worried guy

[roni2013]

Hello! I know this question been asked many times,  but I probably need personal answer. I'm 31 yr married guy from Israel.  Before three days I did a poor mistake while I was little drunk in a party and at the end I found my self with transexual sex worker. She gave me oral with no condom and put her finger in my anus, all the act was no more than 3 minutes.  no penetration at all... Just her gave me oral and the finger... Now i'm feeling guilty for what i've done and afraid I can put my wife at risk. I'm. A specially afraid from hiv or syphilis. From a little search in official sites I understand that the rate of syphilis in israel is 0.6 to 100000. My questions: 1. Do you think from medical perspective that I need to test for hiv/syphilis? 2. Do you think I can make love with my wife without worrying about hiv or syphilis?  didn't saw any sore in her lips or mouth but maybe I just didn't notice... If she didn't had that cancer she can't pass syphilis? And final question? If she did have syphilis, that it increase the risk to pass hiv?  Thank's a lot! Hope I will be fine.

[Edward W Hook, MD]

Correct.

Time for this thread to end. EWH

[roni2013]

P.s if I will not develop any symptoms on my pennies in 30 days is it saying that i 'm fine? Caused I heared that sometimes theres no symptoms at all. I'm hope it just in my head I will try to forget about this...

[Edward W Hook, MD]

Because syphilis of the mouth is very, very uncommon.  EWH

[roni2013]

Thank's alot that's help.  Just one more question,  can you tell me why passing syphilis from partner mouth to my pines it's rare event? Does it because syphilis at the mouth is uncommon? Thank's again!

[Edward W Hook, MD]

Welcome to the Forum.  I will be glad to address your questions.  This was a very, very low risk exposure.  It is unlikely that your partner, even as a transsexual, had any STD including HIV and even if she did, transmission is unlikely- most exposures to infected partners do not lead to infection.  There are no STDs known to be transmitted from masturbation (insertion of her finger into your anus) and the risk of any STD from receiving oral sex is very, very low. There has never been a case of HIV transmitted by receiving oral sex form an infected partner, if your partner was infected, and it is unlikely from a statistical point.  As for other STDs, oral sex is an inefficient way to transmit STDs.  Even among persons with many sex partners, oral infections are uncommon and for a number of biological factors too complex to go into here, the efficiency of transmission of infections through oral sex is lower than for penetrative genital-vaginal or –anal sex.  Of the bacterial STDs only gonorrhea and nongonococcal urethritis (NGU) are transmitted through oral sex; for all practical purposes, chlamydia is not and without an obvious sore or lesion on your partner’s mouth, the chances of syphilis and herpes is likewise tiny.  There is also currently a large amount of overstatement of the risk of HPV and its very rare consequence, oral cancer, related to HPV infections is excessive and this should not be a concern either.  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 must, you could go to your local STD clinic or health care provider to be tested at this time.

As for your specific questions:
1. Do you think from medical perspective that I need to test for hiv/syphilis?
No, I would not worry at all.

2. Do you think I can make love with my wife without worrying about hiv or syphilis?  didn't saw any sore in her lips or mouth but maybe I just didn't notice... If she didn't had that cancer she can't pass syphilis?
Yes, I do think you can have unprotected sex with your wife without concern.  You are correct, without a lesion, your partner could not transmit syphilis to you.

3.  If she did have syphilis, that it increase the risk to pass hiv?
Yes, the presence of syphilis acts to make transmission of HIV form an infected person to an uninfected person about 3 times easier than if syphilis were not present.  As I said above however, there is little realistic risk for syphilis form the exposure you describe.

I hope my comments are helpful.  EWH