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Probability of catching herpes

Yesterday I had sex with an Escort in England that I called up.  It was a pretty brief encounter, one sexual episode.  

She gave me oral for about 2 minutes unprotected, then we had protected sex for about 10 minutes.  I did my best to ensure the condom went all the way to the base and I did not try to force myself all the way inside of her but I do not know exactly.  I know some of her stuff had reached the base of my penis.  Anyway the condom did not break.  

She had no visible lesions on her mouth or vagina, but I do know about asymptomatic shedding and that a lesion does not have to be visible to spread the STD.  What are my risks of catching HSV-1 or HSV-2 from this encounter?  Thank you.
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55646 tn?1263660809
You might consider testing to see if you already have HSV 1 infection - if you do, it is unlikely you get a new case now.  

Terri
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Avatar universal
Dear Terri,
I am actually in a very similar situation. I am a male who recieved oral sex from 2 different prostitutes unprotected over the last few days. These were rather long sessions, and I deeply regret them in retrospect. I didn't see any type of sores on either of their mouths, however I know that the sores do not need to be present to transmit herpes. My question is: Will I notice symptoms in my genital area over the next couple weeks? I am extremely terrified. Isn't the mouth form of herpes very prevelent? In that case couldn't someone recieve it from a large portion of the population? How often do these cases come up? I am very confused, and there seems to be a lack of information availible on this subject.

Thank you so much Terri
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55646 tn?1263660809
OK

Terri
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Avatar universal
I've never had a cold sore in my entire life, anywhere.  So far nothing.  Thank you terri, I'll let ya know in 5-6 days or so.
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55646 tn?1263660809
Yes, people with HSV 1 orally can transmit virus to the genitals of a partner when no symptoms are present.  But a single encounter for 2 minutes is not high risk (it is not risk free, though).  Do you know if you have HSV 1 infection already?  Have you ever had a cold sore in your lifetime?  If yes, then you already have HSV 1 infection.  This is why I am encouraging you to get a baseline antibody test.

Terri
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55646 tn?1263660809
I can't give you a definite percentage of risk from this encounter.  I can say that you did the careful thing by using a condom but the uncareful thing of having sexual contact, including unprotected oral sex, with a paid sex worker.
  
Yes, if she has oral herpes, and didn't have an outbreak, she could still be shedding virus from her mouth.  The risks are not high, but are present, certainly.  People with oral HSV 1 shed virus somewhere between 9-18% of days tested, these studies are a little less clear than genital swabbing studies.  

If you were my patient, I would encourage you to observe carefully but no obsessively the genital area for the next 10 days or so.  I probably would also suggest a baseline herpes antibody test for HSV 1 and HSV 2.  That way, you will at least know where you stood before all this began and can look for any changes in antibody levels in the next 4 months or so.  If you develop any skin changes in the genital area, have someone check them out in person.

I do think your risk of acquiring an STD in this context are low, but again, not zero.

Terri
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Avatar universal
If she was having no outbreak whatsoever on her mouth could she still pass it on?
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