You may not keep coming back with every anxiety-induced question that enters your mind. There is no appreciable risk from the events you describe and your symptoms don't sound like anything significant. See a health care provider if you remain concerned.
This thread is over.
1 week post exposure (today)
Since sunday (5 days post exposure), I have been experiencing burning sensations in the rectal area - non specific. It does not hurt to go to the bathroom, and there is no blood in still or on toilet paper. The sensation is diminished when standing, and more pronounced when sitting. I can't tell where the feeling is coming from. Nothing specifically hurts to the touch.
Could the condom covered vibrator have caused this? If indeed, saliva was on the condom, could this be a sign of anal herpes? I have no symptoms of hsv1 on the penis or scrotum whatsoever.
Your advice for treatment and followup?
Yes, and even that is pretty low risk.
From doing reading, it seems that the person performing oral is the one at risk for hepatitis. Am I correct?
sorry, that was my last question
To my knowledge, obody is known to have caught HBV from oral sex; saliva is not generally a source of HBV infection at all. If it happens, it is too rare to worry about.
Thank you Doc
HBV is my biggest fear. The lab wants me to come in today, isn't that too soon for anything conclusive to show up? I'm just scared of saliva-borne Hep B getting in my system via the brief unprotected oral or the possibility of saliva on the toy..
I know for a fact I was clean as a whistle prior to yesterday. Should I delay bloodwork?
Keep in mind that my g/f and I have not used protection in nearly 4 years.
Thank You again.
Sounds like a basically zero risk sexual event. The only unprotected exposure was brief oral, which is low risk. To the extent there was some low risk, you were covered by the main possibilities by the injection (probably ceftriaxone) plus azithromycin, which together would prevent gonorrhea, chlamydia, syphilis, and nongonococcal urethritis (NGU). The risk of anythng else is too low to worry about; genital HSV-1 is the only real possibility, and the odds are good you aren't even susceptible to it.
The only rason for immediate HIV and HBV testing is to establish that you were negative before the event. If you want, you can be tested again in a few weeks to be sure you didn't catch one of them, but the odds are astronomically low that you did. I see no reason for further testing except to the extent the negative results will help calm your inflated anxieties. And while of course nobody can guarantee you aren't infected with something, I see no reason you cannot safely continue to have sex with your girlfriend.
Regards-- HHH, MD