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What are the chances

Dear doctors,

About 18 months ago (May 2009) I engaged in unprotected oral sex with an escort. She performed oral on me for no more than 5 minutes and I didn't ejaculate and then I performed oral on her for about the same time. We then had vaginal intercourse with a condom for about 15 minutes and the condom didn't break. I have had no symptoms or reasons to be alarmed up until now. Also she was an expensive escort who told me she had not been doing it long if this helps flesh out the picture.

A couple of weeks ago my girlfriend thought she had thrush as she experiences pain when we have sex but has no other symptoms. I am paranoid it is something I have passed on to her. She has been to the doctor who is running a full range of tests.

What are the chances I could have passed something on to her?

Thank you in advance.
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Avatar universal
Thank you once again Dr Hansfield. Your replies have been clear and concise and I feel much better for having consulted you.

Yourself and Dr Hook are doing a great service here.

Best regards
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
For the record, we are perfectly happy with reasonable follow-up questions.  What frustrates Dr. Hook and me is when someone hasn't carefully read our replies or just feels a need to hear the same information again!

Diagnosing vaginal infections can be difficult, and chlamydia is almost always a reasonable consideration among sexually active persons.  Many non-STD conditions also cause vaginal discharge, irritation, etc -- and so if neither of you has had other STD risks, I agree a non-STD explanation is highly likely.  If she does turn out to have chlamydia or another STD, you can be confident it didn't come from your adventure with the escort a year and a half ago.

(This was definitely a reasonable follow-up question, not one of the off-putting ones!)
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Avatar universal
Thank you Dr Handsfield, your comments have helped to partly put my mind at ease. I know you don't like lots of follow up questions so I will keep this brief. The only thing that set my mind racing was that the dr told my gf it didn't look like thrush and I put two and two together with the help of google and got to chlamydia. Am I right in saying the odds are strongly on favour of it being cause by a non STD?
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the STD forum.

The chance of acquring any STD during the exposure you describe is very low -- and the chance of having something that has persisted for 18 months without symptoms is even rarer.  Since you mention thrush, perhaps you are concerned about HIV (although that is not the topic of this forum) -- but it is virtually impossible you caught HIV during that exposure.  And vaginal yeast infections (thrush) are extremely common in women; even when recurrent and severe, it is not a sign of immune deficiency or any STD.

At this point, I suggest just waiting for your partner's test results.  Most likely she will turn out to have no STD; and even if something like that shows up, it probably will be from a source other than your escort contact.  If you want still additional reassurance, you could visit your locat NHS GUM clinic and request STD screening tests.  (Or if you're in London and prefer private care, try Freedom Health, a respected private sexual health clinic.)

Regards--  HHH, MD
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