[Question #9302] Unprotected oral sex and protected sex
34 months ago
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Hi doctors once again thank you for your help. I have a new situation.
Hello thanks for the forum !
I had sex a day ago. Protected vaginal sex and unprotected oral sex. Me male she female. She has no symptoms of oral herpes but I am unaware if she has them or not. I asked her and said she has never had any physical symptoms of an std. Question: this was only one time, how likely would it be that if she does that I could actually get infected from an stuff from unprotected oral sex and protected vaginal sex I have tested in the past and have been negative for all ayuda including herpes. Thank you!
I had sex a day ago. Protected vaginal sex and unprotected oral sex. Me male she female. She has no symptoms of oral herpes but I am unaware if she has them or not. I asked her and said she has never had any physical symptoms of an std. Question: this was only one time, how likely would it be that if she does that I could actually get infected from an stuff from unprotected oral sex and protected vaginal sex I have tested in the past and have been negative for all ayuda including herpes. Thank you!
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H. Hunter Handsfield, MD
34 months ago
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Welcome back to the forum.
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You had a very low risk exposure. You do not need testing for anything. You say nothing about your partner's sexual lifestyle, so I cannot judge the chance she has an active STI. But even if she does, unprotected oral sex is low risk for all STIs and zero risk for some (including HIV). In absence of a history of oral herpes (cold sores) in your partner and a known outbreak at the time, the chance you were exposed to or caught herpes was extremely low. Gonorrhea sometimes is transmitted oral to penis, but the chance is well under one in a thousand, and in that case you will develop obvious symptoms (painful urination, pus dripping from your penis) within 4-5 days. As for other infections, condoms work well and it sounds like your vaginal exposure was entirely protected.
We generally recommend against STI or HIV testing after any single exposure unless the risk is a lot higher. If you continue occasional exposures like this as the months and years go by, it would be a good idea to be tested from time to time, like once a year (urine for gonorrhea and chlamydia, blood tests for HIV and syphilis). But not after single exposures unless a partner is known to be infected or otherwise a lot higher risk than this event.
This is your second question about exposures that everybody knows carry little or no risk. I suggest you spend some time learning more about real world STI risks and prevention. It should not be necessary to keep returning to the forum after every sexual experience, especially ones that carry little chance of infection. And if in doubt, you're always free to be tested -- but be wary of labs that offer 8 or more tests in a "comprehensive" panel. Most of those tests are unnecessary, especially after any single exposure, and such panels are almost never worth the cost. And some of the tests are not reliable anyway.
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
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34 months ago
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Hi just to give some information. She has had 4 partners including me and says she has always used condom for vaginal sex which we also used protection.
We talked today and she has had only unprotected Anel sex and only once with her first partner.
As mentioned she has never had symptoms of anything and well let’s see. Would you recomend a urine test in 3 days after exposure.?
I appreciate your help and you are right I will look Into more information. It I don’t develop any symptoms which are clinical I won’t test. Thanks once again
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H. Hunter Handsfield, MD
33 months ago
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Thanks for the additional information. By your description, your partner has a very low risk sexual lifestyle. As I said above ("We generally recommend against...", I do not recommend testing, at least not because of any likely risk. Of course you will need to be tested if you develop symptoms consistent with any STD, and as I also said, you are free to be tested even without symptoms if you remain concerned. Once someone is nervous enough to seek reassurance on a forum like this, often it is best to be tested to remove doubt -- otherwise you might keep worrying unnecessarily. It's up to you.---
33 months ago
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Dear Dr.Handsfield,
Thanks again for your quick reassuring answers.
This questions are mainly because I have a partner which who I have unprotected sex with. My following up questions are:
1.
I am planning on doing a chlamydia and gonorea test next Monday (10 days post exposure)
That would be enough time right ?
2. If in the next two weeks I don’t show any physical symptoms such as blisters or cuts, could I resume unprotected sex ?
I ask because the condom would roll up and just making sure I do t bring anything home.
The condom didn’t rip or anything
This person I had sex with has a no so risky sexual life so I am not that worried. In this case I would like to cover my bases. I will take your opinion and just wait if anything does happen and visit a doctor. Thank you and I apologize if I am being a bother.
I really a appreciate the work you and the rest of the doctors do here.
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H. Hunter Handsfield, MD
33 months ago
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This isn't a bother at all -- it's why we're here.
2. If somehow I were in this situation, I would resume unprotected sex with my wife after 5 days with no symptoms. And certainly I would do so following the expected negative results for gonorrhea. Waiting until 3-4 weeks after the exposure would give enough time for a syphilitic chancre to show up, but syphilis is so rare in this situation that I don't think it's a serious consideration. Anyway, it's up to you.
That concludes this thread. Thanks for the thanks; I'm glad to have helped.
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