Concerned About RISK

[drsuess]

Dr.

I had a M2M experience that consisted of the following:  giving/receiving oral (unprotected) with no ejaculation, protected (condom) receptive anal in which I looked at the condom afterwards and it was intact and I had him withdraw immediately.  I did ask his (he was 45) status and he said last time he tested he was negative and always uses a condom.  I believe I have found most of my answers on the site but looking for reassurance as I do see response that you were most likely protected.

1.  Since I did not take ejaculation during oral and have no oral hygiene issues, is this pretty safe?  I know its 1 in 10,000 but would it be lower since no ejaculation was involved?  
2.  Is condom protected receptive anal sex no risk if the condom did not break?  Is the reason people say it is a risk if because of a potential condom breakage?
3.  What would be the sypmtoms of another std such as gonorrhea or chlymidia of the throat and penis?  
4.  How long do I have to wait to get tested for gonorrhea and chlymydia of the throat, penis and anus to get an accurate result?
5.  Lasltly, I see King County has an HIV RNA test.  Is this the same as NAT test?  When would results be conclusive?  It looks like at 11 days.

Thanks!

[drsuess]

I wanted to clarify my concern.  I had gone to the Denver Health Clinic and the counselor there stated that even though I had protected sex and the condom didnt break that she has seen people test positive with those circumstances and that it was risky.  Furthermore, she did state that she thought oral was a very real risk even without taking ejaculation.

I apologize for posting after reviewing my other posts.  It was just after going to the clinic that I got pretty worried.  Maybe you should take over there as director or at least educate them on the accuracy of certain risks.  I should have known better since it appeared I knew more about HIV then the counselor.  You would think that they would ensure their people are better trained when dealing with such sensitive issues.

[drsuess]

Dr.

Sorry for the questions.  I tried searching for last questions and it brings every response there is; whether from an expert or the forum.  I found how I can find my own questions and will use that going forward.

Thanks for the support!

[H. Hunter Handsfield, M.D.]

1) There are no data on oral sex risk with or without ejaculation.  But your partner doesn't have HIV, the risk was zero.

2) This question is a waste of your time and mine. You have participated in other threads over the past 3 years in which it was clearly stated that microscopic condom leaks don't occur.  If a condom doesn't break, protection is complete.

3) Common STD symptoms are well known and have been discussed repeatedly on the STD and HIV forums. I'm not going to repeat them.  Search the forum and/or look up general information about STDs at places like CDC and the American Social Health Association.

4) You don't need STD testing on account of this event.  But gonorrhea and chlamydia tests are accurate within 2-3 days, so you can be tested at any time.

5) Yes, same test.  But the clinic won't do it just for the asking.  If you ever have such an exposure or clinical situation that requires such testing, the provider will tell you -- not the other way around.

You have been asking questions on this and the STD prevention forum for 3+ years, almost always asking about details of transmission risk for which there are no data but which, in general, carry no plausible risk.  Time to stop.

HHH, MD