[Question #6180] asymptomatic syphilis for 2.5 years?

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70 months ago

Dr. Handsfield and Hook, I respect your work from MedHelp and appreciate the way in which you both provided sensible, fact based info.

In May 2017 I met a man on grindr for the first (and last) time. We met, and begin giving each other hand jobs. His penis was in my mouth for around 40-50 seconds. Not long enough for him to even have a real erection. I was in his mouth for under a minute. From there, we both continued with the hand jobs for another couple of minutes. He suddenly told me he had to leave bc a roommate or someone was about to arrive home. The encounter ended in under 7 minutes. As previously mentioned, gave oral for 40-50 seconds and received for around a minute. Neither of us ejaculated or even came close. I inspected his penis pretty well and there was no signs of sores or lesions, or discharge. He blocked my account after, probably didn’t enjoy himself much. I messaged him a few weeks later on a different account where he said he had been tested 11 days before the encounter and was clean.

I went to see my doctor around 2.5 weeks later a bit scared. She sat me down, explained to me my risk was low, and that she didn’t recommend testing. She tried to comfort me as well as she could see I had an emotional reaction to this.

I let go of this until recently, when in a spur of the moment I decided to buy an oraquick test. My results were expectedly, negative.

My main concern at this point is regarding Syphilis. Is it worth worrying about 2.5 years later from the very brief oral I described, in the absence of symptoms? I’m the type who regularly checks my mouth and penis so I find it highly unlikely I didn’t notice. I never developed symptoms of anything. I have been very conservative sexually since then and only was in 1 monogamous relationship with a girl which only involved oral. That was the only sexual experience I had with a man.

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Edward W. Hook M.D.
70 months ago

Welcome to our Forum and thanks for your detailed description of the events of concerns.  I'll try to help.  Sexually transmission of syphilis required direct contact with an infectious lesion.  Typically, once a person has been infected, it takes an average of 21 days for a chance (the syphilis sore) to appear at the site of contact.  Chancres not subtle- they are typically visible but may be painless and for that reason, rectal chancres of chancres in the female vagina may go unnoticed.  OTOH, in your case, you had the opportunity to directly inspect your partner's penis and (I presume) his mouth and saw no lesion.  Similarly, if you had developed a chancre on your penis or in your mouth, I suspect you would have noticed this is well.  Finally, syphilis is a relatively rare disease.  Putting all of this information together, your chance of having gotten syphilis from the exposure you describe is very, very low and is not something I would worry about.  If I were you, I would not feel the need for testing.

I hope this perspective is helpful to you.  EWH

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70 months ago
Thanks Dr. Hook, your reassurance means a lot. I wish I had had someone like you for sex ed! I had really moved on from this but had heard something about asymptomatic syphilis and got a bit scared. Decided to come to you rather than Dr. Google... While I didn't peer directly into his mouth, I'm not too worried at this point. That was 2 and a half years ago and I've read a post of your before regarding the unlikely event of contracting syphilis from a single brief oral encounter. I'm learning to realize that when things have a "very, very low" chance of happening, it's time to move past and get on with life. I remember a response you wrote a while back regarding thinking of it like being hit by lightning, and take great solace in that. I mentioned in my first post that the individual claimed to have been tested 11 days before the encounter, and was tested once a month. Sounds like it is time to move on, and I will refrain from expanding on any anxiety fueled questions. In closing, given the whole experience I described to you, and the very short duration of oral involved, would you say it is safe to move and never pay this another thought 2.5 years later symptom free? Something tells me I already know the answer :)
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Edward W. Hook M.D.
70 months ago
You have correctly anticipated my answer.  Yes, it is time to move on and never worry about the encounter you have described again.  I'm also pleased that you avoided the urge to go to Google for guidance and continue to encourage you to avoid using the internet for health-related matters.  Take care.  EWH
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70 months ago
Thanks Dr. Hook. Now for my final response. I forgot to mention he humped me very briefly in my butt area, definitely NOT penetration with the exception of him putting his finger in by anus for about 1 second before I told him I didn't like it. Imagine this wouldn't mean much since this wasn't penetration with the penis, and also I'm confident if a chancre had appeared in the butt region, I would have noticed given it could not have been in the actual anus given no penetration. Finally, with regard to other STDS (I mentioned tested negative for orquick already), is it safe to move on as well after these years have passed with no symptoms? I feel you've already answered these in so many words but I just wanted to double check. Thank you for your wonderful service and keep doing the meaningful work you have been doing! You have put my mind at ease and allowed me to really calm down 
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Edward W. Hook M.D.
70 months ago

Thanks for your thanks.  I agree with your assessment regarding syphilis.  After all, you inspected his penis and there was no lesion, thus there was nothing there to inoculate you with syphilis. 

For other STIs the risk was tiny and now, two years later is virtually zero. The most common penile STIs resulting from receipt of oral sex, gonorrhea and chlamydia would be symptomatic and you would have noted them.  Infections due to the same organisms occurring at the pharynx can be asymptomatic but given that his penis was not erect, the brevity of the exposure, and the lack of ejaculation, it is unlikely that you acquired any of them either.   Further, even in the very, very unlikely circumstance that you acquired one of these infections, they clear without therapy over time and would have resolved by now.  Putting all of this information together, my sincere advice is to not worry further, to move forward without concern, and to be confident that you do have an STI.  I see no reason for testing and no reason to be concerned that you might be putting future partners at risk. 

As this is my 3rd response, this thread will be closed shortly without further replies.  Take care.  EWH

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