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Herpes From Oral Sex

Hello , I recently have made a very very stupid drunken decision of getting oral sex from a stripper (I am male and received it from a female 6 days ago).  I also kissed her for a brief moment.  She didn't have any signs of herpes on her mouth.  I went to my doctor and he said if she didn't have any signs on her mouth than it's not worth getting tested for anything and I should be fine.  (I believe I'm going to get tested tomorrow at a different clinic as I'm paranoid).  He said my chances were very low of getting anything from oral sex.  Being that she is a stripper I was not convinced but he may be right as I believe they are required to get tested often.

I have no symptoms around my mouth or genital area as of today.  But I'm really paranoid.  I do have what looks to be a little line of poison ivy by my left ankle.  I took a walk in the park about a week ago too.  

My question is... Could the rash on my ankle be herpes?  Is this likely or extremely rare to have herpes on the ankle.  What is the typical time I *could* expect any types of symptoms by?  And is my Dr. right, that I don't need to get tested for anything because oral sex is very rare to spread disease?  

Thank You very much!
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Sex workers probably have no higher chance of having oral herpes than do people in the general population.  As for transmission through a previous partner's infected secretions, that theoretically might occr with vaginal sex, but even there it's probably very rare.  For oral sex there is no plausible risk.  Saliva is toxic to all bacteria and viruses (one of the reasons that oral STDs are uncommon even in people with lots of oral exposure to multiple partners); and natural cleansing of the mouth by saliva flow, swallowing, etc would almost certainly clear out any previous partner's genital secretions.

Of the STDs that can be acquired by oral sex, virtually all cause symptoms that would be obvious, i.e. discharge of mucus or pus from the penis or penile blisters or sores.  Lack of symptoms indeed is a strong indication that no infection was transmitted.

That should end this thread.  Please try to move beyond your anxieties and go on with your life.  The chance you caught herpes or any other STD is negligible.  Take care.
Helpful - 1
Avatar universal
Thank you for your quick answer.  It was very informative.  I did see most of your prior posts, however since my partner was in the adult industry and chances are if she did this with me that it's a regular occurrence.  Hence I was also worried about other fluids in her mouth.  Say if she did this with another male 1 hour prior.  I would imagine chances are low but wanted to make sure.  We were also drinking a decent amount hence I would imagine that may kill some bacteria such as gonorhea? Also i read that some std's do not show any signs in males but i can still pass them on.  Is that rare?  Thank you for your answer, that should be my last set of questions.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum.

Your doctor's advice is exactly what we have repeated innumerable times on this forum, in almost the exact same words:  "if she didn't have any signs on her mouth than it's not worth getting tested for anything and I should be fine", and also that the "chances were very low of getting anything from oral sex.  As we have said many, many times, oral sex is safe sex -- not totally free of risk, but far safer from an STD standpoint than vaginal or anal sex.

To your specific questions:  It is impossible your ankle rash is due to herpes acquired from oral sex -- and almost certainly not herpes at all.  About 90% of new HSV infections cause symptoms within 5-6 days of exposure (the average is 4 days), although it can take 10 days and very rarely 3 weeks.  The only symptoms you should pay attention to are blisters/sores of the penis; you can only get symptoms where the virus enters the body.

On top of all that, there's a 50:50 chance you already have HSV-1; half of all adults (in the US) have it.  If so, you're immune and won't catch it again.

For all those reasons, I see no reason for you to try a different clinic.  You should just trust your primary care doc and follow his advice.  And you may find the same advice anyway from the other clinic you're planning to visit.

Regards--  HHH, MD
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