Unprotected oral sex,fingering risks

Hi doctor.
2 weeks ago, I was in holidays in Cuba and had sex with a prostitute.
We french kissed and bite each other lips quiet a lot. Then she performed unprotected oral sex on me while I was fingering her. We had protected vaginal sex.
The next day( in the afternoon), I noticed a small cut on one of my finger that I used. I can not say if that cut was fresh  or from before that event.
So far no symptom.
I would like to know my risk concerning hiv and std's relating to that event.
Thank you very much

[Edward W Hook, MD]

Welcome to our Forum.  There was no risk for HIV from the events that you describe.  The rates of HIV are quite low in Cuba, including among commercial sex workers.  In addition, HIV is spread only through unprotected vaginal or anal intercourse or through injection of infected materials deep into tissue.  It is not spread through French kissing, touching or oral sex.  That you had a cut on your finger does not change this in any way- still no risk.  Thus there is no medical reason for you to be tested for HIV related to the activities you describe.

While the risk is low, there is a small chance that you have acquired either gonorrhea or NGU from this exposure.  Oral sex is an inefficient way to transmit STDs but it does occasionally occur.  Of the bacterial STDs only gonorrhea and nongonococcal urethritis (NGU) are transmitted through oral sex; chlamydia is not and without an obvious sore or lesion on your partner’s mouth, the chances of syphilis and herpes is likewise tiny.   If you had gotten gonorrhea or NGU you would have most likely developed symptoms of urethritis (penile infection) within a week or so of your contact.  Even if your partner had an STD (any STD and it is likely she did not), most exposures do not lead to infection.  In your case, your exposure was brief; I would urge you not to worry. If you are concerned, you could go to your local STD clinic or health care provider to be tested at this time.  

I hope these comments are helpful. You have little to worry about.  EWH

[tacad87]

should i get tested?

[tacad87]

should i get tested?
I got tested a month ago and all came back clear, and that is the only intercourse since.
thanks

[tacad87]

Sorry Doctor Edward W Hook, When you say" to be tested at this time" what do you mean, How long should I wait from the exposure to get tested?
Thank you very much for your previous answer

[Edward W Hook, MD]

There is no need for HIV testing related to the exposure you report- now or ever.  Depening on your future behavior, it may be appropriate to be tested in the future. In addition, I shoul point out that the CDC suggests that all persons get tested for HIV at least once.  EWH

[tacad87]

once a year, is that what you mean?
Should i get tested for std's even with no symptoms?
Thanks Doctor Hook

[tacad87]

Sorry Doctor Edward W Hook, a last question.
once a year, is that what you mean?
Should i get tested for std's even with no symptoms?
Knowing that I got tested a month ago for everything and all came back clear, and that is the only intercourse since.
Thank you Doctor.

[Edward W Hook, MD]

Last answer.  Everyone, with or without symptoms, should be tested at least once.  As a matter of personal protection, we recommend annual testing HIV an other STDs) for anyone who has had new or 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).  

Time for this thread to end.  EWH