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Risk from Recieving protected fellatio

Hey Doctor,

6 weeks ago i recieved protected fellatio from someone i found out to be a CSW. She provided the condom and removed it.  I dont remember it breaking but cant be sure.  During this experience i had folicleitues on my thighs. Would this add to the risk?  I had a full screening 3 weeks after the occurance and all was negative.  I know the window periods arent appropriate for my main concerns (hiv an hsv).  I am already hsv1 positive. given that the codom was on, and seemed to be in tact, and my uncertainty if she had blood in her mouth or not, am i at risk?  i got another set of blood tests at planned patrenthood on the six week mark.  I am a young healthy man who smoke cigarette and drinks rarely.  this is my first occurance of anything like this.  I am worrying myself sick and also have a new partner i am worried about potentially giving something to. Grace helped to ease my anxiety before but now i am more worried about HSV2 or HIV.  The whole exposure lasted less then 30 seconds.
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Avatar universal
You too doc!
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Congratulations.  No further testing is necessary.

Thanks for the thanks.  Take care.
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Avatar universal
All negative!!! Doc would you even suggest retesting at the three month mark? Thanks and have a great week!
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Avatar universal
Thanks again. I will do my best to stay mellow. I'm feeling much better already. I'm not suprised to hear the statistics about red states. If you tell a toddler not to touch something, the first thing they usually do is touch it. You scare a bunch of presumably horny highschoolers with inflated tales, they'll be left wondering what the real truth is and probably take more risks due to not knowing what to believe. Have a good day doc! Thanks for the reassurance and the compassion.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Don't worry about "undermining Grace":  she can stand on her own and from time to time challenges me. It's no problem when users ask similar questions on both professional and community STD, HIV or herpes forums. Usually the advice and opinions are very similar, as they were in your case.

And I agree that school-based health education has often conveyed misinformation about STD/HIV risks, especially in districts influenced by religious or conservative political views. It has caused a lot of havoc, especially in inherently anxious persons like yourself -- and sadly, typically such approaches do not result reduced sexual risk-taking.  In fact, just the opposite:  it's not a coincidence that the rates of usafe sex, STD/HIV, and teen pregnancy are generally highest in red states, not the blues.  

Anyway, thanks for the thanks about the forum.  Stay mellow while you await your results.  They'll be negative.
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Avatar universal
Thanks very much doctor. yes still awaiting results, they are due any time today actually. your words have very much helped. I had no intention of undermining grace by any means and i hope she is not offended. so no testing at 3 months then? and im assuming false positive tests are pretty rare for hiv (probably not as rare for hsv 2 but oh well). and again thank you for what you do. ive been following your threads for quite sometime as i am an admitted worrier and have horrible anxiety, even before this exposure.  i remember they told us in highschool you can get HIV from kissing, i guess that load of misinformation must have tattoed to my mind. thanks again...very much
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum. Thanks for your question.

First, herpes:  I reviewed the long discussion you had on the herpes community forum.  Based on your exposure and symptoms, I doubt I would have recommended HSV testing at all -- maybe if I had seen the buttock and abdominal lesions you mentioned, but from your description herpes doesn't seem at all likely.  And as Grace and others said, you had an exposure that carried no measurabe risk of HSV.  Finally, nobody ever gets HSV-2 by oral exposure (or so rarely it can be ignored) -- and since you have already had oral HSV-1, you're immune to a new HSV-1 infection, anywhere on the body.

As for HIV, it doesn't matter if your partner had HIV (which probably she did not, given how rare it is in most heterosexual women), or if she had blood in her mouth during oral sex.  You were protected by the condom, making HIV transmission impossible.  You would have known if it had broken. It's only your anxiety about the exposure that's making you wonder about it.

You don't say the results of your 6 week tests at Planned Parenthood -- presuably you're still waiting on the results.  If the exposure describe is your only potential risk for HIV or herpes, you can be sure the results will be negative.  In the meantime, you should be continuing sex (including unprotected) with your regular partner.  You won't put her at risk for anything.

I hope this has helped.  Best wishes--  HHH, MD
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Avatar universal
also... i am a healthy mid 20s male that smokes cigarettes
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