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the risk of STD & HIV by Genitals rubbing
Dear Doctors, thank you for your great & professional help! I am sorry this is my 2nd question since April 2013.Hope to get your professional help & advice again!
And you had ever told me nothing to be worried about such exposure in my previous question! Yes, your judgement is very accurate and had been proven by my quick oral HIV test last month, it was negative as you had told my last year.
Below is my question for this time, hope to get your help again!
On Feb 8th this year, I met a CSW(girl) , at first I received the oral sex from her with the protection of a condom, it last around 3-5 minutes, then I had my penis rubbing against the outside of her genitals (close to her abdomen), then rubbed with her buttock（NO touch with her anus), finally it finished after I ejaculated.
I always worn the condom from the beginning to the end of sex. So my penis should have been protected well! But I am not sure if there is still any risk for STD & HIV infection because the left part of my genital was exposed and had skin to skin contact with hers.That's why I feel worried for the potential infection.
My questions are as below:
1.Suppose the CSW(girl) has both STD & HIV(the worst thing), Am I still 0 risk from HIV by genitals rubbing & receiving oral sex in the condition of wearing a condom? My worry is those people with STD such as HPV /HSV/Syphilis do not have intact skin in their genitals and will transmit the HIV to others more easily compared with those who do not have STD. So if the CSW do have STD like HSV/HPV/Syphilis, do the genitals rubbing & oral sex still carry NO risk for HIV infection in my case?
2. It has been almost 1 month passed since this "risky incident", there is nothing abnormal in my genitals , I am fine now, everything is OK to me! Should I still keep watching on my genitals for any potential STDs? Such as HPV/HSV/Syphilis?
thank you very much for your help!
And you had ever told me nothing to be worried about such exposure in my previous question! Yes, your judgement is very accurate and had been proven by my quick oral HIV test last month, it was negative as you had told my last year.
Below is my question for this time, hope to get your help again!
On Feb 8th this year, I met a CSW(girl) , at first I received the oral sex from her with the protection of a condom, it last around 3-5 minutes, then I had my penis rubbing against the outside of her genitals (close to her abdomen), then rubbed with her buttock（NO touch with her anus), finally it finished after I ejaculated.
I always worn the condom from the beginning to the end of sex. So my penis should have been protected well! But I am not sure if there is still any risk for STD & HIV infection because the left part of my genital was exposed and had skin to skin contact with hers.That's why I feel worried for the potential infection.
My questions are as below:
1.Suppose the CSW(girl) has both STD & HIV(the worst thing), Am I still 0 risk from HIV by genitals rubbing & receiving oral sex in the condition of wearing a condom? My worry is those people with STD such as HPV /HSV/Syphilis do not have intact skin in their genitals and will transmit the HIV to others more easily compared with those who do not have STD. So if the CSW do have STD like HSV/HPV/Syphilis, do the genitals rubbing & oral sex still carry NO risk for HIV infection in my case?
2. It has been almost 1 month passed since this "risky incident", there is nothing abnormal in my genitals , I am fine now, everything is OK to me! Should I still keep watching on my genitals for any potential STDs? Such as HPV/HSV/Syphilis?
thank you very much for your help!
MEDICAL PROFESSIONAL
Thank you for your thanks. We do our best to help. I'm pleased we could. Take care. EWH
Dear Dr.Hook,
please accept my sincerely respect!I have learned quite a lot knowledges about STI and HIV from you again!I had used these knowledge to help others in my country like you helped me.This is really so meaningful and great!
Thanks again and wish you all the best!
please accept my sincerely respect!I have learned quite a lot knowledges about STI and HIV from you again!I had used these knowledge to help others in my country like you helped me.This is really so meaningful and great!
Thanks again and wish you all the best!
MEDICAL PROFESSIONAL
Welcome back to the Forum. I will be glad to provide answers to your current questions.
Your questions deal with the general issue of risk for HIV and other STIs and how they are transmitted, as well as how well condoms work for STI (including HIV) prevention. It is first important to understand that most people, including most CSWs do not have STIs and when they do, only a small proportion of exposures to infected partners lead to infection. Even most unprotected exposures do not lead to infection. How likely infection is to occur depends on the STI that is being considered. There is general agreement that following a single, unprotected exposure to an infected partner less than 1 in 1000 exposures to partners with HIV will lead to infection while for gonorrhea, transmission occurs about once in every five exposures. There is incomplete information about how likely transmission is to occur for many STIs so I will not provide further information on this beyond what I have already said.
Condoms reduce the risk for all STIs. For STIs that require penetration for transmission to occur (like HIV, gonorrhea, chlamydia) if a condom is worn throughout sex, then protection is very close to 100%. On the other hand for STIs which have lesions such as herpes, syphilis and HPV, condoms further reduce the risk for infection (typically by more than 50%) but transmission may still rarely occur.
With this background, lets address your specific questions:
1.Suppose the CSW(girl) has both STD & HIV(the worst thing), Am I still 0 risk from HIV by genitals rubbing & receiving oral sex in the condition of wearing a condom? My worry is those people with STD such as HPV /HSV/Syphilis do not have intact skin in their genitals and will transmit the HIV to others more easily compared with those who do not have STD. So if the CSW do have STD like HSV/HPV/Syphilis, do the genitals rubbing & oral sex still carry NO risk for HIV infection in my case?
As I said above, HIV is only transmitted by penetrative sex, not by unprotected genital rubbing. There is a small risk for syphilis, herpes and HPV with genital rubbing but that risk is typically quite small
2. It has been almost 1 month passed since this "risky incident", there is nothing abnormal in my genitals , I am fine now, everything is OK to me! Should I still keep watching on my genitals for any potential STDs? Such as HPV/HSV/Syphilis?
A month after your exposure if you have not developed sores at the sites of contact, you can be comfortable that you did not get herpes or syphilis. Genital warts can take up to six months after exposure to appear but again, these are rare in the situation you describe.
I hope these comments are helpful. EWH
Your questions deal with the general issue of risk for HIV and other STIs and how they are transmitted, as well as how well condoms work for STI (including HIV) prevention. It is first important to understand that most people, including most CSWs do not have STIs and when they do, only a small proportion of exposures to infected partners lead to infection. Even most unprotected exposures do not lead to infection. How likely infection is to occur depends on the STI that is being considered. There is general agreement that following a single, unprotected exposure to an infected partner less than 1 in 1000 exposures to partners with HIV will lead to infection while for gonorrhea, transmission occurs about once in every five exposures. There is incomplete information about how likely transmission is to occur for many STIs so I will not provide further information on this beyond what I have already said.
Condoms reduce the risk for all STIs. For STIs that require penetration for transmission to occur (like HIV, gonorrhea, chlamydia) if a condom is worn throughout sex, then protection is very close to 100%. On the other hand for STIs which have lesions such as herpes, syphilis and HPV, condoms further reduce the risk for infection (typically by more than 50%) but transmission may still rarely occur.
With this background, lets address your specific questions:
1.Suppose the CSW(girl) has both STD & HIV(the worst thing), Am I still 0 risk from HIV by genitals rubbing & receiving oral sex in the condition of wearing a condom? My worry is those people with STD such as HPV /HSV/Syphilis do not have intact skin in their genitals and will transmit the HIV to others more easily compared with those who do not have STD. So if the CSW do have STD like HSV/HPV/Syphilis, do the genitals rubbing & oral sex still carry NO risk for HIV infection in my case?
As I said above, HIV is only transmitted by penetrative sex, not by unprotected genital rubbing. There is a small risk for syphilis, herpes and HPV with genital rubbing but that risk is typically quite small
2. It has been almost 1 month passed since this "risky incident", there is nothing abnormal in my genitals , I am fine now, everything is OK to me! Should I still keep watching on my genitals for any potential STDs? Such as HPV/HSV/Syphilis?
A month after your exposure if you have not developed sores at the sites of contact, you can be comfortable that you did not get herpes or syphilis. Genital warts can take up to six months after exposure to appear but again, these are rare in the situation you describe.
I hope these comments are helpful. EWH
sorry, I added that I am healthy, no any STD, no HIV, no visible & big cut or broken skin in my genital which I could observed at that moment.
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