STDs Expert Forum
HIV/ Hepatitis and std worry
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The STD Forum is intended only for questions and support pertaining to sexually transmitted diseases other than HIV/AIDS, including chlamydia, gonorrhea, syphilis, human papillomavirus, genital warts, trichomonas, other vaginal infections, nongonoccal urethritis (NGU), cervicitis, molluscum contagiosum, chancroid, and pelvic inflammatory disease (PID). All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.

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HIV/ Hepatitis and std worry

Dear doctor a few days ago I visited a sex worker where I believe the following std/ HIV/ Hepatitis risks took place.
I received an oil massage with my penis on this workers breasts. During this event this lady suddenly started to give me an unprotected fellatio which lasted no longer than 5-10 seconds before I asked her to please not do this!
During my visit the worker also gave me a naked massage where she sat on top of my lower back/ buttocks area. I believe I felt some discharge from her vagina on my lower back/ buttocks and am worried that I may have contracted some form of HPV or other disease from this risk.
I am extremely nervous about the above incident and wondered if you could please tell me a bit further about the potential risks I have left myself vulnerable to and what chances there are that I have contracted HIV or other std's!
I should add the sex worker I visited appeared to have a cold of some description and was coughing and sniffling throughout this encounter.
I showered thoroughly 15 minutes after this incident took place if this makes any difference at all.
If you could please provide me with your thoughts and if you believe I should have full std screening I would appreciate your assistance.

Many thanks
239123_tn?1267651214
Welcome to the forum. Thanks for your question.

You needn't be at all worried.  All STDs, including HIV and viral hepatitis, are harder to transmit than you seem to think.  None are transmitted by massage or hand-genital contact, and oral sex is generally safe, with low risk for some STDs (gonorrhea, NGU, HSV-1, syphilis) and viritually zero risk for others (hepatitis, HIV, HPV, chlamydia).  Without a bare penis (no condom) inside another person's vagina or anus, any and all STDs are rare.

Accordingly, I do not recommend any STD testing on account of this event.  If you feel you just have to do something beause of the unprotected oral sex exposure, then you could have a urine test at any time for gonorrhea and chlamydia, and a blood test at 6 weeks for syphilis and HIV.  That's all I would recommend, and strictly speaking you don't even need these.

I hope this has helped ease your fears.  Best wishes--  HHH, MD
6 Comments
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Avatar_m_tn
Thank you doctor.
Are the risks very low to catch an std from oral sex?
What are the kind of low percentages you would associate from receiving oral sex?

Thanks again for your time.
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239123_tn?1267651214
Oral sex is safe sex -- low risk for all STDs and zero risk for some.  Under one infection for every few thousand encounters.  Don't worry about it.

http://www.medhelp.org/posts/STDs/Simple-question/show/1723730
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Avatar_m_tn
Thanks doctor, last question I promise. I forgot to ask if there is a significant  HIV or Hepatitis risk if the male person receiving oral has HPV or HSV?
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239123_tn?1267651214
No.

That indeed is the last question.  Do your best to move on without worry.
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Avatar_m_tn
Thanks doctor. Keep up the great work!
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H. Hunter Handsfield, M.D.Blank
University of Washington
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Edward W Hook, MDBlank
University of Alabama at Birmingham
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