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Testing or not
Hi,
I have been with many transsexual escorts in the last year. All of which have been protected including oral. I have only had 1 incident that I had anal intercourse (top) with a lamb skin condom before I realized that they do not protect against std's. I have tested negative for HIV and other std's at 3,5,6 months since that incident. My question is do I need to worry about the other sexual encounters that I've had since then even though I've always been safe and protected. Thanks
I have been with many transsexual escorts in the last year. All of which have been protected including oral. I have only had 1 incident that I had anal intercourse (top) with a lamb skin condom before I realized that they do not protect against std's. I have tested negative for HIV and other std's at 3,5,6 months since that incident. My question is do I need to worry about the other sexual encounters that I've had since then even though I've always been safe and protected. Thanks
MEDICAL PROFESSIONAL
Latex condoms are very close to 100% protective against HIV, gonorrhea, chlamydia, and viral hepatitis. If the condom doesn't break, you can assume 100% protection against htese STDs. However, condoms do not protect against infections transmitted by skin-to-skin contact, which can occur above the reach of the condom -- herpes, HPV, syphilis.
So you need to face the reality of your sexual choices: you cannot have sex with non-marital contacts (whether men, women, or transgender) without accepting a certain amount of risk, including the possibility you will infect your wife. Hence my advice above, for routine STD/HIV testing from time to time, even if all your extramarital exposures seem safe.
So you need to face the reality of your sexual choices: you cannot have sex with non-marital contacts (whether men, women, or transgender) without accepting a certain amount of risk, including the possibility you will infect your wife. Hence my advice above, for routine STD/HIV testing from time to time, even if all your extramarital exposures seem safe.
Thanks, I have a small bit if anxiety about std's so I'm always over thinking it.
I have had 4 or 5 anal sex encounters since then all with latex condoms. Are those 100% or as close as you can get.
I have had 4 or 5 anal sex encounters since then all with latex condoms. Are those 100% or as close as you can get.
MEDICAL PROFESSIONAL
No, I see no reason for concern except for the guilt angle. If I were in your situation, I would continue unprotected sex with my wife, without worry about infecting her with anything.
Thank you Dr. Handsfield,
I am in a relationship, should I have any concern about unprotected sex with her. Other than felling guilty bout cheating.
I am in a relationship, should I have any concern about unprotected sex with her. Other than felling guilty bout cheating.
MEDICAL PROFESSIONAL
Welcome to the forum. Thanks for your confidence in our services.
First, let's correct your misunderstanding about natural membrane condoms. While STD protection isn't as well documented or as guaranteed as with latex or polyurethane condoms, any barrier is far better than unprotected sex. There has been no direct comparison between natural and other condoms, but probably the rate of STDs is not significantly higher for the naturals.
Second, even without a condom, oral sex is safe sex. It isn't completely free of STD risk, but some STDs are not transmitted at all, and others at very much lower rates than unprotected vaginal or anal sex. With condstent condom use for such exposures, even with natural condoms, your risk of HIV and all STDs is zero for all practical purposes.
So your negative tests make it certain you didn't catch any STD during the anal sex event, and no testing really is necessary based on the oral exposures since then. However, all people who are sexually active outside mutually monogamous partnerships are advised to have routine HIV and STD testing from time to time, like once a year -- even if all exposures were apparently safe. That seems like a good plan for you, but I see no need for testing at this time.
I hope this has been helpful. Best wishes-- HHH, MD
First, let's correct your misunderstanding about natural membrane condoms. While STD protection isn't as well documented or as guaranteed as with latex or polyurethane condoms, any barrier is far better than unprotected sex. There has been no direct comparison between natural and other condoms, but probably the rate of STDs is not significantly higher for the naturals.
Second, even without a condom, oral sex is safe sex. It isn't completely free of STD risk, but some STDs are not transmitted at all, and others at very much lower rates than unprotected vaginal or anal sex. With condstent condom use for such exposures, even with natural condoms, your risk of HIV and all STDs is zero for all practical purposes.
So your negative tests make it certain you didn't catch any STD during the anal sex event, and no testing really is necessary based on the oral exposures since then. However, all people who are sexually active outside mutually monogamous partnerships are advised to have routine HIV and STD testing from time to time, like once a year -- even if all exposures were apparently safe. That seems like a good plan for you, but I see no need for testing at this time.
I hope this has been helpful. Best wishes-- 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.
