[Question #943] sex with prositute

50 months ago
Yesterday, July 12, I had unprotected sex with Asian masseuse that was on her period.  This is the  third time I have seen her.  Past two times she gave me oral sex.  We have a very sensual relationship and this time the emotions got the best of us.  I had been drinking and could not finish with oral or hand job.  I stood up to leave and she hugged me.  I still had an erection and my penius was right up against her vagina. I pulled down her panties and had sex with her.  At least that is what I think.  She never pulled out a Kotex, so not sure if she just gave me a hand job with my penius up against her vagina.  When I finished I had blood on my right hand and some on my penius.  She quickly cleaned me off.  I have been almost sick to my stomach since that moment.  I asked her if I had entered her vagina and if she is clean.  She just smiled and said no problem.  Her English is not very good.  We had gone over our hour and she hugged me and said see you soon.  I was out the door.  I'm thinking of going back and asking her all the questions I have.  I would have time to use phone to translate.  I have a girl friend and have not had sex with her since yesterday.  I'm claiming a groin injury at the gym that is giving me too much pain.  I will nurse this story for next two weeks to allow me time to be tested for Chlamydia, Gonorrhea and HIV (RNH).  Please any advice that could help me through this extremely trying time.      
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
50 months ago
Welcome to the forum. Thanks for your question.

I suppose an experienced sex worker could mimic vaginal sex with her hands, but I'm skeptical -- so I think we should assume you had unprotected vaginal sex. That's the only important aspect of these exposures:  exposure to menstrual blood doesn't make any difference in risk of STDs, including HIV, and oral sex is very low risk for all STDs (and zero risk for some).

You needn't wait two weeks for chlamydia and gonorrhea testing; those tests are valid within 2-3 days of exposure. The chance of HIV is extremely low. The large majority of sex workers are not infected, and most people don't lie about HIV status when asked directly. And even if she were infected, the average HIV transmission risk is once for every 2,000 vaginal sex exposures. It's up to you if you want to hold off on sex with your regular partner until you have a negative HIV test, but I really don't think it's necessary. In any case, an RNA test at 2 weeks would detect about 90-95% of infections; for 100% proof you weren't infected, you'll need to wait until 4 weeks and have an antigen-antibody (4th generaiton, "duo") test. You should also consider a syphilis blood test at 6 weeks -- but that risk is also extremely low.

One option would be to have the gonorrhea/chlamydia test at 2-3 days and then resume sex with your partner when the negative results became available, probably another couple days. If you want definitive HIV and syphilis results first, your abstinence period will have to go 4 or 6 weeks, respectively.

My final comment is your groin injury story. I suppose some women might buy it, but I'm skeptical you can sell it for more than a few days. You might have to 'fess up to your partner, but that's up to you. The advantages of doing that are 1) you might find an understanding and sympathetic response which in turn would go a long way in relieving your guilt and anxiety, and 2) she might agree to resuming sex after the gonorrhea/chlamydia results; and after that she might appreciate the opportunity to also be tested for STDs.

I hope this has helped. Let me know if anything isn't clear.

HHH, MD
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