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Worried about one night stand.
I am a white male in his mid twenties. This past weekend after an alcohol fueled night, I had a one night stand with a girl I met at the bar. She was a white female but I know nothing about this girls past. We performed unprotected oral on each other. She inserted my penis briefly(less than 5 seconds) into her vagina unprotected after which I immediately withdrew and put on a condom. I understand oral is a low risk for STD's. I plan on getting tested for gon, chlym and ngu in the next day or two. My main question is should I seek further testing (outside of my normal annual screening) for this encounter?
MEDICAL PROFESSIONAL
Yes.
Would the HIV and syphilis test be more for peace of mind as opposed to severity of risk?
MEDICAL PROFESSIONAL
I misread your question; didn't realize there had been brief unprotected vaginal. That changes my advice. Most likely the risk is relatively low with such brief exposure, but there are no data on it. I would recommend both gonorrhea and chlamydia testing (wait until 4-5 days after the exposure, to maximize the sensitivity of the chlamydia test). As for syphilis and HIV, those risks remain exceedingly low, and early testing (6 weeks) is still optional; you can either do that or wait until your annual routine test.
Sorry for the initial confusion.
Sorry for the initial confusion.
Thank you for the fast response Dr Handsfield. Does the close to zero chance for syphilis and HIV pertaining to the brief unprotected vaginal sex, or just the oral sex
MEDICAL PROFESSIONAL
Welcome to the forum.
From one standpoint, this was a high risk situation. Bar pick-ups, either male or female, often have high rates of STD (often more so than many commercial sex workers). On the other hand, oral STDs are much less common than genital (or anal) STD infections, and are less easily transmitted. Therefore, as you already understand, oral sex is generally safe, with low rates of all STDs and zero for some.
In the absence of symptoms, STD testing is optional after such an exposure. If you decide to do it, I would recommend only a urine test for gonorrhea, which can be done any time more than a couple of days after exposure; and perhaps a syphilis blood test after a few weeks.
There is little point in chlamydia testing, since oral to genital chlamydia transmission is extemely uncommon, if it occurs at all. (On the other hand, most labs do combo tests for both gonorrhea and chlamydia, so a chlamydia test is likely to be included with gonorrhea. But if you turn out to be chlamydia-positive, it will be from some other past exposure, not the one described here.) There is no validated test for asymptomatic NGU, and in any case NGU from oral sex is probably harmless, so unless you develop urethral discharge or painful urination, I see no need.
The chance of syphilis from this event is very close to zero, as is HIV. For complete assurance, feel free to have blood tests for either or both of them after a few weeks. Or just wait until the time of your regular annual testing.
I hope this helps. Best wishes and happy new year-- HHH, MD
From one standpoint, this was a high risk situation. Bar pick-ups, either male or female, often have high rates of STD (often more so than many commercial sex workers). On the other hand, oral STDs are much less common than genital (or anal) STD infections, and are less easily transmitted. Therefore, as you already understand, oral sex is generally safe, with low rates of all STDs and zero for some.
In the absence of symptoms, STD testing is optional after such an exposure. If you decide to do it, I would recommend only a urine test for gonorrhea, which can be done any time more than a couple of days after exposure; and perhaps a syphilis blood test after a few weeks.
There is little point in chlamydia testing, since oral to genital chlamydia transmission is extemely uncommon, if it occurs at all. (On the other hand, most labs do combo tests for both gonorrhea and chlamydia, so a chlamydia test is likely to be included with gonorrhea. But if you turn out to be chlamydia-positive, it will be from some other past exposure, not the one described here.) There is no validated test for asymptomatic NGU, and in any case NGU from oral sex is probably harmless, so unless you develop urethral discharge or painful urination, I see no need.
The chance of syphilis from this event is very close to zero, as is HIV. For complete assurance, feel free to have blood tests for either or both of them after a few weeks. Or just wait until the time of your regular annual testing.
I hope this helps. Best wishes and happy new year-- 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.
