[Question #8139] Risk of STD Condom Protected Oral and Vaginal
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48 months ago
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Hello Doctors.
Last night, to my shame I visited a lower end CSW. She provided me with condom protected oral for about 4 minutes then we tried condom protected vaginal; however, I had a problem with being erect. I ended up penetrating for like 30 seconds and struggled for the remaining 4 or 5 minutes to penetrate. I would try to penetrate her however, things were not on the "up and up" to enter. So I mostly just ended rubbing my penis against her Vagina trying to penetrate from the doggy position and had maybe 30 seconds of penetration until things went down. Total rubbing the outside of her vagina time with the head of my penis was maybe 2 minutes. Pretty sure the main area of my penis was covered, but I am sure my sack or lower area might have touched her lips a few times during the 30 seconds of penetration (normal stuff we do) and infrequently while trying to penetrate. To the best of my knowledge, the condom was on the whole time as I ended up taking it off and finishing the job with my hand. Before we started the show, she said she was tested for everything a few weeks ago and was clean.
That being said, what do you think my risks are for acquiring a skin to skin STD? My biggest concerns are HPV and Herpes; however, I read for the African study that for Herpes, using a condom, an infection occurs .6 times per every one thousand sex acts.
The main reason for my question is do you think this event was low risk enough that I can continue unprotected relations with my regular partner? Thank you and I look forward to hearing your response.
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Edward W. Hook M.D.
48 months ago
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Welcome to the Forum and thanks for your questions. I’ll be glad to comment. This was a low risk encounter. As long as the condom was worn throughout the exposure, the sort of contact that occurs from these sorts of exposures is minuscule. Risk for HPV is largely irrelevant since virtually all (over 80%) of sexually active adults will have HPV, often with multiple strains. When persons develop HPV, it is almost never possible to determine where the infection came from. Timing makes little difference. While there is a theoretical risk for other lesions diseases such as herpes or Syphilis, these infections are rare acquired from these sort of partially condom protected encounters. I would estimate that there is a more than 99% likelihood that you did not acquire any STI from this encounter. I see no need for testing of any sort and no reason to abstain from unprotected sexual encounters with your regular partner.
Hope this helps. If there are further questions, please use your up to two follow ups for clarification. EWH
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48 months ago
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1. I am assuming you also mean 99% confident no STd from this event?
2. Did my lack of time and penetration reduce my risk?
3. Could I safely assume if after five days (blisters or burning piss) no symptoms I am in the clear?
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Edward W. Hook M.D.
48 months ago
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1. I meant both that there was a more than 99% chance that you did not get an STI from the encounter and that I’m 99% confident of this.
2. The brevity of the exposure is certainly also in your favor.
3. 5 days is a bit short to be confident about herpes but by 10 days if you were going to develop lesions, you would have. EWH
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48 months ago
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Haha just my luck doctor. I think it’s just a sweat rash at my lower nut sack (2 days after the encounter). I have a small bump right near my anus pretty much at the lowest point of my sack that i can’t barely see it. Is that most likely a pimple from sweating (been working outside$ or could that be the start of blister ? To me see seems way to low to be a blister but you know how the timing of these normal rashes can or maybe confused as an STD. Is that location way to low to have a hsv2 blister. As I said right at my lower sack next to my rectum. Can’t imagine her vagina made contact with that area but who knows. Can’t catch a break doc.
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48 months ago
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Just to give a better assessment bottom of my sack about 2 inches from my rectum. I have to pull my sack all the way up and still can’t see it.
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Edward W. Hook M.D.
48 months ago
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Final response. You are looking to hard and discovering inconsequential abnormalities. The location you describe would not be infected by the exposure you describe. Deal with your guilt, stop worrying and move forward. EWH ---