A few questions about a recent encounter

[notsurePA]

Last night I had an encounter with a commercial sex worker. Since I am way paranoid I usually am only into protected oral. I did have a condom on, and received brief oral, no risk there i know. However, at one point she got on top of me and I was inside her for maybe 10 seconds before I pulled out. There was hardly any vigorous movement. However, I was horrified to see maybe the equivalent of three drops of blood on the condom, and the equivalent of maybe two drops of blood at the base of my penis and in my pubic area. The condom looked fine though. I immediately jumped in the shower. Afterwards, she (of course) said she had been tested within the past month for all STD's and came up negative. So I guess I have a few concerns:

Do I have any worries of HIV with the blood on the condom and unprotected penis base? and

I know herpes can be transmitted even with condoms, but would roughly ten seconds be enough for this to happen? I know there is no "time limit" but ten seconds just seems so incredibly brief, and as I mentioned it wasn't remotely vigorous.

Should I get tested for any STD's?

Any insight would be greatly appreciated. I do have a significant other so something like this can produce quite a bit of anxiety. Thank you very much for your help and guidance.

[Edward W Hook, MD]

No, if blood came into contact with your genital skin it would not put you at risk for infection.

If I were you I'd move forward and not devote more time to worrying.  EWH

[notsurePA]

Doc, thanks so much for the reply - and so fast!

So it sounds like any blood that may have gotten on the base of the shaft and/or pubic area is not a concern?

Sounds like I should probably let it go, huh?

[Edward W Hook, MD]

Welcome back to our Forum.  The good news in the situation you describe is that the condom sounds as though it did its job. Your condom stayed intact and thus protected you from any STD which might have been present in your partner.  Thus we can safely say that the exposure that you describe was no risk for gonorrhea, chlamydia, NGU, trichamonas,, HIV or hepatitis.  I cannot say that there  is no risk for the two STDs transmitted by direct contact (as opposed to secretions), syphilis and herpes but syphilis is a very rare infection and in the absence of lesions herpes is rarely transmitted following exposure.  In addition, the very short duration of your exposure is certainly in your favor as well.

Bottom line, your risk for acquiring any STD from the exposure you describe is miniscule and not something to worry about.  I see no medical need for testing.

I hope my comment is reassuring.  It is meant to be.  EWH