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Non traditional STD from oral??
Dr.,
Ok, my situation. I had unprotected oral sex (both give and receive) with someone about 3.5 weeks ago. No real symptoms since that exposure. Exposure was brief. (about 1 minute giving and about 1 minute receiving). Some kissing, ect.. No insertive.
I am HSV negative (both 1 and 2). Seeing as I am outside the time frame with no symptoms (3.5 weeks), I assume i didn't get that. She claims to have been tested for everything else prior to my exposure (HIV, bacterial, syphilus) and was negative. So I assume I didn't get those either.
1) What is the possibility of acquiring HPV from this oral exposure? I am almost sure neither myself or my wife have ever had it as we were both virgins when we married (I know, rare). Of note, this individual claims she had HPV (abnormal pap) about 2 years ago, but i have seen you post that it usually clears in 6 months. She also has had several clear paps since that time. Am I at any risk of still getting it from her?
I know there is a small possibility, but can you quantify this?
2) How about hepatitis? I had my vaccines for Hep A and B, but any chance I could have caught A,B,or C from this exposure?
3) CMV? ect? I know this can be sexually transmitted, especially in saliva, but how likely is it I could have caught this?
4) Any other potential things I could have caught?
Thanks for this wonderful resource.
Ok, my situation. I had unprotected oral sex (both give and receive) with someone about 3.5 weeks ago. No real symptoms since that exposure. Exposure was brief. (about 1 minute giving and about 1 minute receiving). Some kissing, ect.. No insertive.
I am HSV negative (both 1 and 2). Seeing as I am outside the time frame with no symptoms (3.5 weeks), I assume i didn't get that. She claims to have been tested for everything else prior to my exposure (HIV, bacterial, syphilus) and was negative. So I assume I didn't get those either.
1) What is the possibility of acquiring HPV from this oral exposure? I am almost sure neither myself or my wife have ever had it as we were both virgins when we married (I know, rare). Of note, this individual claims she had HPV (abnormal pap) about 2 years ago, but i have seen you post that it usually clears in 6 months. She also has had several clear paps since that time. Am I at any risk of still getting it from her?
I know there is a small possibility, but can you quantify this?
2) How about hepatitis? I had my vaccines for Hep A and B, but any chance I could have caught A,B,or C from this exposure?
3) CMV? ect? I know this can be sexually transmitted, especially in saliva, but how likely is it I could have caught this?
4) Any other potential things I could have caught?
Thanks for this wonderful resource.
MEDICAL PROFESSIONAL
Asymptomatic HSV infections are common. However, most of those are because they were mild, not truly asymptomatic -- but most people aren't as acute aware or worried as others. Someone like you, anxious about the exposure and STD risks, and on hyper-alert for anything wrong, usually would notice pretty obvious symptoms. Given the very low risk of catching HSV from this kind of exposure, combined with absence of symptoms, it is unlikely you were infected. You shouldn't be worrying about it.
That should end this thread. Take care.
That should end this thread. Take care.
1) Thanks Doctor
2) I did have an atypical illness, not serious at all, but in the process, i was tested for CMV and it turns out I was negative. I am generally quite healthy.
3) I am still a little concerned about HSV transmission. I'm sure it is a combination of guilt and anxiety, but for some reason, i still think there is a chance that i still got it?? I'm coming up on 4 weeks post-exposure and have not seen any real symptoms, but i check my lips and mouth quite a bit. As I am negative for HSV1 and 2, I have been told by my physician friends that if I did acquire it, a) I would have had symptoms by now, and b) it would have been painful and I would definitely notice it. Any thoughts? re-assurance? :)
2) I did have an atypical illness, not serious at all, but in the process, i was tested for CMV and it turns out I was negative. I am generally quite healthy.
3) I am still a little concerned about HSV transmission. I'm sure it is a combination of guilt and anxiety, but for some reason, i still think there is a chance that i still got it?? I'm coming up on 4 weeks post-exposure and have not seen any real symptoms, but i check my lips and mouth quite a bit. As I am negative for HSV1 and 2, I have been told by my physician friends that if I did acquire it, a) I would have had symptoms by now, and b) it would have been painful and I would definitely notice it. Any thoughts? re-assurance? :)
MEDICAL PROFESSIONAL
1) Mouth to genital HPV transmission is rare, if it occurs at all.
2) Interesting you were tested for CMV. You must have had a somewhat atypical illness, or perhaps you have had an organ transplant or a problem requiring chemotherapy? In any case, assuming you are generally healthy without such problems, CMV is almost always totally benign, usually asymptomatic -- so not to worry even if you get infected someday. In any case, as I said above, there is no known transmission risk from oral sex in either direction -- but I suppose it is possible.
3) Without symptoms by now, herpes, NGU and gonorrhea all are very unlikely.
2) Interesting you were tested for CMV. You must have had a somewhat atypical illness, or perhaps you have had an organ transplant or a problem requiring chemotherapy? In any case, assuming you are generally healthy without such problems, CMV is almost always totally benign, usually asymptomatic -- so not to worry even if you get infected someday. In any case, as I said above, there is no known transmission risk from oral sex in either direction -- but I suppose it is possible.
3) Without symptoms by now, herpes, NGU and gonorrhea all are very unlikely.
sorry that I omitted some information. This individual was a random "bar pick-up", not a sex worker, ect. I don't know much more than that about her though other than the fact that she claims that she was tested for, and was negative for those things named above. (she claims she hasn't been with anyone since that time)
Additionally, I also was curious about a couple other things.
1) Ok, so, from performing cunnilingus, i may or may not have gotten HPV, but how about her performing oral on me? Or is that not possible?
ie- oral-penal transmission?
2) I was tested for CMV and was previously negative, which is why i ask. Sorry.
3) at this point, i assume my likelihood of contracting herpes is gone (3.5 weeks past exposure) along with NGU and gonorrhea (no symptoms this far out)?
Additionally, I also was curious about a couple other things.
1) Ok, so, from performing cunnilingus, i may or may not have gotten HPV, but how about her performing oral on me? Or is that not possible?
ie- oral-penal transmission?
2) I was tested for CMV and was previously negative, which is why i ask. Sorry.
3) at this point, i assume my likelihood of contracting herpes is gone (3.5 weeks past exposure) along with NGU and gonorrhea (no symptoms this far out)?
MEDICAL PROFESSIONAL
Welcome to the STD forum. Thanks for the thanks in advance. I'll try to help. The bottom line is that you are at least at low risk for any STD, and maybe zero. In general, oral sex is safe sex.
Apparently your recent oral sex partner is a woman, but what do you know about lifestyle issues that predict STDs? Was this paid sex? Bar pick-up? Co-worker? A normally monogamous or highly promiscuous person?
STDs are rarely transmitted in either direction by cunnilingus (oral-vaginal contact). In theory there are small risks -- very small -- for gonorrhea, herpes, syphilis, and perhaps oral HPV infection. However, oral HPV is uncommon, and when it happens, usually causes no symptoms and clears up on its own, with no long term health consequences. Your partner's past pap history is irrelevant; the frequency of asymptomatic genital HPV probably is no different in women with and without past abnormal paps. So I cannot say for sure you weren't exposed or infected. But I can say with confidence that you'll never know and it doesn't matter.
The STD risks are somewhat higher for oral to penile contact, meaning you are at potential risk for gonorrhea, genital herpes if your partner had an active oral herpes infection, and nongonococcal urethritis (NGU). But these risks also are very low.
To your specific questions:
1) No risk that matters. See above.
2) There was absolutely no risk for viral hepatitis of any kind (even if you had not been vaccinated).
3) CMV transmission by oral sex has never been studied. The risk undoubtely is very low, if any at all. Anyway, since you're an adult, the odds are at least 80% you have been infected with CMV before now, in which case you are immune to a new infection.
4) I think I mentioned all the possibilities above.
Anticipating a follow-up question that you didn't ask but most people in your situation do: Can you safely have sex with your wife? No distant online expert can guarantee someone isn't infected. But if I were in your situation, knowing what I know, I would not get tested for STDs (unless I developed symptoms like penile discharge or sores) and I would continue unprotected sex with my wife with no fear for her health. However, this is one of those conclusions that might change somewhat if your oral partner is at particularly high risk for STD.
I hope this helps. Best wishes-- HHH, MD
Apparently your recent oral sex partner is a woman, but what do you know about lifestyle issues that predict STDs? Was this paid sex? Bar pick-up? Co-worker? A normally monogamous or highly promiscuous person?
STDs are rarely transmitted in either direction by cunnilingus (oral-vaginal contact). In theory there are small risks -- very small -- for gonorrhea, herpes, syphilis, and perhaps oral HPV infection. However, oral HPV is uncommon, and when it happens, usually causes no symptoms and clears up on its own, with no long term health consequences. Your partner's past pap history is irrelevant; the frequency of asymptomatic genital HPV probably is no different in women with and without past abnormal paps. So I cannot say for sure you weren't exposed or infected. But I can say with confidence that you'll never know and it doesn't matter.
The STD risks are somewhat higher for oral to penile contact, meaning you are at potential risk for gonorrhea, genital herpes if your partner had an active oral herpes infection, and nongonococcal urethritis (NGU). But these risks also are very low.
To your specific questions:
1) No risk that matters. See above.
2) There was absolutely no risk for viral hepatitis of any kind (even if you had not been vaccinated).
3) CMV transmission by oral sex has never been studied. The risk undoubtely is very low, if any at all. Anyway, since you're an adult, the odds are at least 80% you have been infected with CMV before now, in which case you are immune to a new infection.
4) I think I mentioned all the possibilities above.
Anticipating a follow-up question that you didn't ask but most people in your situation do: Can you safely have sex with your wife? No distant online expert can guarantee someone isn't infected. But if I were in your situation, knowing what I know, I would not get tested for STDs (unless I developed symptoms like penile discharge or sores) and I would continue unprotected sex with my wife with no fear for her health. However, this is one of those conclusions that might change somewhat if your oral partner is at particularly high risk for STD.
I hope this helps. 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.
