[Question #8434] STD risk. Beyond Stressed!!!
44 months ago
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Hello Drs. On 11/27 I had an encounter with a “friend” whom I never met but I had her on social media. So that day we were drinking and one thing let to the other. I did receive oral sex from her without a condom and had vaginal sex with condom. Idk what I was thinking but I took the condom off because I was used to not using one with my ex partner for 6 years and inserted penis for 4 to 8 strokes ~20 to 50 seconds. I’ve been panicking and been wanting to ask. What are the chances of getting HIV, HEPATITIS B/C, Gonorreah or Chlamydia? She said she was clean and even showed me her tests results for 08/27/21 for her Pap smear and other lab tests she had performed and it said they were normal. What is a Pap smear for and what other tests could be associated with it that she had to take? I’m beyond worried please help.
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H. Hunter Handsfield, MD
44 months ago
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Welcome back, but I don't understand why you found it necessary. Dr. Hook answered these questions two days ago. I have nothing to add to his replies, and see no need to repeat them. If you were hoping for my opinion in addition to Dr. Hook's, it was pointless. We have been close colleagues for 40 years and although our online styles are somewhat different, our knowledge and advice never are.
The only thing I see that may not have been discussed last time is your question about pap smears. That's the standard test for cervical cancer and pre-cancerous changes that is done in all women from time to time, regardless of STI risk. Modern pap smears usually include testing for several types of HPV as well. A normal pap smear indicates she has no cervical cancer or pre-cancerous HPV disease of her cervix, and no active infection with the most common types of HPV. "Beyond worried" is a pretty irrational response in view of the near zero risk of the exposure and Dr. Hook's reassuring replies. Mine would be no different.
Beyond that, please re-read your previous discussion with him, and if there is something you don't understand about his replies, let me know. But I will not repeat his replies to the same questions.
HHH, MD
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44 months ago
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I am very concerned due to the fact that her mom has stage 3 cirrhosis due to hepatitis c. She said her mom got it from her dad AFTER she was born, how? I’m unsure. I’m freaking out also because I see a lot of information online that there is risk for hep c and b
44 months ago
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Ii guess ’m just confused as to how your expertise says that hep c isn’t transmitted thru Vaginal intercourse but then I see her mom got it they her dad.
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H. Hunter Handsfield, MD
44 months ago
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First, the fact that her mom has hepatitis C does not put your partner at risk. Hepatitis C virus is not transmitted in households. As for sexual transmission, the risk for transmission of HCV by vaginal sex, if one partner is infected, has been calculated to be one chance in 190,000. That's equivalent to unprotected vaginal sex with infected partners once daily for 520 years before transmission might be likely. That her mom believes she caught the virus by sex with her infected husband doesn't mean that's actually how it happened. But even if it did, it has nothing to do with your partner's risk of having it.
You are seriously overreacting to a zero risk situation. Settle down and move on.
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44 months ago
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So what you’re saying is that you agree with Dr.Hook when he says I should only test for gonorea/chlamydia? What are the risks for hiv hepatitis b/c? Syphilis? Should I just forget this event?
44 months ago
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What are the chances of getting a conclusive negative result for the mentioned Event?
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H. Hunter Handsfield, MD
44 months ago
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I agree with Dr. Hook. In general, we recommend against testing for any STD after any single exposure unless the risk is a lot higher than with this particular partner. A better approach is to disregard individual low-risk events and instead have regular testing, like maybe once a year. But if you're going to test at all on account of this particular event, gonorrhea/chlamydia testing makes the most sense; you definitely can expect negative results. For all other infections, the risk is too low to go to the trouble, or the tests are not very good and the results can be misleading.
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That completes the two follow-up exchanges included with each question and so ends this thread. Please note that repeated anxiety-driven questions on the same topic are not permitted. This being your second, it will have to be your last about this exposure and STD testing as a result. Excessive questions are subject to deletion without reply, and without refund of the posting fee. Thank you for your understanding.
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