Can STD Be Contracted Through Non-penetrative Intercourse?

Posted on Tue, 29 Sep 2015

Question: Hi doc,

I had a blowjob from girl(sex worker) which don't know about her status. Whether I need go for test it happened just 3 DAys before.

Answered by Dr. Prasanna Heijebu (1 hour later)

Brief Answer:
STD screen is a must.

Detailed Answer:
Hello, Sir.

I understand your concern.

You had an unprotected and unsafe sex (sex worker).

Hence, it is important you get a complete STD(sexually transmitted diseases) screen which includes the following

1.VDRL.
2.HbS Ag.
3.HCV.
4.HIV 1and 2.
5.Herpes 1 and 2.

These tests are the basic mandate.They are available at all local nearby diagnostic centers.

Review with test reports.

Post your further queries if any.
Thank you.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Prasanna Heijebu (9 hours later)

can I get tested now or wait for 3 months. Please help me I m on very stressful

Answered by Dr. Prasanna Heijebu (14 hours later)

Brief Answer:
Get these tests right now

Detailed Answer:
Hello, Sir.

I understand your concern.

You need to get tests right now.

Only HIV 1,2 test needs a retest after 3 months.

Post your further queries if any.

Thank you.

Above answer was peer-reviewed by : Dr. Neel Kudchadkar

Follow up: Dr. Prasanna Heijebu (43 minutes later)

Hi

Thanks for your reply. I really worried about hiv. Will it happen via oral sex . And how can go and approach doc. Because I m from XXXXXXX here approach I m really worried.
Will hiv results accurate if I test now

Answered by Dr. Prasanna Heijebu (12 hours later)

Brief Answer:
Results will be 90% accurate if you take the test now.That is Good.

Detailed Answer:
Hello, Sir.

I apologise for the delayed response.

I understand your concern.

HIV can be transmitted by any route which can involve the transfer of sexual fluids-Oral sex can also transmit the disease if the secretions contain the virus.

Results will be 90% accurate if you take the test now.But you need to retest after 3 months considering the window period of viral detection.

You can straight away consult the doctor and express the concern.You need not worry about it.

You can consult any Internal Medicine Or Infectious Disease specialist.

Post your further queries if any.
Thank you.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Prasanna Heijebu (33 hours later)

Hi
as you said I met a internal medicine doc he said if they bite hiv 'll happen and he asked me to take test. And results came negative hiv elisa but I know 7 days not reliable.

Doc please help me . I know it can't take back but is there anyway to find now itself and in XXXXXXX is any type of test available in private hospital. I need a accurate resulT about hiv.

Other test also came negative.

Answered by Dr. Prasanna Heijebu (15 hours later)

Brief Answer:
Accurate tests suggested.

Detailed Answer:
Hello, Sir.

For accurate results, you need to take the following tests.

1.Hiv P24 antigen assay.

2.HIV 1,2 RT-real time PCR.

Both these tests are available in XXXXXXX

These tests provide accurate results.

Thank you.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Prasanna Heijebu (55 minutes later)

Hi

Can you tell me the hospital which takes this test I tried in net but not able to find

Answered by Dr. Prasanna Heijebu (23 hours later)

Brief Answer:
Please provide your address

Detailed Answer:
Hello, Sir.

I apologise for the delayed response.

Kindly let me know your residential address to guide you further.

Thank you

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Prasanna Heijebu (23 hours later)

Hi Doc,

Sorry for the trouble I got the testing center and done p24 antigen and it's came negative.

I am happy now . Thank so much for your help.

Answered by Dr. Prasanna Heijebu (2 hours later)

Brief Answer:
You are welcome.

Detailed Answer:
Hello, Sir.

You are welcome.

Take care.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Prasanna Heijebu (5 hours later)

Hi doc

So I don't need to worry correct... It's accurate I think because I didn't do any extreme and future I never ever think again. Just want to confirm by your side also.

Answered by Dr. Prasanna Heijebu (18 hours later)

Brief Answer:
Upload PCR results.

Detailed Answer:
Hello, Sir

I understand your concern.

Please upload your PCR-RT test results.

I will comment once taking both P24 and pCR test results together.

You are relatively safe at this point of time.You are safe by 95%

For confirmation, tests have to be repeated(as earlier said in my previous responses) on day 90 and 180 from the day of the sexual encounter.If all the tests are negative, then only we can say you are 100% risk-free.This is the protocol established by CDC-USA(center for disease control-United states)

Thank you.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Prasanna Heijebu (19 minutes later)

Hi

I didn't take PCR test I took only p24 antigen and I got results by phone need to get result. Once I get I 'll post. I hv. Elisa hiv 1 n 2,results I 'll post both on same. Is PCR is important? Here my consulting doc also said like you said p24 so only I took p24 only. Please let me know.

Answered by Dr. Prasanna Heijebu (30 minutes later)

Brief Answer:
Clarification provided.

Detailed Answer:
Hello, Sir.

I understand your concern.

PCR is the most important test.You should not miss it.This test directly measures the viral DNA.If it is negative, then you can comfortably rule out HIV with 100% accuracy.

P24 is used for immediate knowing if you have contacted the virus or not.

PCR is the confirmative test.

Please note ELISA is a different test.

Hence for accurate results- you need to have both PCR and ELISA after P24 in your case.Only PCR and ELISA have to be repeated on day 90 and 180.

Review with test reports.

Thank you.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Prasanna Heijebu (4 hours later)

hi doc
Sorry to make the conversation again longer.

I m on fully stress and I accept I made a mistake. Even I contacted that massage center girl and asked whether you have hiv she promised and said she don't have n ready for test at any time. But I didn't ask her take test.

So some confirmation to come out from the stress I am ready to take tests.

Doc please help me again going for test making me so much afraid.

By p24 we can get that I didn't contacted the virus(9 days).
In between if I get fever whether I need to worry. Please explain some ways

Answered by Dr. Prasanna Heijebu (4 hours later)

Brief Answer:
Be Confident,hope for the best.

Detailed Answer:
Hello, Sir.

I understand your concern.

I appeal to you to stay calm and focused.Do not take any stress.

Fever can be attributed to multiple symptoms, not alone HIV.

Do not overthink at this point of time.

p24 capture assay keeps you out of risk up to 90% on a short-term basis.

Get PCR, this will help the test to be accurate and scientific both on long-term as well as on short-term basis.

Come out with test results-PCR and ELISA at the earliest.

Communicating with your sex partner can be of help, but you taking the test for PCR (instead of her ) will be more accurate and validate.Hence focus only on this.

Review with test reports at the earliest.

Be bold, confident and brave.

Post your further queries if any.
Thank you.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Raju A.T