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Risk of HBV exposure from oral sex and anal stimulation

yesterday I visited an escort because I was curious about anal stimulation. The provider specialized in fetish stuff.

She had no visible sores or anything like that, but did proceed to give me unprotected oral sex for approximately 1 minute or maybe 2 at the most before I requested a condom.

She obliged, and after putting a condom on me, continued performing fellatio and hand manipulating me until orgasm. She also used a condom-covered vibrator in my anus. She initially lubricated the toy with lube, but used a lot of saliva during the oral sex and I worry that some would have also gotten on the toy and inside of my anus.

The entire act lasted approximately 10 minutes.

Distraught over this - I'd never done anything like this before - I went home and took a hot shower, scrubbing my genitals and anus area. After getting literally no sleep last night, I went to the local walk in medical clinic and explained everything but the vibrator part - I was embarassed and scared enough.

They took a swab, gave me a shot and a zithromax script, and recommended HIV/Hep B blood testing immediately. It's been less than 24 hrs.

Again, the escort performed unprotected oral on me for approximately 1 minute at most - tough to tell how much time went by, but not a lot, before I put a condom on.

I have no symptoms other than horrible fears, guilt, nerves etc. How at risk am I and for what?

I have a live in girlfriend of 4 years, I have never done anything like this before and don't want to hurt or lose anyone. Please advise.
7 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
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.
Helpful - 0
Avatar universal
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?
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Yes, and even that is pretty low risk.
Helpful - 0
Avatar universal
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
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
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.
Helpful - 0
Avatar universal
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.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
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
Helpful - 0

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