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5627403 tn?1371211380

One last Worry, omitted details, vaccination

Helo

I asked my question and got an answer from Dr HHH but I need to clear out one last thing.  
Summary:  I had 15 unprotected fellatio, cunnilingus & protected vaginal/anal exposures from 2008-2011. I also had 3 unnoticed broken condoms among them. I tested negative for all STDs including Herpes NON-Type Specific test several times in Africa in 2011.

In 2012-2013 I had unprotected sex with a friend, 6 protected vaginal/oral with CSWs and cunnilingus.  In my last protected vaginal sex I had one unprotected oral from the CSW. Two weeks past the last exposure I had seen a white dry thing on my upper penis shaft which I scratched and it scabbed and healed in 3-4 days.  I tested negative for all STDs including Herpes (Type Specific Blood Test) from Freedom Health London Clinic 12 weeks past the last sex.


Well in some of the protected sexual encounter with CSWs this year there has been some Naked genital touching while fore-playing or when laying down on them on bed before putting condoms or when taking shower together. There was bare genital grinding on one occasion for few minutes without penetration with CSW. I saw some red/pink bumps near their vagina/thighs/labia on most CSWs.  Also in some case the Condoms slipped a bit but penis head was always covered. In two of the exposures I fingered the girls and touched inside of condom (vaginal fluids got inside) before putting it on for sex or masturbated bare penis with vaginal fluids on hands.
Finally there was an attempted rape on me in 2000 in Africa. It was by a group of men who inserted a finger in my anus and hurt me before I escaped.
I will get married in Dec 2013. Wife is virgin
1) Does these new omitted details change anything? (Dr HHH said I can have unprotected sex with my wife without fear of HERPES and STDs as results -ve). Can I have unprotected sex with her (after marriage) without fear of STDs or HERPES?
2) Do I need to get a Hep B vaccine before marriage in Dec?
3) Any other advice?
5 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
My previous reply ended with "Let it go.  This isn't worth another moment's thought.  I won't have any further comments or advice."  That was not an invitation to start a new thread, and was intended to convey that there is no additional information you could provide that would be likely to change my opinion or advice.  That remains my view.

Your emphasis on specific exposure events and sexual practices misses the point.  No matter what the risks may have been, your lack of typical symptoms and your test results show you have no current STDs from those events. And testing always overrules symptoms (like your transient penile rash) in judging whether someone has an STD.

1) This information doesn't change my assessment.

2)  On the other hand, if you will henceforth be monogamous with your wife and are confident she isn't infected and will remain at low risk, you do not need immunization to protect you from sexually acquired HBV, unless you have reason to believe your fiance is infected.  

3) No other advice.

Please note MedHelp's rule that permits a maximum of 2 questions every 6 months on each of the professionally moderated forums (see Terms and Conditions).  You may not post another here before next December.)

Regards--  HHH, MD
Helpful - 1
5627403 tn?1371211380
Thank you.

I now clearly understand the point you made in the last comment in my previous post.  Let it go.  I accept that I do not have STDs and move one.

Goodbye and thank you for your guidance.  I have no further comments or concerns.

Sincere apologies for being anxious and thank you for your patience with someone as difficult as me.

Bye
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Your comment about cost also misses an important point.  As clearly stated in MedHelp's disclaimer, online forums are not intended to replace professional medical care.  If you have any ongoing concerns, that's always the safest way to go.
Helpful - 0
5627403 tn?1371211380
It would cost me 10 times more to go for a consultation to ask these questions.  Hence I am posting here one last time to move on definitely.  I will have no anxiety driven follow ups or questions.
Helpful - 0
5627403 tn?1371211380
I also kissed all the CSWs this year and had some cuts in mouth in some occasions.   Dr HHH said the negative test results overrule exposure/symptoms.  I am really living by that thought as hope.  I just want to thrash out any residual fear once for all forever and ever. And also know if I need any vaccination to protect myself in future.

My question wtih Dr HHH is here:

http://www.medhelp.org/posts/STDs/Is-it-time-to-move-on/show/1961287#post_9198519
Helpful - 0

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