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Rough oral sex & put-back-in-place condom
Dear Doctor,
I am 24 yo male. Last Saturday, I had unprotected oral sex with a Russian mid-30s (not sex worker but I met her in a nightclub in miami beach and did not know her before, no idea of her hiv status). It was pretty rough oral sex and mutual. After that, we had protected sex. Then we went back to unprotected oral sex with ejaculation in her mouth (although she withdrew quikly). I was quite drunk. Also, right after the sex, I went to the bathroom and rinced/soaped my penis (I was so scared I even put some alcohol hand sanitizer directly on it!!). I noticed the oral sex had been rough as I had felt earlier as I noticed a red square cut/scratch about 1 millimeter square (maybe on the base/corner of the glans - corona?) as well as my foreskin line being reddish. It was not bleeding after the sexual intercourse but I am unsure if it might have been bleeding during the unprotected oral sex. Also, at some point during the protected vaginal sex, the condom went out while I was out of her and she put it right back in place (on the right side). It has been 4 days I am almost unable to sleep. I have GERD with grade 2 oesophagitis (condition I have had for many years now) which is getting at an unbearable record high right now. This is so anxious to me that I cannot focus on anything else and feel like those next 6 weeks to the test are going to be unbearable. Also I seemed to have a caught a cold but at the same time, I was outside late and without proper coat that night on Saturday and the temperature went down very low in miami beach (I could feel that I was getting cold).
1) What are my risks in terms of HIV for both the unprotected oral sex and the put-back-in-place condom?
2) Should I test in 6 weeks or should I try to get one of those HIV RNA tests as well before?
3) I have her number. Should I try to call her and get some information?
Thank you in advance, J.
Best,
J.
I am 24 yo male. Last Saturday, I had unprotected oral sex with a Russian mid-30s (not sex worker but I met her in a nightclub in miami beach and did not know her before, no idea of her hiv status). It was pretty rough oral sex and mutual. After that, we had protected sex. Then we went back to unprotected oral sex with ejaculation in her mouth (although she withdrew quikly). I was quite drunk. Also, right after the sex, I went to the bathroom and rinced/soaped my penis (I was so scared I even put some alcohol hand sanitizer directly on it!!). I noticed the oral sex had been rough as I had felt earlier as I noticed a red square cut/scratch about 1 millimeter square (maybe on the base/corner of the glans - corona?) as well as my foreskin line being reddish. It was not bleeding after the sexual intercourse but I am unsure if it might have been bleeding during the unprotected oral sex. Also, at some point during the protected vaginal sex, the condom went out while I was out of her and she put it right back in place (on the right side). It has been 4 days I am almost unable to sleep. I have GERD with grade 2 oesophagitis (condition I have had for many years now) which is getting at an unbearable record high right now. This is so anxious to me that I cannot focus on anything else and feel like those next 6 weeks to the test are going to be unbearable. Also I seemed to have a caught a cold but at the same time, I was outside late and without proper coat that night on Saturday and the temperature went down very low in miami beach (I could feel that I was getting cold).
1) What are my risks in terms of HIV for both the unprotected oral sex and the put-back-in-place condom?
2) Should I test in 6 weeks or should I try to get one of those HIV RNA tests as well before?
3) I have her number. Should I try to call her and get some information?
Thank you in advance, J.
Best,
J.
MEDICAL PROFESSIONAL
Good Morning J,
Well, despite the emotional trauma's I think you will be fine.
The risk of you contracting HIV through being sucked is zero to miniscule. The risk of you contracting HIV via a small injury is in my estimation about the same - ie miniscule to zero.
The condom I think is fine - you do need to remember that she is an expert at what she does so she is likely to be pretty dextrous with condoms so I'd be happy on that score.
You're in Miami or at least the US so you can have a HIV 1 and HIV 2 combined antibody p24 antigen test at 28 days which will rule out HIV for you. You can have an HIV RNA but they are expensive and I truly dont think necessary as I don't believe you have been exposed in a meaningful sense.
As to asking her - well thats your call. I can't help with that one except to say that if she says she's HIV negative then that is likely as most people dont lie.
best wishes, Sean
Well, despite the emotional trauma's I think you will be fine.
The risk of you contracting HIV through being sucked is zero to miniscule. The risk of you contracting HIV via a small injury is in my estimation about the same - ie miniscule to zero.
The condom I think is fine - you do need to remember that she is an expert at what she does so she is likely to be pretty dextrous with condoms so I'd be happy on that score.
You're in Miami or at least the US so you can have a HIV 1 and HIV 2 combined antibody p24 antigen test at 28 days which will rule out HIV for you. You can have an HIV RNA but they are expensive and I truly dont think necessary as I don't believe you have been exposed in a meaningful sense.
As to asking her - well thats your call. I can't help with that one except to say that if she says she's HIV negative then that is likely as most people dont lie.
best wishes, Sean
Just a quick add-on: I got her on the phone, she got tested in August, in September and two weeks ago. And everything is fine. Her sister is a doctor. Do you think I can trust that information or is testing still warranted?
Thank you very much for your answer, Doctor. That sounds like I should try to relax now. I guess I will wait for 28 days to do the combined test in order to move on completely. Also I will call her just in case.
Best, J.
Best, J.
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