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Condom and STDs
Hello Dr,
I had another encounter a few weeks ago with a trans CSW in Canada. It only involved deep kissing and condom protected oral both ways. Before I sucked the Trans' penis i was stroking her with my hand and she had no condom on but I did. While she put hers on I feel that maybe she had some fluids on her hands which went onto the condom which i then sucked and could have got gonorrea, trichomonas, or chlamydia in the throat. I am not very familiar with how non HIV STDs are passed (I am more concerned about any STDs which i think can cause infertility such as gonorrea, trichomonas and chlamydia less worried about herpes nor syphillis since i saw no sores nor did i get one).
1. HIV would not be a concern here even with deep kissing and sucking with condom even with some fluids on condom?
2. Which STDs cause infertility, for which sex (m/f) is it a concern, and after how long of it not being treated? Also, is it common for STDs to cause infertility - what is the rate at which this can occur?
3. If i never got tested and did catch gon or chlamydia would it ever go away on its own without meds? Would i still be infectious say after about 3-4 years?
4. With gonorrea, trichomonas and chlamydia does the infection occur from fluids of an infected person or some bacteria around the private parts?
5. The trans' penis when it was not covered was rubbing on my thigh at a few times while i was wearing a condom could some STD bacteria or virus been transferred onto my thigh and then later when my condom was removed transferred onto/into my penis?
6. For the STDs which I am concerned about if a male gets infected how often % wise are symptoms present?
7. Is gon/tri/chlam a localized infection meaning if I catch in my throat would it remain in throat or can it travel to my penis internally?
8. If my gf got pregnant by me while i was infected with gon/trichomonas/chlamydia would she be tested by her doc during her first tri or other prenatal visits/tests?
I had another encounter a few weeks ago with a trans CSW in Canada. It only involved deep kissing and condom protected oral both ways. Before I sucked the Trans' penis i was stroking her with my hand and she had no condom on but I did. While she put hers on I feel that maybe she had some fluids on her hands which went onto the condom which i then sucked and could have got gonorrea, trichomonas, or chlamydia in the throat. I am not very familiar with how non HIV STDs are passed (I am more concerned about any STDs which i think can cause infertility such as gonorrea, trichomonas and chlamydia less worried about herpes nor syphillis since i saw no sores nor did i get one).
1. HIV would not be a concern here even with deep kissing and sucking with condom even with some fluids on condom?
2. Which STDs cause infertility, for which sex (m/f) is it a concern, and after how long of it not being treated? Also, is it common for STDs to cause infertility - what is the rate at which this can occur?
3. If i never got tested and did catch gon or chlamydia would it ever go away on its own without meds? Would i still be infectious say after about 3-4 years?
4. With gonorrea, trichomonas and chlamydia does the infection occur from fluids of an infected person or some bacteria around the private parts?
5. The trans' penis when it was not covered was rubbing on my thigh at a few times while i was wearing a condom could some STD bacteria or virus been transferred onto my thigh and then later when my condom was removed transferred onto/into my penis?
6. For the STDs which I am concerned about if a male gets infected how often % wise are symptoms present?
7. Is gon/tri/chlam a localized infection meaning if I catch in my throat would it remain in throat or can it travel to my penis internally?
8. If my gf got pregnant by me while i was infected with gon/trichomonas/chlamydia would she be tested by her doc during her first tri or other prenatal visits/tests?
MEDICAL PROFESSIONAL
1) Male infertility due to STD comes from epididymitis, a painful testicular infection (caused by gonorrhea or chlamydia) that you would not miss.
2) You misunderstood something you read. Among women with fallopian tube infection due to gonorrhea or chlamydia, up to 15% may become infertile. The overall infertility rate probably is well under 1%.
3) The biological reasons why hand-genital contact don't result in STD transmission really don't matter. The fact is that in busy STD clinics, patients with gonorrhea or chlamydia never show up who did not have insertive intercourse -- i.e. never a case in someone who says their only expousre was hand-genital.
4) Why wait for 4 weeks? Testing is valid for gon and chl within a few days after exposure.
That will be all for this thread. Try to mellow out and control your STD/HIV anxieties, which really have no rational basis.
2) You misunderstood something you read. Among women with fallopian tube infection due to gonorrhea or chlamydia, up to 15% may become infertile. The overall infertility rate probably is well under 1%.
3) The biological reasons why hand-genital contact don't result in STD transmission really don't matter. The fact is that in busy STD clinics, patients with gonorrhea or chlamydia never show up who did not have insertive intercourse -- i.e. never a case in someone who says their only expousre was hand-genital.
4) Why wait for 4 weeks? Testing is valid for gon and chl within a few days after exposure.
That will be all for this thread. Try to mellow out and control your STD/HIV anxieties, which really have no rational basis.
Hello Dr. Handsfield,
I just wanted to follow up on my questions, hope you can assist.
Thanks
I just wanted to follow up on my questions, hope you can assist.
Thanks
Thanks a lot for your response. I have a few clarification questions.
1. With regards to infertility you state it is just a concern for women and with rare exceptions men. What are the rare exceptions , would symptoms have to be present for it to cause it?
2. I read somewhere online where it stated 15% of untreated cases of gon and chlamydia cause infertility in women is this true and is it instant or years of re-infection where on-going symptoms are present?
3. With HIV I understand that it does not survive out the body and so when being transfered by hand to genitals it would not infect, is this the case for gon and chlamydia as well - does it take a lot of fluids to infect and so if there was fluids from hand to condom would my mouth get infected from sucking?
4. At 4 weeks i am thinking of going for Chlamydia and Gonnorea tests, is it a urine test or will it be a swab test if no dripping or symptoms are present?
1. With regards to infertility you state it is just a concern for women and with rare exceptions men. What are the rare exceptions , would symptoms have to be present for it to cause it?
2. I read somewhere online where it stated 15% of untreated cases of gon and chlamydia cause infertility in women is this true and is it instant or years of re-infection where on-going symptoms are present?
3. With HIV I understand that it does not survive out the body and so when being transfered by hand to genitals it would not infect, is this the case for gon and chlamydia as well - does it take a lot of fluids to infect and so if there was fluids from hand to condom would my mouth get infected from sucking?
4. At 4 weeks i am thinking of going for Chlamydia and Gonnorea tests, is it a urine test or will it be a swab test if no dripping or symptoms are present?
MEDICAL PROFESSIONAL
Welcome to the forum. I think it's your first time here, although you have had other discussions on the HIV professional and community forums.
Those earlier exchanges indicate you are overly (sometimes irrationally) concerned about exposures that obviously carry little or no risk for HIV. The same seems true for your current exposure and your concern about various STDs. The main thing for you to concentrate on is that you had only condom-protected sex with your transexual partner. To your specific questions:
1,5) These are not risky exposures.
2) The only STDs that cause infertility are chlamydia and gonorrhea, and these are issues only for women (with very rare exceptions).
3) Most infections, including gonorrhea and chlamydia, clear up on their own, without treatment. This typically takes up to 2-3 months for gonorrhea and maybe 6-12 months for chlamydia. There is little if any chance you would still be infected after 3-4 years.
4) Those STDs are carried by fluids. It would be difficult to have enough fluid exposure to catch any of them by superficial contact -- which is why these inections are rarely if ever seen if there is no unprotected penetration of the penis into another person's vagina, rectum or mouth.
6) Urethral gonorrhea is almost always symptomatic, with obvious pus dripping from the penis and pain on urination. Chlamydia and trichomonas often are asymptomatic.
7) Chlamydia and trich rarely if ever infect the mouth and throat. Gonorrhea does so, but does not travel through the body to cause genital infection.
8) Many ObG's routinely check their pregnant patients for common STDs, but some don't. To be safe, women with possible past STD risk should talk with their ObG's to make sure STD testing is done.
Regards- HHH, MD
Those earlier exchanges indicate you are overly (sometimes irrationally) concerned about exposures that obviously carry little or no risk for HIV. The same seems true for your current exposure and your concern about various STDs. The main thing for you to concentrate on is that you had only condom-protected sex with your transexual partner. To your specific questions:
1,5) These are not risky exposures.
2) The only STDs that cause infertility are chlamydia and gonorrhea, and these are issues only for women (with very rare exceptions).
3) Most infections, including gonorrhea and chlamydia, clear up on their own, without treatment. This typically takes up to 2-3 months for gonorrhea and maybe 6-12 months for chlamydia. There is little if any chance you would still be infected after 3-4 years.
4) Those STDs are carried by fluids. It would be difficult to have enough fluid exposure to catch any of them by superficial contact -- which is why these inections are rarely if ever seen if there is no unprotected penetration of the penis into another person's vagina, rectum or mouth.
6) Urethral gonorrhea is almost always symptomatic, with obvious pus dripping from the penis and pain on urination. Chlamydia and trichomonas often are asymptomatic.
7) Chlamydia and trich rarely if ever infect the mouth and throat. Gonorrhea does so, but does not travel through the body to cause genital infection.
8) Many ObG's routinely check their pregnant patients for common STDs, but some don't. To be safe, women with possible past STD risk should talk with their ObG's to make sure STD testing is done.
Regards- HHH, MD
You are reading content posted in the STDs Forum
Herpes spreads by oral, vaginal and anal sex.
Herpes sores blister, then burst, scab and heal.
STIs are the most common cause of genital sores.
Millions of people are diagnosed with STDs in the U.S. each year.
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
