[Question #7959] Sex worker encounter concern

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50 months ago
Yesterday a sex worker performed oral sex on my penis for a few minutes. After she applied lube and performed a “camel slide” rubbing her vagina up and down the shaft and top of my penis for less than a minute. There was no penetration during this. 
After, she applied a condom and we had intercourse. The condom moved very little, maybe a 1/4 the way up my shaft from the base of my penis. But stayed on and did not break.  What are my chances of having contracted an STD from this encounter? Can I still safely continue sex with my partner?
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Edward W. Hook M.D.
50 months ago
Welcome to our Forum and thanks for your confidence in our service.  Thanks as well for your questions.  the encounter you describe did not put you at meaningful risk for STIs.  Most commercial sex workers do not have STIs and when they do, even most unprotected exposures do not lead to infection.  Further, penetration is required for transmission. Thus the frottage ("camel slide") you describe was a no risk event.  Similarly, condom-protected sex is safe sex and as long as the condom was worn throughout the encounter and did not break, you are not at risk for STIs.  That the condom may have slipped down slightly on the shaft of your penis does not change this.  Thus I would not worry about STIs from the exposure you describe and nothing you have describe suggests a need to avoid unprotected sex with your regular partner.  EWH---
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50 months ago
Thanks so much for your response. Your comment(s) regarding sex workers, STI’s, and exposure to infection took me by surprise really. Find that all very interesting, and am curious if you could briefly elaborate on this?

Think most of my paranoia is coming from the frottage (camel slide) interaction, followed by  the bare oral sex performed on me. Not so much the protected sex. 
Although there was no penetration, her bare vagina came in direct contact with the tip of my penis while sliding herself almost every time. So not sure if the fact that it was only for about a minute or less is a factor.
 Finally, curios about Trichomoniasis. Honestly, never heard of this one before and was surprised to read just how easily spread it was. Seems even more so than chlamydia or guanaria. Don’t know if the slightly more in depth info changes anything. 

Either way, appreciate your time.
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Edward W. Hook M.D.
50 months ago
I'm not sure what elaboration you know.  CSWs tend to be aware that the nature of their work may put them at risk and for that reason tend to be better about regular check-ups than persons who may have more partners casually.  

The reason your frottage did not put you at risk is that in women, the site of infection is typically the cervix (mouth of the uterus) which is deep within the vagina.   As a result vaginal exposure of the sort you describe did not put you at risk.  While secretions contaminat3ed with STIs, there needs to be direct contact with infected tissue.  This is the reason that mutual masturbation with persons getting each pothers' genital secretions on one another does not lead to infection and is considered safe sex.  

Trichomonas is an STI which is common in women but less so in men for reason that are not well understood.  It is an occasional cause of non-gonococcal urethritis in men but careful studies have shown that it is not sufficiently common enough to warrant testing.  

EWH
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50 months ago
Certainly learned a lot from what you have told me. 

Anything I should look out for as a “just incase”?

If not, all that’s left is Thank you 
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Edward W. Hook M.D.
50 months ago
Thanks for your thanks. I’m glad I could be helpful. Congratulations on your own personal commitment to safe sex.  I really think you are OK and would nor be concerned.  Continue With condom protected safe sex for all penetrative sexual encounters and you’ll be fine. Take care. EWH---