[Question #8833] Short unprotected oral sex

Avatar photo
39 months ago
Dear doctor

I am male, 40. Two days I had a sex with a woman I met couple of weeks ago. She said she had quit a long relationship and had sex since then only once.

To the point. For me safe sex is really important, and I told her I want to have both oral and vaginal sex protected. Nevertheless, at a point she took my penis to her mouth before I could put on condom. The whole thing did not last more than 5-10 seconds and then I stopped her. After this there was some short oral protected sex and the vaginal part was long, but protected. I did not notice any break of condom, we used four condoms, I checked two of them, but I think the rest was ok as well.

At the end she have me handjob after what I ejaculated 

I admit I am very anxious, this year this was my second sexual act because I am afraid of STD-s. Now I feel uncomfortable down there, but there is no redness nor any other signs of STD. 

After sex I used two day a borax cream on my penis to prevent skin disease.

My question is that what are my chances to get any STD during this act. Thank you.
Avatar photo
Edward W. Hook M.D.
39 months ago
Welcome to our forum. Thanks for your question. Congratulations as well on your commitment to safe sex. It will do much to keep you healthy. 

FYI, I arrived on the site today shortly after your question came in. As a result, you are getting a response much more quickly than is typical. Should you feel the need for follow ups, please be aware that they may take considerably longer than this response did.

The exposure you described was low risk. Your partner apparently had not had lots of other recent partners and sounds to be relatively low risk. In addition, your condom protected genital contact was virtually no risk. 

As for your receipt of oral sex, this is the lowest risk penetrative sexual activity one  can engage in.. There is no known risk of acquisition of HIV for receipt of oral sex and few STI’s are acquired from receipt of oral sex even in the unlikely circumstance that your partner happened to have an oral STI.  The most common STI’s which occur following receipt of oral sex are non-chlamydial nongonococcal urethritis (NGU) resulting from introduction of oral bacteria from a partner’s mouth  into the penile urethra or gonorrhea. Chlamydial infection Is quite rare from receipt of oral sex.  If you wish to absolutely rule out the possibility of gonorrhea and chlamydia, a urine test for these bacteria taking any time more than 3 to 5 days following your exposure will provide conclusive results.

The discomfort you report may be due to your heightened attentiveness in looking for any STI symptoms.  This is relatively common.  Alternatively, your application of borax to your genitals can also be quite irritating. Please don’t do that again.

I hope the information I provided is helpful to you. I hear little for you to be worried about. If any part of my answers are unclear or you have additional questions, please feel free to use you were up to follow ups for clarification. Please don’t worry. EWH

---
Avatar photo
39 months ago
Dear doctor,

Thank you for your quick and detailed reply. Yes indeed, it happened before that I was anxious and I felt uncomfortable around my genitals, even after protected sex ..this is why I have sex rarely and sometimes I am thinking to this during sex as well. Is there anything I could do to change this feeling?

So if I understood well, there is a low risk of getting STD's from the oral sex I described. As I said, the unprotected part was only 5-10 seconds long, maybe even less. What does the low risk mean in percentage?

One more question if I may; is the urine test enough or should I do swab test as well? Thank you. 
Avatar photo
Edward W. Hook M.D.
39 months ago
In terms of moving forward from your concerns, hopefully my science-based explanation will be helpful to you. If you have trouble moving forward I would advise discussing your continuing and unwarranted concerns with a professional counselor.

There are no scientific studies which evaluate the effect of duration of exposure on likelihood of infection although certainly the brevity of your exposure would, if anything, further reduce the already negligible risk of infection. 

As far as testing is concerned, there is no need for a swab. A urine test will give you the results you need and should be believed. 

Hope this helps. EWH
---