[Question #8857] Oral exposure
38 months ago
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Thanks again for you service. Received protected Oral at a strip club (she did spit saliva on my penis before putting on condom.) I also licked her vagina very briefly. I’ve read numerous posts and think this exposure is relatively safe and that I should not worry or seek testing as I have a lovely wife at home and definitely do not want to put her any harms way. Please advise. Thank you!
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H. Hunter Handsfield, MD
38 months ago
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Welcome back. Thanks for your continued confidence in our services.
This is your third forum question -- the last 2 ½ years ago. All three concern exposures without penetrative sex, and on quick glance I think we also discussed the low risk of saliva exposure. Saliva rarely if ever transmits any STIs, both because it typically contains few infectious particles and because saliva is toxic to most pathogens. It kills HIV, for example. In other words, you had a well protected exposure and the saliva contact before condom placement did non increase the risk. Oral-vaginal contact also is very safe -- you were at no measurable risk from that brief contact.
So I see no measurable risk you could have acquired any STI and therefore no chance you can infect your wife with anything. I see no need for testing or for not continuing your normal sex life at home.
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
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38 months ago
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Thank you for the info. One quick follow up. Is there reason for any concern from the Oral-vagina exposure (NGU,chlam,gon, syphillis etc) Woke up this morning with what appears to be a cold (sinus drainage, sore throat etc). Nothing out of the ordinary for this time of year. Thanks again.
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H. Hunter Handsfield, MD
38 months ago
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Already answered above: "Oral-vaginal contact also is very safe -- you were at no measurable risk from that brief contact." Also, STIs generally don't cause nasal congestion or sore throat. Your own self diagnosis (a cold) almost certainly is correct. It could also be COVID; you should be tested for it.---
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38 months ago
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Quick follow up:
Had my yearly physical Tuesday (8 days post exposure), told Dr about the exposure and he said he would run tests since I seemed anxious. HIV, Syphilis, Gon/chla,Herpes 1&2 all negative. Today 10 days post exposure, I have a small white bump that is sore on the end of my tongue. I’m pretty sure I’ve had one of these before. My question is, could this be related to the oral exposure described below? Would the syphilis test have been positive if this was a syphilis sore even though I know 6 weeks is the correct timeline for a conclusive test? I know this is my last follow up and trying to put this behind me. Thanks!
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H. Hunter Handsfield, MD
38 months ago
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Since you've had a similar tongue lesion previously, it's probably the same thing, like aphthous stomatitis (canker sore). It's too soon for a syphilitic chancre to make its appearance. And no, 10 days isn't enough time for a syphilis blood test to be positive.
That concludes this thread. I hope it helps you move on without giving these issues another thought.
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