[Question #8735] Looking for guidance
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40 months ago
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Hi and thank you for your help. I was in a high profile city last week and after a very bad breakup went a little crazy. On a timeline between 4-7 days ago I saw 4 higher end csw. Only bjs with 3 and a bj with a very quick (1-2 min) vaginal insertive finish. All protected to the very best of my memory as I and them were very insistent on protection. Probably them more so than me on the bjs if being honest. I never noticed any broken condemns or them coming off during at any point. I may have given 1 oral briefly. I don’t have any symptoms other than minor aches and itches around my pelvic area which I’m pretty convinced are my brain. My main concern is I will likely be put in a position to have sex with my ex soon and protection wouldn’t really be an option. Do you recommend testing? If so for what? Do you recommend abstaining? Or was it a likely protected experience I should forget about for now ?
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H. Hunter Handsfield, MD
40 months ago
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Welcome to the forum. Thank you for your confidence in our services.
You describe very safe exposures to partners who obviously are aware of the risks, care about their health, take good measures to prevent infection, and therefore are unlikely to have transmissible STIs. And your symptoms are not suggestive of any STI; but they indeed are typical of anxiety increasing awareness or magnifying trivial body sensations that otherwise would be ignored or not even noticed.
Condoms can fail, and people in your situation -- concerned about STIs and perhaps regretting some sexual choices -- sometimes are more reassured by negative test results than by professional opinion, no matter how expert. (We don't take it personally!) If that applies to you, consider having a urine gonorrhea/chlamydia test, to detect the most likely (but still very unlikely) infections; enough time has passed for conclusive results. I would not recommend oral testing from a single episode of cunnilingus: the risk is almost nil. If I were in your situation, I would indeed "forget about it for now" and not feel a need for testing, and would not worry at all about infecting my wife.
I hope these commetns are helpful. Let me know if anything isn't clear.
HHH, MD
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40 months ago
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Took a 10 panel yesterday just because, but I’m will to trust your judgment. So pending these results just let it go, not be concerned about any that are transmitted by skin to skin, and move on with no worries?
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H. Hunter Handsfield, MD
40 months ago
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Yes, you can "move on with no worries". But be aware that all blood test results on the testing panel were done too soon to be positive: no STI blood tests are conclusive sooner than about 6 weeks after exposure. In other words, if positive (say for syphilis, HSV, etc), those infections will not be from the recent exposures. If negative, as expected, they will serve only as a baseline in the event of future testing. However, urine testing for gonorrhea, chlamydia, and perhaps others (trichomnonas? M. genitalium?) will be valid. But for the reasons discussed above, any positive results would be very surprising.---