Unprotected Bi/3some.

[sickwithfear]

A short time ago, in a late night alcohol induced mistake, I participated in a three some with a married couple I met online. They weren't the classiest of people (which I quickly realized when I arrived at their abode) and though in the preceding communications had claimed to be drug free, I deduced after talking to them they were in fact not so. I do not believe they are IV drug users, but are into pot and cocaine. There were several minutes of rough unprotected oral given to me by the woman, and unprotected vaginal between her and I several different times (I pulled out and went back in 4 or 5 times though none were for more than 2 or 3 minutes). I also gave the man brief unprotected oral. I've never done this before and will never do it again, I can't believe I did it in the first place to be honest. There was no anal insertion at any time from anyone. When I "finished" it was on her stomach.
  I am 31 years old (they were 37 and 40 respectively) and we are all Caucasian. This happened in rural Tennessee.
I am uncircumcised, and did have some pretty irritated skin on my head and foreskin from self masturbation before the event took place. No open sores or blood that I could see ( of course microscopic abrasions are possible).
  I have since contacted them and they claim to have been tested clean, though I don't know when that was as I think they found it offensive or pushy that I asked them about their status several times in the follow up. What scares me most is that they fibbed about the drug use, and also told me at first that this was only the second time they had "played" like this and the other time was with a friend they knew...only to contradict this the next day with they had only been with a "few buddys". Could you give me some insight as to how you would appraise my situation? Does this warrant HIV testing?

    
  

[Edward W Hook, MD]

The odds remain in your favor that you did not get HIV or any other STD from this experience however it is in your interest to get screened for STDs, including HIV at the appropriate time.  Factors which make this a somewhat risky activity is that this was an internet-mediated hook-up.  Partners met on the internet tend to be higher risk that persons met through more casual means.  further, as your point out, they may have not been completely truthful about their pasts.  Since any STD can be asymptomatic, we recommend that anyone who has had new partners get tested to make sure that they did not acquire and infection. Thus while not emergent, it would be a good idea to get tested just to be sure.  As far as timing is concerned, you can be tested for gonorrhea, chlamydia and NGU at any time more than 32-3 days after your encounter.  Syphilis of herpes would typically lead to development of a lesion (sore) at a site of contact within 2 (herpes) to 3 (syphilis) week after exposure.  HIV testing would be conclusive at any time more than 8 weeks after contact.  In the interval, in the absence of symptoms, I would urge you not to worry too much- the odds remain high that you did not get any STD through this encounter.  

Hope this guidance is helpful. EWH

[Edward W Hook, MD]

Yes, it remains unlikely that you acquired HIV through this encounter. EWH

[sickwithfear]

Thank you so very much.

   In closing, I haven't had any symptoms of any STD's since the encounter (though I know it is still early). I just worried that they weren't using protection (which I am so so so stupid for not demanding). Testing for the more common STDs is something I've already planned on, and I will get screened for HIV as well.

  In your opinion, you would bet against HIV infection in this case though?