[Question #903] STD through protected oral

50 months ago
Hello Doctors,
I appreciate your help immensely. 10 days ago, I picked up a prostitute on a drunken temptation which I regret. I have no idea if she was a drug user or if it makes a difference. She engaged in performing oral sex on me with a condom. I checked the condom's expiration date and it was fine. My biggest concern is the risk of catching herpes as I've never had it and have tested negative every time. I'm not quite sure she made contact outside the condom line but I'm quite sure she didn't, yet again I was a bit drunk. The whole situation didn't last more than ten minutes. She left my boxers wet with saliva that made contact with my penis as I was going home. 
Should I be worried about an STD especially herpes? I'm in a relationship and regret it, that's why I stopped it midway. If I have sex with my girlfriend, is there a chance I can pass her anything? I've had immense anxiety over it and the internet isn't helping. I know the risk is pretty low but herpes is what scares me. Is testing necessary?  One night, I started having body itching throughout the whole night and the tip of my penis itched the next day after the action. Not sure if it was related to a condom allergy or anything else. Please help relieve my anxiety! I didn't see any lesions on her mouth but not sure inside her lips. 
Edward W. Hook M.D.
Edward W. Hook M.D.
50 months ago
Welcome to our forum. I'll be pleased to comment.  The risk of exposure you describe is close to zero.  Receiving condom protected oral sex is not associated with meaningful risk of typical STIs such as gonorrhea or chlamydia.  As you pointed out there is a very, very small risk of having acquired HSV-1.  IF your partner had herpes we estimate that the risk of you becoming infected through this act approaches one in 10,000.  Further if you were going to develop genital herpes it is more likely than not that you would have developed lesions by now, 10 days after the exposure.  Thus, I have two pieces of advice for you. First I would not worry further about having gotten any STI including herpes from this exposure. Second I would stay off the Internet. It will only mislead you.  There is no need for concern and certainly no need for testing. I hope these comments are helpful to you. Take care.  EWH---
50 months ago
1) So even if maybe brief contact was made to the unprotected exposed area, I should be fine right? 
2)I kept feeling her teeth and it would hurt, could it have caused holes in the condom?
3) Am I clear to continue unprotected sex with my girlfriend or should I wait?
4) How asymptomatic can HSV 1 be in this case?
Thank you doctor.
Edward W. Hook M.D.
Edward W. Hook M.D.
50 months ago
1.  Correct, even if there was skin to skin contact.  You are still fine.
2.  If her teeth had damaged the condom. It would have broken wide open.  
3.  I would not worry about unprotected sex with your GF if I were you.
4.  There is no reason for you to worry about asymptomatic herpes. 

As I said above.  No reason for you to be worried.  EWH
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50 months ago
Ok thank you doctor. Just want to ask a couple of closure questions. So body itching for a whole night is not a symptom? I've read some people have had it. Also, is transmission through protected oral common through one time exposure? I just want to make sure there's no chance of passing it to my partner. Thank you so much.
Edward W. Hook M.D.
Edward W. Hook M.D.
50 months ago
1.  Body itching as you describe is more likely due to pain increased attention to "possible symptoms" and the power of suggestion that to any STI you might have acquired.
2.  Condoms remain one of the most effective means of preventing STI acquisition. Acquisition of STI's when condoms are used to receive oral sex is vanishingly rare.

I appreciate your concerns but believe that you are worrying more than you need to be. This is my third response to your questions and therefor, as per Forum guidelines the thread will be closed. If there are further questions you will need to open a new thread. Take care.  EWH
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