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Unprotected oral std risk
Hello Dr's,
I posted this question to the free forum
On August 20th I was in Vegas for a bachelor party. My friend and I hired an escort to come back to our room. Both of us gave her unprotected oral sex and she gave both of us unprotected oral sex. Afterwards we had protected sex. After we were done I notice some blood on the towel we used to clean up with, unfortunately I cannot remember when the blood appeared since we used it a couple of times throughout the night. I know there is a risk for all STD's in this situation but I am absolutely freaking out! Google is not my friend in this situation! So my question is what are my risks in general, when is the earliest I can start to get tested? Thank you for any help you can offer
and vance2335 offered some good advice. I have been symptom searching for the last 2 weeks. I have had sore throat, swollen lymph nodes, sore testicles ect... I know that a lot of it can be from stress so I have been able to calm myself a little bit. And I started to calm down a little until my friend has now come down with a fever which has sent me looking on the internet again! I took a blood and urine test from one of the internet anonymous sites and am waiting for results (hopefully Thursday) One of the tests was the early HIV detection test and then the typical std tests as well.
So my question to you is, realistically what are my risks HIV? Gonorrhea? Chlamydia? How reliable are the "early detection" HIV tests?
Thank you for your time.
I posted this question to the free forum
On August 20th I was in Vegas for a bachelor party. My friend and I hired an escort to come back to our room. Both of us gave her unprotected oral sex and she gave both of us unprotected oral sex. Afterwards we had protected sex. After we were done I notice some blood on the towel we used to clean up with, unfortunately I cannot remember when the blood appeared since we used it a couple of times throughout the night. I know there is a risk for all STD's in this situation but I am absolutely freaking out! Google is not my friend in this situation! So my question is what are my risks in general, when is the earliest I can start to get tested? Thank you for any help you can offer
and vance2335 offered some good advice. I have been symptom searching for the last 2 weeks. I have had sore throat, swollen lymph nodes, sore testicles ect... I know that a lot of it can be from stress so I have been able to calm myself a little bit. And I started to calm down a little until my friend has now come down with a fever which has sent me looking on the internet again! I took a blood and urine test from one of the internet anonymous sites and am waiting for results (hopefully Thursday) One of the tests was the early HIV detection test and then the typical std tests as well.
So my question to you is, realistically what are my risks HIV? Gonorrhea? Chlamydia? How reliable are the "early detection" HIV tests?
Thank you for your time.
MEDICAL PROFESSIONAL
Welcome to the forum. Thanks for your question.
This was a low risk event from the standpoint of all STDs. First, since your escort partner uses condoms, it is relatively unlikely she has any active STD. Second, oral sex is quite safe -- not entirely risk free, but with much lower rates of STD transmission than unprotected vaginal or anal sex: no measurable risk of some STDs (HIV, chlamydia, HSV-2) and low risk for others (gonorrhea, nongonococcal urethritis [NGU], HSV-1, syphilis). Third, all STDs are transmitted inefficiently -- i.e. when one partner is infected, during most exposures the infection is not transmitted. Finally, blood on the outside of a condom, on the skin, and even in the mouth does not appreciably elevate the risk.
Based on the overall low risk, I would have recommended against any need for any testing at all. But since you have started: The urine tests for gonorrhea and chlamydia are reliable any time more than 2-3 days after exposure. Syphilis and HSV blood tests require 6 and 12 weeks, respectively -- so if you really feel you need such testing despite virtual absence of risk, you'll need to repeat them at those times. But I really see no need.
I would have definitely recommended against an "early detection" HIV test, which most likely was a PCR test for HIV DNA/RNA. It's expensive and the chance of HIV in this setting was truly zero or very close to it. If you felt you needed the reassurance, having a standard HIV antibody test at 6-8 weeks, or a "duo" test (HIV antibody plus p24 antigen) at 4 weeks would be preferable. That said, a negative PCR test at this time (10-14 days after exposure) will be around 90-95% reliable. You'll still need one of the other tests in a few weeks if you need the security of a !00% reliable negative result.
In any case, stay mellow as you await results and/or the time for additional testing. If I ever found myself in such a circumstance, I would not be tested for anything and would continue unprotected sex with my wife without fear of infecting her with anything.
I hope this has helped. Best wishes-- HHH, MD
This was a low risk event from the standpoint of all STDs. First, since your escort partner uses condoms, it is relatively unlikely she has any active STD. Second, oral sex is quite safe -- not entirely risk free, but with much lower rates of STD transmission than unprotected vaginal or anal sex: no measurable risk of some STDs (HIV, chlamydia, HSV-2) and low risk for others (gonorrhea, nongonococcal urethritis [NGU], HSV-1, syphilis). Third, all STDs are transmitted inefficiently -- i.e. when one partner is infected, during most exposures the infection is not transmitted. Finally, blood on the outside of a condom, on the skin, and even in the mouth does not appreciably elevate the risk.
Based on the overall low risk, I would have recommended against any need for any testing at all. But since you have started: The urine tests for gonorrhea and chlamydia are reliable any time more than 2-3 days after exposure. Syphilis and HSV blood tests require 6 and 12 weeks, respectively -- so if you really feel you need such testing despite virtual absence of risk, you'll need to repeat them at those times. But I really see no need.
I would have definitely recommended against an "early detection" HIV test, which most likely was a PCR test for HIV DNA/RNA. It's expensive and the chance of HIV in this setting was truly zero or very close to it. If you felt you needed the reassurance, having a standard HIV antibody test at 6-8 weeks, or a "duo" test (HIV antibody plus p24 antigen) at 4 weeks would be preferable. That said, a negative PCR test at this time (10-14 days after exposure) will be around 90-95% reliable. You'll still need one of the other tests in a few weeks if you need the security of a !00% reliable negative result.
In any case, stay mellow as you await results and/or the time for additional testing. If I ever found myself in such a circumstance, I would not be tested for anything and would continue unprotected sex with my wife without fear of infecting her with anything.
I hope this has helped. Best wishes-- HHH, MD
MEDICAL PROFESSIONAL
Given your test results, this cannot have anything to do with HIV, just a coincidence. But get it looked at to evaluate other treatable causes if it's especially painful or persists more than a week or so.
All results were negative from the test. One more question if I may.
I have developed a painful canker sore above my tooth on my gums, and a lump inside my bottom lip Now of course I am trying not to google syphilis and herpes. Is this just a coincidence or should I get that looked at?
Thanks again for your time.
I have developed a painful canker sore above my tooth on my gums, and a lump inside my bottom lip Now of course I am trying not to google syphilis and herpes. Is this just a coincidence or should I get that looked at?
Thanks again for your time.
Thank you Doctor. I will take your advice and be "mellow" I will also try and stay off Google.
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.
