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
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
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.
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
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
If she was having no outbreak whatsoever on her mouth could she still pass it on?