[Question #6348] Unprotected oral sex risk

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69 months ago
Hi Drs, 

I understand this question is mostly covered by for my own anxiety, I would like some advice. On the 9th of November, 3 weeks ago, during a transit stop over in Sydney australia I visited a nearby massage centre for a massage. At the end the Chinese lady asked if I wanted protected oral sex to finish, to which I said yes which is irregular for myself. Unfortunately she was unable to provide a real condom and proceeded to use two small plastic bags to cover my penis during the act which is why I consider this unprotected. The act only took a few minutes and was mainly by use of her hand with some oral use as well. 

I have since had no apparant symptoms but when talking to my partner two days ago she mention that she has been suffering with some pelvic pain recently for about the last month. As we have been togethor for many years we typically don't use any protrction, the last time being around 2.5 weeks ago. Since she mentioned the pain I have now started noticing a slight tingle when urinating and more frequent urinations throughout the day. She has had an ultrasound with nothing found but is undertaking more tests in the coming days. What is the chance I caught something from this exposure and could I have passed it on to cause her current problem as her recollection of time may be inaccurate to how long she has been feeling the pain.
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Edward W. Hook M.D.
69 months ago
Welcome to the forum and thanks for the question. I'll be glad to comment.  The exposure you describe was very ,ow risk and I find it unlikely that you have and STI or that your partner's current difficulties relate to the encounter you have described.  While certainly not designed to substitute for condoms, in fact plastic bags and Saran Wrap are used for this purpose in the context of oral sex and perform well.  Obviously, I cannot vouch for the plastic bags used by your masseuse but it is more likely than not that your exposure was protected.

With regard to your own symptoms, urinary frequency is not a symptom of STI and the fact that they did not become notice or until after your partner mentioned her problems and, I suspect, you began looking for symptoms , suggests that you have become hyper aware of normal sensations.

Thus it is most unlikely that you acquired any STI from the exposure you describe. That said, if you desire the reassurance that negative tests provide, I would suggest a urine test for Gonorrhea and Chlamydia. (Personally I would not test but again, I do understand that negative tests can be reassuring.). They are very accurate and in your case, I'm confident will be negative.  I see no need for other STI tests.

I hope that this information is helpful to you.  EWH
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69 months ago
Dear Dr. Hook

Let me start by firstly saying thankyou for your prompt response, it has helped calm my anxiety over this matter, I will see how the next few days progress and if I still feel anxious Gondor treating but at the moment following your response I don't feel it is warranted. 

Secondly I would also like to thank you and your colleagues for having this forum, it is a great resource for when people like myself are confused by the shear amount of information online to find a resource that is realistic and clear. 


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Edward W. Hook M.D.
69 months ago
Thanks so. I have for your thanks.  Our goal is to provide helpful information and to counter the vast amount of misinformation found on the Internet.  Should you decide to seek further evaluation, I would urge you to get tested before taking any treatment which might be offered.  All to often we see clients who have taken treatment and then found that their perceived symptoms persist, a situation which only adds to the confusion.

Thanks again for your kind words.  EWH
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69 months ago
Hello Dr. Hook 

Again thank you for your sage advice. 

I will not consider any treatment until I have undertaken testing, that said I am leaning towards not undertaking testing as the symptoms I seem to be feeling appear to dissipate when I am distracted which leads me to believe that they are more driving by anxiety with various pains and itches coming and going.

My concern is also I guess driven by the risk to my partner as well as her current issues.

thanks again

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Edward W. Hook M.D.
69 months ago
I appreciate your concern for your partner and agree with your analysis.  We're I you, I would not pursue testing although, as I mentioned above, many of our clients find having negative test results reassuring..

I am confident that all is well and that you were not infected,through the events you described.

As per Forum guidelines, this thread will be closed shortly.  Take care. EWH
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