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Avatar universal

Threatened pregnancy

Hello Dr.
I'm a hetero-sexual male.
I recieved an unprotected ******* Nov 30th from an escort. On dec. 5th I recieved protected oral and protected vaginal another escort. On the 14th I fingered one and used that same hand to roll on a condom to recieve oral sex. Finally on the 19th I had protected oral and vaginal. I have had no symptoms other than a runny nose and scratchy throught this weekend. I had sex with my girlfriend 1 time between the 5th and 14th because I figured unprotected oral was virtually no risk (the escort didn't have any sores and said she was clean, although up to a few weeks ago she would swallow but said she doesn't anymore cause her dr. told her not to). My girlfriend is 8 weeks pregnant and just found out she had a threatened miscarraige. I was reading online that one of the causes could be an STD. While I read some posts on here saying oral sex is safe, every other website is telling me I can get HIV and other STDs from oral. I'm considering spending $350 on STD testing and HIV PCR testing next week. Do you think that I could have gotten an STD from any of these experiences, specificaly the unprotected ******* or rolling on the condom with vaginal fluid on my hand. If this threatened miscarraige is my fault I need to get medical attention for my girlfriend asap.
Thanks for your help, even though I'm one of those guys.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Gonorrhea is not a significant possibility here and would not cause a threatened miscarriage.

I have no comment bout your partner's symptoms, "healing uterus", etc.  I'm not a gynecologist and have absolutely no experience with miscarriage.
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Avatar universal
Thanks doc. I thought so. You probably considered this but just to make sure, being that ngu and gonorrheah arethe only two of any measurable risk, is it possible they are the cause of the threatened miscarraige. Incidently my girlfriend said shes only bleed a little since she first detected on xmas(like a drop today, darker in color). she said that indicates that the uteris is healing, does that make sense. happy new year from one pilot to another.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the STD forum.  I'll try to help.

The vast majority of miscarriages have no known cause and they are very rarely due to STD.  The main STD that causes miscarriage is syphilis, but even that is very unusual -- and for sure there was no chance you caught syphilis.

And you had virtually 100% safe sex.  Your original understanding about oral sex was correct:  the STD risk is very low -- not zero, but far lower chance than for unprotected vaginal or anal sex.  Further, any STD you would have caught from oral exposure usually would have caused symptoms you would have noticed.  The limited contact with vaginal fluids from rolling on the condom carries no significant risk either.

I strongly recommend you not spend $350 for online STD testing.  If you feel a need to get tested, despite this reassurance, you can do it for free or very minimal cost by visiting your local health department STD clinic.  Even visiting your primary care doctor would cost less, including the office visit plus all tests you need.  You definitely do not need testing for most of the things offered by online testing panels.  Do not get tested for HSV, hepatitis, or HIV by PCR.

All people who are sexually active outside mutually monogamous relationships should be tested from time to time (e.g. every 1-2 years) for gonorrhea, chlamydia, syphilis, and HIV (antibody test only).  Since this obviously applies to you, perhaps this is a good time for testing, while it is on your mind.  But definitely not because of this particular event.  And not for most infections included in online panels.

Bottom line:  Your partner's impending miscarriage for sure is not your fault; it has nothing to do with your sexual exposures.  You don't need STD testing on account of these events.

I hope this helps.  Happy new year--  HHH, MD  
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