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STD Risk

Dear Dr,

Seven days ago I had unprotected oral sex with another man.  He sucked me to completion, however, I only performed on him for approximately 30 seconds.  He did not ejaculate.  It was dimly lit so I did not get a good look at either his penis or his mouth to look for sores.  

I have no symptoms but plan to get a complete std battery at 6 weeks.  I also have a small hemangioma just inside my urethra, it is hardly visible without actually opening my urethra.  It has never bled (other than when i picked at it 20 yrs or so ago) or oozed.  Is it possible that having this makes me more susceptible to catching an STD or even HIV from the activity I described?  Needless to say, I have a fair amount of anxiety over this whole incident.  
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300980 tn?1194929400
MEDICAL PROFESSIONAL
Blood tests  for herpes have many false postive results and even if you had a positive test, that would not mean that you'd recently acquired the infection.  Over 80% of persons who have HSV do not know it.

I would still test for NGU and gonorrhea as these are the most common of all STIs transmitted through oral sex and can be asymptomatic. the chances of infection are low but if you wish to be sure......................

EWH
Helpful - 1
300980 tn?1194929400
MEDICAL PROFESSIONAL
It is a syndrome, not a specfic test, diagnosed by detection of increased numbers of white blood cells in penile secretions obtained by a swab or by collection of a urine specimen just as a person begins to urinate.  EWH
Helpful - 0
Avatar universal
I didn't see NGU listed as a std test at two of the clinics I researched.  Is it something that is uncommon and has to be asked for?  There was nothing on the planned parenthood site regarding NGU.
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Avatar universal
I didn't realize you do not recommend blood tests for HSV.  Are they not reliable?

In my case, absent any symptoms in the next two weeks (which would be 3 weeks from the event) is there any reason, other than piece of mind, to have any testing at all?
Helpful - 0
300980 tn?1194929400
MEDICAL PROFESSIONAL
Welcome to our Forum. there are no data, nor any reason to think that your hemangioma changes your risk for STDs in any way.  As I suspect you know, there is no meaningful risk for HIV from either giving or receiving oral sex.  

In general, oral sex is an inefficient way to acquire or transmit STDs.  Of the bacterial STDs only gonorrhea and nongonococcal urethritis (NGU) are transmitted through oral sex; chlamydia is not and without an obvious sore or lesion on your partner’s mouth, the chances of syphilis and herpes is likewise tiny.   If you had gotten gonorrhea or NGU you would have most likely developed symptoms of urethritis (penile infection).  Even if your partner had an STD (any STD and it is likely she did not), most exposures do not lead to infection.  In your case, your single exposure was brief; I would urge you not to worry. As far as testing is concerned,  you can be tested for NGU and gonorrhea at any time more than 2-3 days following your exposure.  For syphilis and herpes, the appearance of a lesion is the major indicator of infection and these would typically occur within 2 (for HSV) or 3 (for syphilis) weeks of exposure.  Syphilis blood tests would be definitive at 3 months (although is a lesion did not appear you can have almost complete confidence that you did not get syphilis) and we do not recommend blood tests for HSV.

I hope my comments are helpful.  I would not worry.  EWH
Helpful - 0

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