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Condom with an Escort question

Hi Dr. Happy New Year. Tonight I had protected sex with an Escort. She's a high volume provider (Sees alot of men)and I am concerned about the condom she used. She put the condom on me with her mouth and then we had sex with her thrusting on top of my Penis. She got off me, removed the condom and gave me a HJ to completion. When we we were finished, I noticed no brand name on the condom but it was latex (Good!) but had Nonoxynol-9 in it. Read some stuff here about that which confused me. So I had heavy French Kissing, fingered her and had Vaginal sex wearing a condom. She took it off and gave me a HJ. Any risk of STD/HIV? Do I need to get tested due to the type of sex or condom used? Should I wait to have sex with my wife? Honestly would not even be concerned but the condom used has me wondering. Thanks and take care.
3 Responses
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300980 tn?1194929400
MEDICAL PROFESSIONAL
Welcome back to our Forum.  The exposure you describe was virtually no risk for any STD, including HIV and, as a result, you do not need testing.  Several comments may help to show you why I feel this way.

First, most CSWs use condoms to protect themselves, not clients.  This despite being a "high volume provider", your partner is taking steps to avoid infection.

Second, the critical thing to consider, and the reason you need not worry, is that the condom did not break.  When condoms break they break wide open leaving no doubt that they failed.  Clearly your condom did not fail.

Third, the issue with nonoxynol-9 is that in CSWs with many exposure the N-9 is actually associated with increased risk for infection. Whether N-9 increases risk for men following a single exposure in a meaningful way however is unknown- probably not.  The N-9 studies were done with N-9 creams however and again, as long as the condom does not break, there is no risk to you.  

based on your descriptions, I would not worry about this encounter and see no need for testing.  I hope my comments are helpful to you. EWH
Helpful - 2
300980 tn?1194929400
MEDICAL PROFESSIONAL
Glad to help. Take care. EWH
Helpful - 0
Avatar universal
Thanks Doctor. Was just curious about the N-9 issue. Thanks for the reassurance. Condoms are the key. Take care.
Helpful - 0

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