Hello Doctor,

Welcome to our Forum and thanks for your questions.  Your questions really have to do with the general concept of the risk for STI from having sex in a German brothel.  For this reason, before I answer your specific question, I will make a few more general comments.  In general your risk for an STI is related to the likelihood that your partner has an STI, the sort of sexual exposure you have, and whether or not a condom is used.  In Germany, most brothels are legally regulated and workers are required to get checked for STIs on a regular basis and to use condoms.  As a result, the risk of getting an STI at a German brothel tends to be low.  Obviously, it would be bad for repeat business of clients were getting STIs when they go to brothels.   Few CSWs in German brothels have STIs, including HIV.

In answer to your specific questions:

1.  Theoretically, STIs that cause lesions can be transmitted even when a condom is used.  These STIs include syphilis, herpes, and HPV.  In fact however, condoms typically greatly reduce risk for these STIs as well because the condoms cover the part of the penis where lesions are most common. This, in combination with the fact that most exposures to infected partners make condom use a good way to dramatically reduce risk for all STIs.

2.  See my comment above.  I really would not worry at all about STIs when having sex at a licensed German brother an when a condom is used.  This is true for all sorts of sexual exposure, up to and including vaginal sex. 

3.  If your partner has an STI, oral infections are less efficiently transmitted than genital infections although, in general, as noted above, I really would not be worried about STI risk related to any sort of condom-protected sexual activity in a licensed German brothel. 

4.  All condoms made of synthetic material (latex, polyurethane, etc.) are highly effective and can be used with confidence. 

I hope that this information is helpful.  Take care.  EWH

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Thank you for your answer. Dr. Hook. There is one recent article (published in 2016) entitled "STI tests and proportion of positive tests in female sex workers attending local public health departments in Germany in 2010/11" shows that Chlamydia trachomatis is about 6% among prostitutes in Germany, syphilis is about 1.1%, gonorrhoea about 3.2%, Trichomonas vaginalis 3% and HIV about 0.2%. 

1.   The prevalence of chlamydia that you mention is somewhat high although there are many populations in which the likelihood of infection is much higher. Given your condom use and the fact that your exposures were receipt of oral sex you are not at any meaningful risk for chlamydia infection.   Going forward, as long as condoms are used throughout sexual encounters of any kind, I would not be very worried about chlamydial infection. ---

Thank you for your answer, Dr. Hook. Lat question, how safe is the oral sex or french kissing without any protection? Any STDs concern? Thank you!

There is no meaningful risk for HIV from receipt of unprotected oral sex.  similarly, there is no risk from French kissing/

This is my 3rd reply. Therefore, as per Forum guidelines this completes this thread which will be closed at this time without further replies.  EWH

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