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What’s my risk?

I made the stupid decision of getting unprotected oral from a sex worker last night. I was really drunk and just made a stupid decision. She didn’t have any sores or anything on her mouth and she said she was clean. But what are the odds I could of got herpes or something even without sores present. Like I know it’s still possible but what are the real chances of it spreading without visible sores? I’ve been freaking out all morning and have barely slept.
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Avatar universal
But either way thank you so much for taking the time of your day to let me know
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207091 tn?1337709493
COMMUNITY LEADER
First, let me say that even if you wore a mask, your chances of getting covid are decent, so that would be my first concern, not an STD.

Receiving unprotected oral sex puts you at risk for syphilis, genital herpes type 1, chlamydia, gonorrhea and NGU. You are not at risk for HIV from receiving (or giving) oral sex.

I’ll explain all the risks for everything, but most experts don't think a single act of oral sex warrants testing. If you have a regular partner you're concerned about infecting, you might want to test, but you probably don't need to test unless you get symptoms.

Syphilis isn't that common, and your partner would have had to have a sore in their mouth to transmit it. You wouldn't see symptoms of this for 10-90 days, but the average is 21 days, and you'd get a sore called a chancre. This doesn't cause burning, pain, discharge, etc. You can test for this at 6 weeks. If you get symptoms, but test negative at 6 weeks, test again at 90 days, and get to the doctor as soon as you see symptoms.

If you don't already have herpes type 1 (think oral sores, like cold sores but not canker sores), then you could get genital herpes type 1 from receiving oral sex. This can happen even if the person performing oral doesn't have a sore, but it's more likely if they do. The time from infection to symptoms is usually 2-12 days, but the average is 4 days. You can test for this now, and then again at 4 months to make sure you don't have it. If you test positive now, it's a pre-existing infection that you had before this encounter. About half the adult population has this, and 90% don’t know it. Ask for a type specific hsv1 IgG blood test. You don't need a type 2 test, and that test has some false positives on it, so avoid it if you can.

You'd see symptoms of gonorrhea at about 2-5 days, and this would usually be a discharge, burning, etc. Some people don't get symptoms. You can test for this as early as 3 days, but 5 days is better. You can have a urine test or a swab test.

Oral chlamydia isn't common at all, so getting chlamydia from receiving oral isn't likely, but has happened, so I mention it. The symptoms and time frame are similar to gonorrhea. A chlamydia test is usually run at the same time as gonorrhea, but make sure to ask for it.

NGU (nongonococcal urethritis urethritis, sometimes called NSU, for non-specific) is an infection in the urethra that is caused by anything other than gonorrhea . This can be caused by normal mouth bacteria entering the urethra, and other germs, like strep, adenovirus (usually causes upper respiratory infections like bronchitis), and the like. The symptoms and testing times are the same as gonorrhea and chlamydia.
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Thanks for the quick response. So I’m prolly okay as long as I don’t show symptoms? I plan on getting a full test done in 4-6 weeks just to be safe. But I’m assuming it’s safe to say the risks are there but they’re low even for the herpes thing?
Yes, absolutely. I wouldn't worry about this at all. The risks are indeed low, including herpes.
Okay thank you so much. Help put my mind at ease a bit.
Glad to help. :)
Hey I know it’s been a few days but I left out that I had small injury on my penis before this happened. Was friction burn from masturbating. Does this significantly raise the chance of getting herpes or any of those? even if no symptoms were present for her. Sorry I’ve still been freaking out about it still cause of this. The injury was present before the interaction.
It probably won't change the risk for syphilis. Syphilis requires direct skin to skin contact with a sore. Syphilis isn't that common in most developed countries, so while it's possible, the sore in her mouth would have to come into direct contact with the spot that had the irritation in order to increase the risk.

For NGU and gonorrhea it wouldn't, because that's about bacteria getting into your urethra, not about skin to skin contact.

It might for herpes type 1, if you don't already have hsv1. It depends on where the irritation is, if her lips came into a lot of direct contact with it, etc. Even if you've never had a cold sore, you have a 50/50 chance of having it already, as about half the adult population has it, and 90% will never get symptoms.

Is this a guilt thing? Remember that guilt doesn't equal risk, if that's what's at play here.
I may of had cold sores younger on orally but I have been tested before and came negative so that’s why I’m worried. I would say guilt has some factor but me being negative before and having to wait has me anxious.
But I’m 5 days after and I’m not showing symptoms still. It’s just worrying me I’m gonna test in 4 weeks and that’s a long time till I know. I just wanna know how bug of a risk I really am for herpes
The hsv1 IgG blood test misses 30% of infections, so it's hard to say if what you had was cold sores, or if the test missed your infection.

You're at 8 days now, I think. I know waiting sucks, but the chances are really low. Remember that guilt doesn't equal risk.
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