HIV and STD Risk?

[reg1929]

Greetings Dr! I'm a male. We broke up with my long time girlfriend last month and I was really risky and stupid since that time. I had sex with 8 women in just two weeks. Three of them are one night stand thing and 5 of them are with sex worker in the US most of them are from Brazil. All the sexual activities I got, I received oral with condom. I did vaginal penetration too on all of them with condom. I also put my fingers in their vagina without any protection on my fingers. I also kissed them. Most of them are french kissing. I did not notice any breaks on the condoms after sex but did not really tested them with water. I do not know there status. It's been a week now since my last sexual activity and I did not have any symptoms except for slight itching on my penis after each sex. I'm guessing it's a reaction of my skin to the latex condom because after I washed it disappear. I just want to know my risk for doing all of these. Would you recommend me to get tested for HIV and STDs? If yes when should I get the test on HIV and STD? Please help...

[Edward W Hook, MD]

Despite how busy you have been over the past two weeks, your risk remains very low.  As I understand it, all of your oral and vaginal sex exposures were protected by condoms.  Condoms are very effective for STD and HIV prevention so that even if any of your partners happened to have HIV or an STD, you have been protected.  You post also raises an issue about condoms.  There is no reason to test used condoms with water.  When condoms fail they do not leak same amounts of secretions in either direction, they break wide open.  Thus, if a condom is intact and in place after sex, you are protected.

AS for kissing (including French kissing), masturbation ("fingering"), and oral contact with your partners' nipples, all of these are no risk exposures and do not put you at risk.  Please note that during such acitvities it is normal for genital secretions to be transmferred from one person to another.  This is still not associated with risk for HIV/STD transmission.

Thus, while there is nothing in your history or description to cause me to recommend testing to further sort things out, I would suggest at some point  you consider HIV/STD screening.  You describe sex with 8 partners.  Thus you qualify for periodic STD "screening (testing in the absence of symptoms) because you have had multiple partners over a period of less than a year.  As a matter of personal protection, we recommend annual testing for anyone who has had two or more sex partners in the past year (we consider this to be health maintenance- we also recommend you get your blood pressure and cholesterol checked regularly).  There is no rush to do this and this is not a backward way of suggesting there is risk from the activities you describe, just good personal health.  Hope this helps.  EWH

[reg1929]

Hi Dr! One more thing I also suck and lick their nipples, is that make my risks higher?