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Avatar universal

Concerned over exposure

Hi Dr,
Recently I had an event with a female SW in Thailand.
There was no pentrative sex.
Unprotected oral sex performed on me, as well and genital contact (dry humping) briefly.
Wondering what I may be at risk of, the odds of catching something?
Would you recommend testing?
Also I'm about to enter a relationship with someone so how long should I wait to get tested to get accurate results, i know HIV is around the 6 week mark, but what about other diseases?
Should I be overly concerned?
Thanks for your time
4 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
I can't add anything to your personal physician's opinion. Since he believes nothing important is wrong, that also is my opinion.  And certainly your description does not suggest any STD.  Follow your doctor's advice about reevaluation if things don't change or you otherwise remain concerned.
Helpful - 0
Avatar universal
Sorry, forgot to add, that a couple of days ago, my girlfriend and I had sex, where it took quite of effort to 'get it in" (sorry about the terms used)
the Dr seemed to think the mark could have been irritation from this, or irritation from rough sex.
Helpful - 0
Avatar universal
Hi Dr.
Thank you for your response. Now is about 3+ weeks from my exposure, and have been monogamous with my new girlfriend since.
Yesterday I noticed a very small (1mm diameter) white mark on the underneath of my foreskin where in meets the head, the foreskin is a little red and irritated. I went to my DR for a full STD checkup to clear me as I'm in a new relationship.
The Dr didn't ask about previous exposures, but simply gave me a urine test for chlahmydia, saying thats really the only thing I need to worry about.
I showed him the spot, he said it could possibly be a wart, but very much doubts it, and if it doesn't go away after a few days to come back. He didn't mention anything about abstaining from sex ( he knew I have a new girlfriend) and didn't seem overly concerned.
The last thing I want to do is pass anything onto my girlfriend.
I have in the past suffered yeast infections, and apart from the mark, it looks to me and feels a little like that. I've applied Hydrozol.
1. Does this seem plausible?
2. Could this be a syphilis ulcer?
3. Herpes?
4. HPV?
5. Should I get a second opinion?

Thank you again in advance
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum.

Oral sex is safe sex  -- not completely risk free, but STD transmission is much less likely than with vaginal or anal sex.  Genital apposition without penetration also is very low risk. In addition, any STDs acquired by these routes would just about always cause noticeable symptoms, i.e. dishcarge of pus or mucus from the penis or penile sores.  If such symptoms don't appear within 2 week, you can be quite sure you don't have anything and don't need testing.  If I were in your situation, I would not get tested for anything and I would continue unprotected sex with my wife without fear of infecting her.

But if you insist on testing, you can have a urine test for gonorrhea and chlamydia at any time; the tests are valid within 3-4 days.  (Chlamydia really is impossible -- rarely if ever transmitted by oral sex, unlike gonorrhea.  However, chlamydia and gonorrhea testing normally are done together.)  You could also have a blood test for syphilis at 6 weeks.  I see no point in HIV testing at all -- but again if you feel you must do it, 6 weeks is the right time.

Regards--  HHH, MD
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