opinion on exposure

[trd09]

Good Morning, I would like to ask for your opinion on my risk and exposure.  Short version of story is that I met an older women (45) at a bar/restaurant last week, have been talking for baout a week, last night i met her at my house and after talking for a while we started to kiss (french kissing) and that led to an unprotected blo*job and me fingering her.  after that I realized what was about to take place and put on a condom.  We did have sex for about 20-30 mins and when i was finished and ejaculated and checked the condom and was still intact.  even went as far and going in the bathroom and filled the condom with water to check for any leaks or breaks and still was ok.  I made a mistake by doing this b/c i am in a realtionship currently and feel horrible about what ive done.  aside from the guilt which i will have to deal with, i would like to know if i have put myself at any risk for hiv or any other std's (ie. syphillis, hepititas, herpes, gonorhea etc...) I understand this is the hiv forum but really dont have time from work to re-post in the other forum.  if you feel that there is a risk i put myself in, please advise me what to get tested for. I asked this woman if she is clean and healthy and said she was and has only been w/ 2 other people before. i would like to believe this but still doesnt make me feel that she cannot pass anything on to me.  not trying to freak here, but have a thousand thoughts running thru my head right now.

is there a risk here for hiv or any std's from the unprotected oral on me, or the fingering, and most important the vaginal sex. (no anal or anything like that took place)
in advance i would like to say thank you.  

trd

[gracious13]

A related discussion, Retesting was started.

[Edward W Hook, MD]

No.  EWH

[trd09]

Do you see any reason for me to not be able to safely resume sex with my girlfriend after this? like i said we dont use condoms but i dont want to obvisously put her at risk here, for something that was my mistake.  i will not have any other obnoxius questions.  again thank you

[Edward W Hook, MD]

Correctly and consistently used condoms provide close to 100% protexction from HIV as long as they do not break.  EWH

[trd09]

thank you for the response, if I may ask one additional question. When it comes to condoms, how effective are they?  I ask only because for the past 5 years ive been in a faithful relationship (until now) and my girfriend and i both know that we are ok and therfore dont use them.  so i dont have a ton of expierence when it comes to them. you said in your response that you do not recomend hiv test because of my exposure but is there any risk in your professional opinion that may leave a risk here for hiv or any other std from the sex?  liek i said, the condom did not break or rip etc... is there any thing else that i should be concerned about?  any other light you can shed on this would be awesome.  again thanks for the help, i appreciate it and have a great day.

trd

[Edward W Hook, MD]

Even before we consider risk from the sex, please remember that your partner is low risk for having STD and certainly for having HIV.  

then, your exposures include masturbation, condom protected vaginal sex and unprotected receipt of oral sex.  Of these, the only exposure that puts you at any risk for anything is the unprotected oral sex.  There is no risk of STD or HIV from masturbation or condom protected genital sex.  As for oral sex, the risk is low.  The quoted figure for HIV risk, if one has oral sex with an infected partner is less than 1 in 10,000 and, in my estimation that is too high. Some experts state there is no risk at all from oral sex.  Neither of us on this site have ever seen or reading the medical literature of a convincing instance in which HIV was passed by oral sex.

In addition, oral sex is also an inefficient way to transmit STDs.  Of the bacterial STDs only gonorrhea and nongonococcal urethritis (NGU) are transmitted through oral sex; chlamydia is not and without an obvious sore or lesion on your partner’s mouth, the chances of syphilis and herpes is likewise tiny.   If you had gotten gonorrhea or NGU you would have most likely developed symptoms of urethritis (penile infection).  Even if your partner had an STD (any STD and it is likely she did not), most exposures do not lead to infection.  In your case, your exposure was brief; I would urge you not to worry.  If you develop symptoms, you should have them evaluated.  I doubt that this will happen.,  If you wish to have the peace of mind that negative tests will give you, then go to your local STD Clinic and get tested for gonorrhea and NGU, the major infections of concern.  There is no need for HIV testing from this exposure.  

Hope this helps.  EWH