STDs Expert Forum
Worried about Std
About This Forum:

The STD Forum is intended only for questions and support pertaining to sexually transmitted diseases other than HIV/AIDS, including chlamydia, gonorrhea, syphilis, human papillomavirus, genital warts, trichomonas, other vaginal infections, nongonoccal urethritis (NGU), cervicitis, molluscum contagiosum, chancroid, and pelvic inflammatory disease (PID). All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

Worried about Std

I am a 30 year old man. I made a terrible mistake last night. I always use a condom normally butI got hammered drunk and had unprotected vaginal and anal sex with a 25 year old woman for hours and did not ejaculate. I am worried about Std's. few questions:

1. When can I get tested?
2. What are the odds of getting the various Stds from this exposure (herpes, HIV, warts, chlamydia, etc)

Thanks for your help. I know I screwed up, and I have an insane amount of anxiety and guilt right now.
300980_tn?1194933000
Welcome back to our Forum.  The answer to your question really comes down to just how likely it is that your partner has an STI of some sort.  On one hand, most people do not have STIs and most STIs are not spread by a single exposure.  In aggregate, your risk for infection is low.  The most direct way to address your concerns is too ask her about her status and when she was last checked.  If she had not been checked (or even if she has) you might suggest that you both go get checked together.

The world however is not an ideal world so, if you choose not to do what I've suggested above:
1. When can I get tested?
You can test for the most common STIs, chlamydia, gonorrhea and NGU at any time more than 2-3 days after your exposure and expect accurate results.  For other STIs such as syphilis and HIV, blood tests at 6 and 8 weeks will provide definitive answers.  There are no tests for HPV and we do not recommend blood tests for herpes.  For herpes, if you do not develop an outbreak within two weeks of your exposure, you can be confident you did not get HSV.

2. What are the odds of getting the various Stds from this exposure (herpes, HIV, warts, chlamydia, etc.)
Overall, your risk is low.

I hope these comments are helpful. EWH
12 Comments
Blank
Avatar_f_tn
Thanks doc. I asked her and she said she had a physical a couple of months ago and was good, so this gives me a little more comfort.

I just have one more follow up. With herpes, is there any statistical framework to understand how easily it spreads? I have heard mixed things, some say its difficult to get, and some say its very easily spread. I suppose it's all relative, but are there any numbers to put around this? Thanks again.
Blank
300980_tn?1194933000
Estimates are that, if your partner had herpes (and apparently you do not know whether she does or not),  and if there are no lesions, the risk of acquiring HSV from an unprotected exposure is less than 1 in 10,000.  Herpes is not easily transmitted to others.  EWH
Blank
Avatar_f_tn
Thanks again. I also fingered her vigorously. Does this pose a risk for herpetic whitlow? I have blister on my finger where I believe I had a paper cut last week I noticed today and am unsure if it is a bug bite or possible HSV. Apologies if this question seems silly, but I'm having anxiety about the exposure.
Blank
Avatar_f_tn
I have hsv-1 already,  but not hsv-2
Blank
300980_tn?1194933000
It is theoretically possible that, IF she had HSV and you already had a cut n your finger you could ge a herpetic whitlow but the risk is quite low.  the only way to be sure wouild be to get a PCR or culture test perfromed on the blisted (there is NO value in a blood test).   EWH
Blank
Avatar_f_tn
Ok thanks. Have you ever seen this acquired this way before? Is that why you say "theoretical"? Are herpetic whitlows painful?

This is my last comment thanks again.
Blank
Avatar_f_tn
Ok thanks. Have you ever seen this acquired this way before? Is that why you say "theoretical"? Are herpetic whitlows painful?

This is my last comment thanks again.
Blank
300980_tn?1194933000
No, in over 30 years of STD focused practice, I have never seen someone who got a herpetic whitlow from masturbation.  

Yes herpetic whitlows are typically painful.

EWH
Blank
Avatar_f_tn
How do people normally get these? By autoinoculation durig a primary genital outbreak? Like by touching leaking sores? (Seriously last question) thx
Blank
Avatar_f_tn
How do people normally get these? By autoinoculation durig a primary genital outbreak? Like by touching leaking sores? (Seriously last question) thx
Blank
300980_tn?1194933000
I'll take you at your word and will make this my last answer.  Herpetic whitlows do not come  from autoinoculation.  Persons who already have HSV do not get it again and another site through autoinoculation.

Herpetic whitlow is most often a problem for health care workers.  Their hands are typically chaffed from repeated hand washing and then, in the course of their work health care workers often come in contact cold sores in their patients.  Herpetic whitlows are now quite uncommon.  EWH
Blank
Continue discussion Blank
This Forum's Experts
239123_tn?1267651214
H. Hunter Handsfield, M.D.Blank
University of Washington
Seattle, WA
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
469720_tn?1388149949
Blank
Abdominal Aortic Aneurysm-treatable... Blank
Oct 04 by Lee Kirksey, MDBlank
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank