One Night Stand Risk?

[CuriousGeorge83]

On June 15 2009 I had intercourse with a girl I met online, she asked for money afterward so it makes me a little concerned. I do not know her status as far as stds. We did not do much as far as foreplay but I am worried because I cut my fingernails prior to me inserting them into her vagina. I realized after the incident that one of my finger nail beds bled a little from cutting down to far. We did not ingage in any oral, she rubbed herself and then masturbated me and I rubbed myself and then masturbated her. After the little foreplay we had, we then engaged in intercourse with a condom for about 5 minutes. The condom was used correctly, was not expired, and I pulled out on ejaculation. About 5 years ago I was diagnosed with herpes of the genitals but have never had any visible outbreaks since the initial one. It has been a week since and I sometimes feel a little pain in my penis, do not know if I am over analyzing or if it is real. What are the chances of contracting an std from the encouter I explained? Mutual masturbation, her touching herself then me? The fingernail cut to short and then inserted into her vagina and me having herpes 2 and having protected intercourse?

[Edward W Hook, MD]

Please re-read my earlier response.  I do not think you need testing at all from a medical perspective.  If you choose to get tested for eitherr traditional STDs or HIV, that is up to you.  EWH

[CuriousGeorge83]

I feel better, thank you for your medical opinion. So as far as testing is concerned I understand that an HIV test is not needed but for stds as far as chlamydia, gonorrhea and syphillis, do you recommend testing?? Thanks again I know you are busy , last question:) Have a blessed day:)

[Edward W Hook, MD]

No change n my assessment or aqdvice.  Still no risk. EWH

[CuriousGeorge83]

Just confiming, thanks agian :-) , As far as the cut fingernail, I had just cut them before she came over and I did not realize that they were cut to short till the next morning when I noticed a little blood under my nail and also I forgot to mention, she did use her finger in my anus for a few minutes after she rubbed herself, does this pose risk? Thank you again, I just worry because I have a wife at home and I would die if I gave her something. I have learned my lesson from this:)  

[Edward W Hook, MD]

This was a no risk exposure.  For starters, even if she is a commercial sex worker, chances are that she does not have HIV.  Most CSWs do not.  In addition, mutual masturbation is no risk as well.  Please realize that in the course of masturbation miniscule amounts of genital secretions are inadvertently shared between partners, nonetheless there are no HIV transmissions which have occurred in this way.  that you had cut your finger nails earlier in the day does not change this.

Similarly, your genital contact was condom protected.  condoms work.  No risk there either.

Sometimes after an exposure that, in retrospect, one wishes they had not had, persons tend to examine themselves and be far more attuned to genital sensations than in periods when they are not concerned.  This in turns leads to noticing what turn out to be normal sensations that might have been not noticed or ignored at other times.  Perhaps this was a contributor to your situation.  

In my opinion, there is no medical indication for testing related to this exposure.  If you choose to do so, please do so for your peace of mind, not because there is a medical need.  Testing at this time will be accurate and will likely confirm my statement that there is no risk of traditional STD here either.

Hope this helps.  EWH