[Question #9938] Oral sex & protected sex

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27 months ago
Dear Dr 

Here is my story 
9 days ago I met with a good friend and we ended together in a hotel room. She performed oral sex to me without condom and we have had protected vaginal sex. She was having her period but all sex was condom protected 

The day after she performed oral sex to me without condom and it lasts for 15-20 minutes until I came 
I asked her to make the blood tests. HCV HBV and 4th generation HIV test were negative. Do you confirm I don't have to worry about these diseases? 

I went back home and had unprotected sex with my wife two times and 3-4 days later she developed a urine infection (she is using to have them lately) and it has been confirmed that she has a urine infection (waiting for the culture to see which germ is responsible) 
I am wondering if I took any risk by receiving unprotected BJ. I am thinking about Chlamydia & gonhorea coming from that episode 
from my side no leakage from the penis. Sometimes I can feel discomfort while urinating but nothing "special"

Can you please give me your assesement 

Thank you and best regards 
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H. Hunter Handsfield, MD
27 months ago

Welcome back to the forum. Thank you for your continued confidence in our services.

 

Even without a condom, oral sex is quite safe. The risk isn’t zero, but the overall chance of STDs is much lower than for unprotected vaginal or anal sex, and the risk is zero for some infections, including HIV. The overall STD risk probably is about the same for condom-protected vaginal sex and for condomless oral exposure. In any case, you asked your “friend” to have incomplete testing. It’s fine to know she doesn’t have HIV or hepatitis B or C, but those all were essentially zero risk anyway. Depending on her sexual lifestyle, your greatest risk probably was for gonorrhea, and maybe for chlamydia if there was unrecognized condom failure. (Gonorrhea but not chlamydia can be transmitted by oral sex.)

 

Nevertheless, it is very unlikely you acquired any STD or infected your wife with anything. Your wife’s apparent urinary tract infection almost surely is exactly what it seems. Most likely the pending urine culture will confirm she has one of the standard causes of UTI, such as E. coli or similar bacteria. All in all, the greatest risk for your wife probably was gonorrhea, since it is the most common STD transmitted by oral sex. However, gonorrhea almost always causes obvious symptoms in infected men within 3-4 days:  absence of urethral discharge (“leakage”, as you put it) is strong evidence you weren’t infected.

 

At this point, I would just wait on your wife’s UTI culture result. If you want still further reassurance, you could consider a urine test for gonorrhea just to be that much more certain about it. (That would include chlamydia testing, almost always done automatically along with gonorrhea testing.) You can expect negative results.

 

I hope these comments are helpful. Let me know if anything isn’t clear.

 

HHH, MD

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27 months ago
Dear Dr Handsfield 
Thank you for your reply. You are the only source I trust since many many years. you are the best :) 

My friend is in a maried gril in a monogamous relationship. What other tests should I ask her to perform? 
Finally we received the test from my wife and it is Proteus Vulgaris. Can we exclude other risks then? 

Once again thank you 

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H. Hunter Handsfield, MD
27 months ago
Thanks for your kind words.

It sounds like your extramarital partner is at very low risk for STDs -- but of course she is not monogamous, unless for some reason you don't count yourself as one of her sex partners!

Proteus vulgaris is a common cause of UTI and originates in the infected person's own intestines. It is not sexually transmitted.
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