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Risk of protected vaginal sex and unprotected oral sex

Dear doctors, I am a 21 y/o male who visited a CSW one week ago. FYI, it took place in Singapore.

The details of the event is as follows:

Before the protected sex, I received unprotected oral sex for about 10 minutes.

After that, she proceeded to put on the condom for me (as I'm a virgin and clueless about sex). Then I had protected vaginal sex which lasted for 10 minutes. No signs of condom breaking and sliding off. But I can never really know for sure.

I was unable to ejaculate during the protected vaginal sex (due to my guilty conscience and my anxiety of having sex the first time). She then removed the condom for me and proceeded to give unprotected oral sex again for another 10 minutes.

I still didn't ejaculate and we called it quits.

I have a bad feeling about this because she is a CSW after all; they are at higher risk of having HIV.

I am worrying about whether I could get HIV from being an unprotected oral sex recipient. Maybe she was having open sores in/around her mouth that day which increased the risk of HIV transmission. Maybe there was bleed gums in her mouth that day from excessive brushing or something.

I also worry about the risk of protected vaginal sex, even though I do feel safe in knowing that I used a condom. But **** happens right? After all, getting HIV from protected vaginal sex is technically possible.

I plan to take a HIV test after 3 months to allay my fears. But I was wondering if that is actually necessary. Maybe I'm just over-reacting? Please advise. Thank you very much.
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Avatar universal
Thank you for your feedback. If that's the case, my plan is to take a duo test 4 weeks post-exposure. I'll update you if there's anything abnormal with the result. Your post indeed allayed my fears significantly. Happy holidays to you too.
Helpful - 1
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum.

WAAAYYYY too much detail about the sexual exposure.  I'm not put off or offended -- it's just that most of it makes no difference in risk.  Only the basic facts are important:  the vaginal sex was condom-protected.  And oral sex, even unprotected, carries little or no risk for HIV transmisison.  (Some experts believe truly no risk, and others cite data suggesting that people who receive BJs by infected partners once a day might be at significant risk after 55 years.)

Accordingly, there was no measurable risk of HIV from this exposure.  At a philosophical level, I agree that **** happens and getting HIV from protected vaginal sex might be technically possible and might have happened from time to time.   So what?  It's also "technically possible" that you could be struck by lightning or a meterorite.

I don't even recommend testing in this situation.  But if you would benefit from a negative result, for reassurance, of course you are free to do it.  But if you do so, you need not wait 3 months.  That is the formally recommended interval for stand-alone HIV antibody tests, but the standard HIV tests in regular use in fact are 100% reliable by 4-8 weeks, depending on the specific test (or combination of tests).

I hope this has been helpful.  Best wishes and happy holidays--  HHH, MD
Helpful - 1
239123 tn?1267647614
MEDICAL PROFESSIONAL
Thanks for the thanks.  I'm glad to have helped.
Helpful - 0

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