[Question #7483] Received oral sex

4 months ago
Hello again,

I made the decision to receive oral sex from
Another man yesterday. He only preformed the act on me for around 1 minute before my nerves got the better of me and I excused myself to washed off my genitals in the bathroom sink. I explained I was nervous about the act. The man himself is another business professional his home we very clean, divorced with kids himself. Said he was had no stds and was tested in the last few months he also said he doesn’t hook up with men often.  The concern is after the act while talking I noticed he had bad lower gum line looked as if he had recessed gum line,  when I asked he said if from not bushing his teeth.. so now I’m scared it was some sort of std 

What is the chances of and std in this case only having oral sex performed on me for around one minute. Yes I’ll be getting tested 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
4 months ago
Welcome back to the forum. Thanks for your continued confidence in our services.

I looked at your question 15 months ago (no. 5788), which was about almost the exact same sort of exposure as this time. Actually, this one was even safer, since apparently you did not perform oral on your partner. I really have nothing to say now that wasn't in my reply last time. The only ew aspect is that your partner might have poor dentition and gum inflammation, but that doesn't suggest any STD, nor does it elevate the low risk of STD if he was infected.

From a medical or risk perspective you really don't need testing at all. However, if you would gain reassurance from the negative results -- i.e. if you remain nervous despite this advice -- feel free to be tested for common STDs. If so, don't waste money on a broad STD testing panel -- only a urine gonorrhea/chlamydia test (vaiid any time more than 3-4 days after the event) and blood tests for HIV and syphilis at 6 weeks. Or just don't get tested at all-- if somehow I were in your situation, that would be my plan.

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

HHH, MD
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4 months ago
Thank you once again. I’ve decided to stop engaging in these sort of activities all together seeing that I have serious anxiety each time.  

I do have a follow up
Question which I’m sure might not be able to be answered in regards to the amount of time of the sexual event seeing it lasted around one minute. 
Is there any information or professional opinion on length of time meaning that 
Something happening for 1 minute or so vs say 20 minutes. The risk should be lower. Or does time not matter 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
4 months ago
No data exist on duration of exposure as a predictor of infection. Logically, however, you are right:  longer exposures probably are higher risk, and most likely a one minute exposure is less risky than one of, say, 20 minutes. My advice above would not be any different even with a longer exposure. In absence of symptoms, STI testing is generally not necessary after any single ors sex event. And since there has never been a proved case of HIV transmission oral to penis -- regardless of duration -- you definitely can forego HIV testing.---
4 months ago
Thanks again! You definitely helped ease my mind 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
4 months ago
I'm glad to have helped; thanks for the thanks.---
4 months ago
Doctor, 

 I saw my primary care doctor and tested me for Gon/Chl on Thursday, results pending. 
He does share the same opinion as you that this was a very low risk event but it’s better to test for assurance. 

I also hired a therapist for my medical anxiety... 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
4 months ago
I'm glad to hear both your doctor's agreement and your plan to see a therapist.  You won't regret it. 'You definitely can expect negative results for your gonorrhea ahd chlamydia tests.

That completes the two follow-up exchanges (three, acutally) included with each question and so ends this thread. I hope the dicussion was helpful. Best wishes and stay safe, both sexually and in COVID prevention.
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