HIV and others STD risk

[hivstdscared]

Sorry, I’ll try to go straight to the point.
I am male and had 3 encounters (MSM) in San Francisco with assumed risky people (kind of sex gay club) in these last 2 days. PS.: until the day before yesterday, I had tested negative for every STD (outside the window period).

THE EXPOSURES WERE:

1) Protected (with condom) mutual oral sex. We all used condoms. However they sucked my scrotum and region around (obviously, without protection) and I sucked theirs.

2) I was penetrated being used a toy (anal) using condom and lub.

3) Hot kisses in neck, chest, face, ears etc.. In one of them, I kissed his lips many times (not French kiss with anyone, but closed mouth).

MY QUESTIONS ARE:

1) As far as I could read, my HIV risk is perhaps non-existent. Am I correct?

2) Did I put myself at risk in other STDs? Do I need to be tested for any of these below?
a) Herpes 1 and 2
b) Chlamydia
c) Gonorrhea
d) NGU
e) Syphilis
f) Hepatitis, A, B, C
e) Mononucleosis

3) In sum, was I completed safe for HIV and all the other STD’s (assuming one of them is positive for any)?

Please let me know If you need any more details:

PS.: I now understand why most people don’t use condom for oral sexual. The taste is not confortable. It’s weird also. But I think it is the best option from now on. I have been suffering very much regarding HIV and other STD. I prefer to have the safest sex possible.

Thanks.

[Edward W Hook, MD]

1.  The antibiotics you mention would also typically cure or prevent most common STDs including chlamydia and gonorrhea.

2.  No taking preventative antibiotics is not a good idea. It leads to drug reactions, antibiotic resistant infections and difficulty in evaluating symptoms when they occur.

3.  There are no recommended tests for HPV and testing is not recommended.  EWH

[hivstdscared]

These will be my last questions. Please, close the thread after that.

1) I am supposed to take next week two antibiotics (Clarithromycin, 500mg and Amoxicillin, 500mg). It was prescribed by my doctor to treat H Pylori. Can those treat also STD (syphillys, chlamydia, gonohrrea, NGU etc). Just in case I got any disease (so that I avoid to transmit anything to my partner)....

2) Is it a good idea to take any antibiotics, prescribed by a doctor, as a prophylaxis STD treatment in some circumstances?

3) What kind of HPV test can I do (only to be sure)?

Best wishes,

[Edward W Hook, MD]

Thanks for the clarification.  
1.  If  the toy was use with a condom, indeed your risk is zero.  It was not clear that a condom was used with the toy.

2.  I'd give it two weeks but yes, no lesin in two weeks, you i not get syphilis./

3.  Syphilis is transmitted with direct contact. Thus you  need to be concerned about lesions at the site of contact only.  EWH

[hivstdscared]

Thanks.
1) I thought my HIV risk would be zero, instead of very low. Despite the high risk location, I used condom for oral sex. The toy were used with condom and lub and was not used by anyone else (probably for the last past hours).
2) Regarding syphillis, does it mean that if I don't develop any lesion in my mouth in few days (1 week), I am "free" of it?
3) Still regarding syphillis, the risk is only with the guy I kissed the lips? Or are there other parts of the body (mentioned in my question) I should be worried about.
PS.: Thanks for your frank response. But - more and more - I notice that It is not possible to have sex contact with peace of mind, since I thought I had been very very cautious this time, eliminating any risk.

[Edward W Hook, MD]

Welcome to our Forum.  While the location that you chose to have sex ( a gay sex club in SF) is a high risk site, the activities you describe were not high risk and your likelihood of having acquired HIV or other STDs is very, very low.  HIV is not transmitted by kissing an part of another’s body, being kissed anywhere on the body by another or through oral sex (even unprotected oral sex-giving or receiving).  There are a few STDs which can be acquired through direct contact with lesions or sores- herpes and syphilis but this is quite uncommon an if you do not develop a sore/lesion at a site of contact, I would not worry about these either.  Thus from condom protected oral sex there is no risk for the STDs you mention and from kissing there is only a tiny risk for lesion diseases such a syphilis an HSV.  

The only activity you mention of any concern is penetration with a sex toy.  If this was your toy or had not been recently (in the past few minutes) been used by another person, or if it was used with a condom, then there is no risk to use of a  sex toy.  On the other hand, when sex toys are used directly from person to person, they can occasionally transfer secretions and, in this way, STDs as well.

I hope this is helpful.  Stay with the condoms, they will keep you safe.  EWH