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Avatar universal

STD's or HIV

Hi Doctor,

I slept with an escort 10 days ago and wanted to know if you recommend getting tested or if should be worried about anything.

She gave me oral sex without a condom. I sucked on her nipples very briefly. And we had sex with a condom. I didn't see any sores around her mouth (although I couldn't see inside her mouth). I didn't see any sores on her breasts or genital area. In general, she seemed just as concerned as I was about STD's and said she didn't have any. Although, I think I remember seeing a few needle marks on her arms.

It's been 10 days, and I haven't seen anything abnormal or felt anything abnormal in my genital area. I am about to be intimate in a relationship and want to make sure it's ok to have sex. These are the questions I have:

1. If she saw another person right before me, and he had herpes or something else and sucked on her breasts, could I have caught something from sucking on her breasts after?

2. Is it possible to get HIV from any of the activities we did, in particular the unprotected oral? Should I get tested?

3. Same question, but for herpes and any other STDs. Should I get tested for these too?

Thank you for your time.
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Avatar universal
Ok thank you so much Dr. Hook
Helpful - 0
300980 tn?1194929400
MEDICAL PROFESSIONAL
When condoms fail it is obvious, they do not leak "a little".  If you condom appeared intact, it was.  Please relax.  This thread needs to end.  EWH
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Avatar universal
Or even in that case of condos breaking, it is still unlikely/rare?
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Avatar universal
Ok. I didn't check the condom after, but I'm pretty sure it didn't break.

Do you know the likelihood of condoms breaking? If a condom does break, would you then recommend getting tested?
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300980 tn?1194929400
MEDICAL PROFESSIONAL
Not that you need it, a 4th generation HIV test will provide defintive answers at 4 weeks and a standard antibody test will be conclusive at 8 weeks.  EWH
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Avatar universal
Hi Doctor, thank you for your answers. If I just wanted peace of mind on HIV, how long would I have to wait to get an accurate test/results?
Helpful - 0
300980 tn?1194929400
MEDICAL PROFESSIONAL
Welcome to our Forum.  I'll be pleased to comment. The exposure that you mention was very low risk. Most commercial sex workers do not have STIs and if she did, most exposures to infected partners do not lead to infection.  Further, condom protected sex is safe sex was little or no realistic risk for STIs, including HIV.

That leaves your receipt of unprotected oral sex.  Few STIs are acquired from receipt of oral sex.  There are no cases of HIV which have been proven to have been acquired through oral sex.  The major risks from receipt of oral sex are gonococcal or non-gonococcal urethritis, both of which are typically symptomatic within 10 days of exposure- thus your absence of symptoms is another good indicator that you did not get an STI from the encounter you have described.  Herpes occurs but is uncommon after such encounters and when it occurs, infected persons typically develop signs and symptoms of infection within 14 days of exposure.  We recommend against blood tests for herpes in these situations- the tests are rarely positive in persons who do not have symptoms and when they are, many of the results are falsely positive and the person does not actually have herpes.  

In answer to your specific questions:
1. If she saw another person right before me, and he had herpes or something else and sucked on her breasts, could I have caught something from sucking on her breasts after?
STIs are not acquired through kissing or sucking a partner's breasts, even if the same person was just with another partner.

2. Is it possible to get HIV from any of the activities we did, in particular the unprotected oral? Should I get tested?
See above, you are not at  risk for HIV from receipt of oral sex or condom protected sex as long as the condom was worn throughout the encounter.

3. Same question, but for herpes and any other STDs. Should I get tested for these too?
I see no need for herpes testing and actually recommend against it.   Similarly, I see little need for testing or any sort at this time.  If you are nervous, the main testing I would suggest is a urine or penile swab for gonorrhea and NGU.

I hope these comments are helpful to you.  EWH

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