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What Are The Chances Of STD Transmission Through Protected Vaginal Sex?
Question: Hi,
I recently got back from the Dominican Republic and have been worried since. While I was down there, I had sex with 3 women. These women were local and were paid workers at an adults resort. I used a condom each time for all vaginal intercourse, however, they had given me oral sex without the condom being on. I was diagnosed with HSV2 a couple of months ago, which I picked up from my long-term ex girlfriend. I have never been promiscuous in my life and had only been with a few women in my 31 years of life. The first day I got there I had a herpes outbreak (prior to any sex). It was a small outbreak, consisting if a few very small blisters near the head of my penis, but on the shaft. With these sores present, I had recieved oral sex from the three women. None of them had any noticeable sores on, or in their mouths. I had told the girls about my condition, but they briefly continued to give me oral sex. The girls are tested monthly for std's including hiv and they are required to use condoms during sex. I know that this is not bulletproof though. As I said, for all vaginal intercourse a condom was used, but I am scared about the oral sex. I should also mention that i gave oral to one of the girls for a minute or so too. I have no sores or cuts in my mouth and she had none on her vagina. Since I returned my hsv2 sores healed quickly and the whole outbreak came and went pretty quick. That said, I have been petrified since I got back that I may have picked something up down there despite feeling fine and appearing fine physically. I've been thinking about this 24/7 and am a nervous and depressed wreck. Any guidance would be appreciated. Thanks!
I recently got back from the Dominican Republic and have been worried since. While I was down there, I had sex with 3 women. These women were local and were paid workers at an adults resort. I used a condom each time for all vaginal intercourse, however, they had given me oral sex without the condom being on. I was diagnosed with HSV2 a couple of months ago, which I picked up from my long-term ex girlfriend. I have never been promiscuous in my life and had only been with a few women in my 31 years of life. The first day I got there I had a herpes outbreak (prior to any sex). It was a small outbreak, consisting if a few very small blisters near the head of my penis, but on the shaft. With these sores present, I had recieved oral sex from the three women. None of them had any noticeable sores on, or in their mouths. I had told the girls about my condition, but they briefly continued to give me oral sex. The girls are tested monthly for std's including hiv and they are required to use condoms during sex. I know that this is not bulletproof though. As I said, for all vaginal intercourse a condom was used, but I am scared about the oral sex. I should also mention that i gave oral to one of the girls for a minute or so too. I have no sores or cuts in my mouth and she had none on her vagina. Since I returned my hsv2 sores healed quickly and the whole outbreak came and went pretty quick. That said, I have been petrified since I got back that I may have picked something up down there despite feeling fine and appearing fine physically. I've been thinking about this 24/7 and am a nervous and depressed wreck. Any guidance would be appreciated. Thanks!
Brief Answer:
I suggest you to get tested for STD's at appropriate intervals
Detailed Answer:
Hello. Thank you for writing to us at healthcare magic
Protected vaginal sex is considered adequate protection against common STD's like HIV, Syphilis, Gonorrhea and Chlamydia.
However, a condom protected sex is not 100 % protective against other STD's like Genital Herpes, Genital Warts and Genital Molluscum; condom only covers a portion of the shaft of penis and therefore leaves a lot of skin (i.e. base of penile shaft and adjacent pubic region) exposed to direct skin-to-skin contact during sexual intercourse.
Therefore, even though you used a condom, still if you notice any bumps or sores at the base and pubic region you must get yourself checked with a venereologist.
Receptive oral sexual contact in a male is relatively safe provided the active partner (female) didn’t had any sores in the oral mucosa.
Presence of oral mucosal sores in the active partner (female) makes it likely that some of her infected blood cells would be mixed with the salivary secretions thus increasing the risk of transmission of HIV, even more so since you also had open genital sore, therefore providing an easy portal to entry.
STD's like Syphilis can also be transmitted by Oral sexual contact if the active partner (female) had mucosal lesions of syphilis.
The same holds true for STD's like Gonorrhea and Chlamydia, if the active partner (female) had throat involvement with gonorrhea Or chlamydia.
The fact that the females you had sex with were professional sexual workers, also the fact that they use a condom during penetrative sex and are regularly tested/every month for STD's is a bit of a relief but you cannot assume that these females were just waiting for you after they were last tested clean!
It is very likely that all or may be one of them may have been sexually involved with someone else in the time period between last STD testing and getting sexually involved with you.
Therefore, testing for STD's is recommended.
I suggest you to get tested for STD's at appropriate intervals. Testing for HIV by HIV DUO (P24 Ag/Ab test) can be done earliest at 1 month. Syphilis can be tested with an RPR/VDRL test at 1 month.
Testing for HIV and Syphilis should be repeated at 3 months for a conclusive result.
Gonorrhea and Chlamydia may be tested by Nucleic Acid Amplification (NAT) testing done either on a sample of urine or a specimen taken from urethra.
Also, if you develop any bumps/growths or any new sores in the genital region you must get yourself checked with a venereologist.
Regards
I suggest you to get tested for STD's at appropriate intervals
Detailed Answer:
Hello. Thank you for writing to us at healthcare magic
Protected vaginal sex is considered adequate protection against common STD's like HIV, Syphilis, Gonorrhea and Chlamydia.
However, a condom protected sex is not 100 % protective against other STD's like Genital Herpes, Genital Warts and Genital Molluscum; condom only covers a portion of the shaft of penis and therefore leaves a lot of skin (i.e. base of penile shaft and adjacent pubic region) exposed to direct skin-to-skin contact during sexual intercourse.
Therefore, even though you used a condom, still if you notice any bumps or sores at the base and pubic region you must get yourself checked with a venereologist.
Receptive oral sexual contact in a male is relatively safe provided the active partner (female) didn’t had any sores in the oral mucosa.
Presence of oral mucosal sores in the active partner (female) makes it likely that some of her infected blood cells would be mixed with the salivary secretions thus increasing the risk of transmission of HIV, even more so since you also had open genital sore, therefore providing an easy portal to entry.
STD's like Syphilis can also be transmitted by Oral sexual contact if the active partner (female) had mucosal lesions of syphilis.
The same holds true for STD's like Gonorrhea and Chlamydia, if the active partner (female) had throat involvement with gonorrhea Or chlamydia.
The fact that the females you had sex with were professional sexual workers, also the fact that they use a condom during penetrative sex and are regularly tested/every month for STD's is a bit of a relief but you cannot assume that these females were just waiting for you after they were last tested clean!
It is very likely that all or may be one of them may have been sexually involved with someone else in the time period between last STD testing and getting sexually involved with you.
Therefore, testing for STD's is recommended.
I suggest you to get tested for STD's at appropriate intervals. Testing for HIV by HIV DUO (P24 Ag/Ab test) can be done earliest at 1 month. Syphilis can be tested with an RPR/VDRL test at 1 month.
Testing for HIV and Syphilis should be repeated at 3 months for a conclusive result.
Gonorrhea and Chlamydia may be tested by Nucleic Acid Amplification (NAT) testing done either on a sample of urine or a specimen taken from urethra.
Also, if you develop any bumps/growths or any new sores in the genital region you must get yourself checked with a venereologist.
Regards
Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Answered by
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