Dear docs,
I am a 35 year old male living in UK, heterosexual.
My sexual history so far consists of 4 girl friends and around 6-8 sex workers.
Till now I have practised condom protected vaginal sex with all of them and a few episodes of unprotected oral sex( both ways). I understand that this is not considered a risk. I have no reason to believe that any of my girl friends were at high risk for HIV/STD.
I had an annual sexual health screen for last 2 years from a private clinic and all tests were negative.
Recently met up with a 40 year old lady , white caucasian and british ,on a dating site. We went out a few times. She explained that she had just come out of a long term relationship. She is otherwise healthy , has a decent job, no drug use, is educated and seems sensible.
To cut a long story short, we ended up having unprotected vaginal intercourse recently, a few weeks back, 3 times in one night. (She said she doesnt normally engage in casual sex. )
1.Based on this, is there any risk of HIV and would you advise any STD/HIV testing, and if so, when?( My last test was 1 year back)
2.If not, how frequently would you advise a sexual health screen and what should be tested for apart from HIV ?
(The UK govt does not advise routine HIV testing, apart from for pregnant women and MSM , although routine testing is recommended in certain regions where prevalence is high)
Thanks