[Question #6870] Oral/Crabs
62 months ago
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Edward W. Hook M.D.
62 months ago
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Welcome to the Forum and thanks for your question. I'll be glad to comment. Before I get to specifics, let me say that most commercial sex workers (CSWs) do not have STIs, that even when they do exposure to an infected sex partner does not lead to infection most of the time and that amongst possible penetrative sex acts, oral sex is, in a relative sense, lower risk than vaginal of anal sex. Is response to your specific questions:
1. The most common STIs to acquire from receipt of oral sex are non-gonococcal urethritis or gonorrhea. Chlamydia is very rarely acquired in this way. If you do not already have HSV-1 (cold sores) there is a very low risk of getting genital HSV-1 from receipt of oral sex. There is no appreciable risk for syphilis from the situation that you describe.
2. Regarding crabs, again this risk is very, very low - even if the situation you describe in which the bedding had apparently been re-used and had lotion on it. Crabs are rare. Interestingly, the hair on a person's head has a different shape from pubic hair and, as a result, head lice do not cause pubic infection and vis versa. The risk of getting lice from the sort of exposure you describe is so low that I would specifically recommend against purchasing and using OTC public lice treatment. The medication is probably not needed and has side effects (local rash, etc,).
I hope that this information is helpful. EWH
62 months ago
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Edward W. Hook M.D.
62 months ago
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It's not clear to me whether your exposure was three days ago or 10 days earlier. If its been more than a week and there are no symptoms, give the low risk and fact that gonorrhea and NGU are typically symptomatic, I would not worry about testing. If the exposure was just this past Tuesday, I'd wait a bit to make sure that symptoms do not occur (about a week, total). In your situation, no symptoms, no need for testing.
I really would not be worried about crabs. EWH
62 months ago
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Edward W. Hook M.D.
62 months ago
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