Dear doctor a few days ago I visited a sex worker where I believe the following std/ HIV/ Hepatitis risks took place.
I received an oil massage with my penis on this workers breasts. During this event this lady suddenly started to give me an unprotected fellatio which lasted no longer than 5-10 seconds before I asked her to please not do this!
During my visit the worker also gave me a naked massage where she sat on top of my lower back/ buttocks area. I believe I felt some discharge from her vagina on my lower back/ buttocks and am worried that I may have contracted some form of HPV or other disease from this risk.
I am extremely nervous about the above incident and wondered if you could please tell me a bit further about the potential risks I have left myself vulnerable to and what chances there are that I have contracted HIV or other std's!
I should add the sex worker I visited appeared to have a cold of some description and was coughing and sniffling throughout this encounter.
I showered thoroughly 15 minutes after this incident took place if this makes any difference at all.
If you could please provide me with your thoughts and if you believe I should have full std screening I would appreciate your assistance.
You needn't be at all worried. All STDs, including HIV and viral hepatitis, are harder to transmit than you seem to think. None are transmitted by massage or hand-genital contact, and oral sex is generally safe, with low risk for some STDs (gonorrhea, NGU, HSV-1, syphilis) and viritually zero risk for others (hepatitis, HIV, HPV, chlamydia). Without a bare penis (no condom) inside another person's vagina or anus, any and all STDs are rare.
Accordingly, I do not recommend any STD testing on account of this event. If you feel you just have to do something beause of the unprotected oral sex exposure, then you could have a urine test at any time for gonorrhea and chlamydia, and a blood test at 6 weeks for syphilis and HIV. That's all I would recommend, and strictly speaking you don't even need these.
I hope this has helped ease your fears. Best wishes-- HHH, MD
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