Could I have possibly contracted...

[sdloc10]

Hello Doctors,

Three days ago I had an encounter with two commercial sex workers. We were all very intoxicated and I engaged in the following. I licked one girl's anus, just once, and she did the same to me. I also received oral from one girl but did use a condom the entire time. I also tried to have protected sex but couldn't get erect because of the alcohol. At one point I removed the condom and rubbed my penis against the outside of one girl's vagina. Other than that I did use my hands to touch both girls.

I have been extremely worried since about whether or not I was exposed, or contracted, any STDs or HIV. I've read several other posts but wanted a direct answer to my specific encounter. Can you speak to the risk I caught anything (STD, HIV, HPV). I am planning to take an HIV test on April 11th, should I be tested for anything else? Also, I have avoided sex with my girlfriend for fear I contracted HPV and will give it to her. Should I be worried.

Thanks in advance for your input, I really appreciate it.

[H. Hunter Handsfield, M.D.]

The reason that threads are left for all to see is that people will not need to see the information again.  Trust me: all the information provided in response to questions about similar exposures also applies to you.  Most important, since there was no vaginal or anal pentration and your oral exposure was protected (even unprotected oral carries virtually no risk), there is no realistic chance you acquired any STD, including HIV.  Your oral contact with one partner's anus carries some risk of gastrointestinal illness, but not HIV.  And there is no risk of HPV from this sort of event.

I recommend against HIV testing after exposures like yours. But if you need to know your test is negative for the purpose of convincing you I am right, it's fine with me.  Otherwise, just see a provider if you get nause, vomiting or diarrhea in the next few days.  Beyond that, there is no need for examination or testing, and no need to alter your sexual practices with your girlfriend.

Regards--  HHH, MD

[sdloc10]

I know what you mean. I'm just being OCD witht the whole situation. You're probably right, I just need to put it behind me and move on - more cautiously in the future.

Thanks

[cbonner]

hi, i dont mean to sound patronising but it sounds to me the only thing that will reassure you will be a negative test result. If i were you i would get tested so this situation could be put behind me. good luck

[sdloc10]

Thanks so much for the prompt response. I have to say this is a great website and I wasn't expecting such a quick and informative response. I feel at ease after what you've said. Two final quick questions.

Would your response change if there was brief, i.e., 5-10, thrusts of penetration without a condom?

And lastly, my left testicle, feels tender, almost swollen. Pardon my ignorance, the tubes that connect to my testicle feel enlarged compared to the other testicle where you can barely feel them. Almost feeld like theres a blockage and the testicle and tubes are backed up. Any thoughts?

Thanks again,
Matt