the single exposure you describe is very low.  In terms of testing:

1.  You are at virtually no risk for HIV.  There are no proven cases of HIV acquired through receipt of unprotected oral sex and your use of a condom for your vaginal exposure makes that a close to no risk event as well as long as the condom was worn throughout sex.  Thus waiting until December for testing should be fine.

2.  Other STIs.  The most common STIs are gonorrhea, chlamydia and possibly trichomonas.  Your condom would protect you against acquisition of these during your vaginal exposure and amongst these three, only gonorrhea is acquired with meaningful frequency during receipt of oral sex.  Gonorrhea is typically symptomatic when acquired so, if you do not develop burning on urination or a penile discharge, it is most unlikely that you are infected and it should be fine to wait until December to test.

Syphilis is a rare infection and not something to worry about.  If you wish to test, waiting should be fine as well.  We specifically urge our clients NOT to test for herpes unless they have an outbreak as the blood tests have many problems including false positives.  

I hope this information is helpful to you.  EWH
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