[Question #5892] Std help

19 months ago
I recently had an encounter with a women who gave me oral sex twice in one night. Both times were for a good 2 minutes at the time.  Nothing else happened other than kissing.  I’m worried that i might have caught an std.  This encounter happened last night.  Two questions.    
   Should i be worried?
   Should i go ahead and get on antibiotics now just to be sure.  
   I’m really worried right now.    Don’t want to spread this to my wife.     Thanks for your help
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
19 months ago
Welcome to the forum. Thanks for your confidence in our services.

You really needn't be so worried. You are at little or no risk for any STD. Oral sex can be viewed as safe sex. It's not entirely free of risk, of course, but the chance of all STDs is far lower than for unprotected vaginal or anal sex -- and virtually zero risk for some infections, including HIV and chlamydia. In general, STD testing is not recommended after exposure that only include oral sex, unless symptoms develop. You definitely should not take antibiotics without testing -- the chance of infectsion is far too low. If you would like the reassurance of negative testing, I would recommend a urine test for gonorrhea and a syphilis blood test after a few weeks. That's all. (Chlamydia testing is automatic with gonorrhea testing, so you'll also get that result -- but as I said, there was no significant risk for chlamydia). 

The urine test will be valid any time more than 2-3 days after the event, i.e. in another day or two. The syphilis blood test is optional -- the risk from such an event is virtually zero. Same for HIV (there has never been a proved case of HIV transmitted oral to penis). If I were in your shoes, I would wait until 5 days after the event to assure no symptoms of gonorrhea (penile discharge, painful urination); and if such symptoms had not appeared by that time, I would resume sex with my wife without worry, even if the negative test result was not yet available.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD
---
19 months ago
Ok thank you.   I’m feeling something in my penis right now.  Maybe it’s anxiety i’m not sure.   So you wouldn’t get on meds just to make sure?  It really worries me.   I’m such an idiot!!
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
19 months ago
This doesn't sound like a meaningful symptom. Whenever someone suspects his or her own symptoms have a psychological origin, usually s/he is correct. If this initial feeling really reflects a urethral infection, it will be obvious within 24 hours -- within that time you'll develop obviously abnormal discharge. In that case, get medical care -- but do not take antibiotics in the meantime, which would only screw up accurate diagnosis.

Don't confuse your obvious shame or guilt over a sexual decision you regret with infection or STD risk. They aren't the same.
---
19 months ago
Ok thank you.  So if this happened to you.  You wouldn’t be worried at all?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
19 months ago
Correct.

If you decide to be tested, especially for gonorrhea, feel free to post the result. But I won't have any more comments or advice unless/until you do that. (This doesn't mean I'm recommending testing any more than implied above. Just recognizing that lots of anxious persons in your situation do decide to test. It's up to you.)
---