Chance of getting HSV2

[Test898989]

Hello, I recently (2days ago) had protected anal sex with a transgender escort. I am the one penetrating. What are the chances I get HSV2 from this encounter?

I also had a mouth ulcer, I kissed /sucked her nipples. I didn’t give her any oral sex and didn’t kiss her at all. What’s the chance I get STD from this?

[auntiejessi]

The chances are very low with condom use.

Even if you were in a long term relationship with someone who had hsv2, as a male, your chances would be 4% a year to get hsv2 from a woman who had it, provided you knew she had it, you avoided sex during outbreaks, and had sex 2-3x a week.

Your chances from a one time protected encounter are very slim.

I wouldn't worry at all.

[Test898989]

Thank you for yout answer and 1 more question, before this, I’ve had a couple encounter with escorts the range of each encounter is probably almost once a year
1. Unprotected oral sex (receiver) and protected vaginal sex, kissing
2. Unprotected oral sex (receiver) and protected vaginal sex
3. Unprotected oral sex (receiver), kissing

Is it still considered low risk of any std? I have never had any symptoms and hopefully my last encounter also won’t transmit anything

[auntiejessi]

The only risk from kissing is oral herpes type 1, if you don't already have it. We don't have transmission stats for it. The risks are the same for kissing an escort as anyone else. 67% of the global population under 50 has it, escort or not.

The vast majority of people who have it never get any symptoms. You could have it and never know it, unless you get a test, if they are available where you are. The blood tests miss a full 30% of infections, so they aren't all that reliable.

Unprotected oral sex - receiving - is considered low risk. It does carry a risk of gonorrhea, chlamydia, genital hsv1 (if you don't already have it), syphilis, and NGU. All are low risk, but there is a risk.

If you haven't had any symptoms, I wouldn't worry.

[Test898989]

Okay thank you. About the rate that you gave, the 4% chance to get hsv2 from a woman who had it and having intercourse 2-3x a week for a year, is it a protected or unprotected rate?

[auntiejessi]

Oh sorry - that's unprotected.

If you use condoms every time OR she uses daily meds like valacyclovir, it drops it to 2% a year.

If both are used, it's 1% a year.

[Test898989]

Thank you for the insight. How many day after encounter if I don’t have any lesion/sore symptoms can be concluded that I didn’t get any std? It has only been 3 days

[auntiejessi]

You had protected anal sex and received oral. I'd be surprised if you got anything.

If you don't have any symptoms within a few weeks, you're fine, but really, don't worry. It's all considered low risk.

[Test898989]

Yes I had both oral and anal sex protected the most recent act. I am feeling anxious Because what I read on article says that I can still get it even with condom use because it’s skin to skin.

[auntiejessi]

You can, but as I said in my first response, the chances with condoms are very low.

[Test898989]

Ok the skin to skin contact as far as I know is like Oral to genital, genital to genital, oral to anal, and genital to anal, right? Article says that the condom didn’t cover might infect. Can you help me elaborate? I am the one penetrating with condom, oral sex receiver with condom, and I only use my mouth to kiss her neck, forehead, back, and nipple, strictly no kissing. In what way I can still get infected with Hsv2?

[auntiejessi]

So oral hsv2 is uncommon. When someone gets oral hsv2, it rarely causes outbreaks, rarely sheds on the skin, and therefore, rarely transmits from the mouth. Getting hsv2 from receiving oral sex shouldn't be a concern, with or without a condom, if the person doesn't have a sore on their mouth.

Condom use during sex protects the penis on men, and the shaft and head of the penis is all mucous membrane. Since it doesn't cover all your skin, there is still a chance you could get herpes, but the chances are significantly reduced.

Kissing her neck, forehead, back and nipple is no risk.

You are spending too much time worrying about this. It's out of proportion to the level of risk. I don't know if you went outside a relationship and that's why you're so worried, but guilt doesn't equal risk.

Again, and last time, your risk is really low.