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Anal Sex With an Unknown STD-Status CSW, Condom Breakage

Hello MedHelp members and visitors. I wish you all health and happiness.

I'm a male at my 30s who always practices protected sex (vaginal and anal).
The encounter I had a week or so ago was a bit different though because for the first time the condom got torn
during anal penetration (the tip of it to be specific). I believe the CSW was Chinese at her 20s. Immediately,
when I found out about it, I pulled my joystick out, went to the toilet, urinated little amount of urine (approx. 50 ml or less) washed the shaft with water and soap, the penetration did not last more than 1- 2 minutes maximum, it was gentle. The only thing I blame myself for is letting the girl use (baby oil) which is a petrolium-based lubricant and the main cause behind the condom failure (quality, storing or expiration of condom is unknown). Couldn't carry on with sex since I emotionally got disturbed from that incident, so I jerked off instead and splashed my cream on her. She assured me she was clean, her mama-san did so as well upon calling her, they added the girl gets checked regularly. I can't trust anyone, so I'm here to ask you guys, am I at risk of contracting an STD? Hepatitis, Syphilis or other STDs? Should I be worried? Should I get tested?
I forgot to add, this, does the remaining of saliva help reduce a possible STD transmission? i.e. I received oral from the CSW before I started anally penetrating her. Or the remaining of oil coud act as a barrier?
Also the girl looked okay. I've always had weird marks on my penis (scars or something).
BTW, I have not experienced any symptoms since then.

Please help me, thanks.
Best Answer
207091 tn?1337709493
Yes, there is a chance you'd get an STD from this. You weren't unprotected for long, but it can happen.

Was your oral protected?

You can test for gonorrhea, chlamydia, NGU, and mycoplasma at 5 days. This is a urine test.

You can test for syphilis at 6 weeks. The average time that a syphilis sore would appear is 3 weeks, but can appear as early as 10 days.

You can test for herpes with a type specific IgG test now, as a baseline, and again at 12 weeks, if blood tests are available where you are. If they aren't, if you don't get symptoms, I wouldn't worry. The chances of herpes from a brief encounter are low.

If you haven't been vaccinated for hep B, you can test for that at 6 weeks, and again at 90 days.

There's a slim chance of hep A, and if you routinely have anal sex, you should get vaccinated. Hep C is very rarely spread by sex. When it is, it's unprotected anal sex with blood.

Don't panic - just test.

Thank you a lot ♥ for your help and advice.
No, oral was not protected.

Is it okay to just wait 3 months and test for the STDs you mentioned, plus HIV, all at once?
So with regards to herpes, if no symptoms appear then mostly likely no infection happened?
I have to search the availability of Hepatitis A, B and C vaccinations where I live.
What about HPV?
With regards to vaccination, I have to mention I regularly visit barbershops and dental clinics, however, I always use my personal
tools in barbershops. In clinics, tools are sterilized. When it comes sex, I usually practice anal (but always.. always protected)
except for this one incident (condom breakage).
Yes, it's fine to wait for 3 months and test all at once. If you get symptoms, go sooner.

With herpes, yes, most likely if you get no sores, no infection, but that's not 100% definitive.

HPV is a possibility, but it's a possibility any time you have sex, protected or not. HPV is transmitted by skin to skin contact, and condoms don't cover all your skin. They do offer significant protection, but not full. HPV is very common.

Hep C doesn't have a vaccine, just A and B. Your doctor should know about them.

I wouldn't worry about barbershops, unless your barber is in the habit of cutting you and then himself, with larging, gaping wounds. Razors can transmit bloodborne pathogens, but it's not really a thing that happens.

I understand your fear here, but the condom broke, you realized it quickly and stopped.
Thanks a million times, dear auntiejessi.

Once 3 months period has passed (90 days to be more specific: 20 October ~ 20 January) I went to a laboratory in a hospital I'm used to going to. The specialist recommended me to do the following tests:

1- Syphilis (VDRL)
2- Hepatitis B (for possible infection) and (whether or not I need vaccination)
3- Hepatitis C
4- HIV (Ag/Ab combination test) took only 3 hours to produce results.

All came back Non-reactive (Negative).
As far as Hepatitis B vaccination test, it is 0.8 out of 10, so I was recommended for it.

Is this conclusive?
Yes, it's all conclusive. You can put it to rest now. :)

Make sure to get those vaccines.
Thanks @auntiejessi for the quick response. I owe you a lot.

I forgot to mention that the doctor did not feel it is necessary to do chlamydia, gonorrhea or Hepatitis A tests. He says that since evident symptoms are not present, then no need to test. Hepatitis A only infect someone via unclean food or in areas where hygiene is poor, thus, I did not need to test for it either.*

* Sometimes I practice rimming (giver and receiver) briefly, if this is any relevant.
@auntiejessi It seems commenting is now disabled for you as I clicked on "Best Answer" button which stops any further discussions. If so, then sorry for this inconvenience. Please, PM me, thanks.
You were able to comment - I'm not sure what you mean by that.

I have no idea why the doc tested you for hep c - rarely transmitted sexually, as it's only found in blood - but didn't test you for gonorrhea and chlamydia, which are 2 of the most common STDs. That's confusing.

It is unusual to get Hep A from rimming, but not impossible. Most adults get symptoms. Most cases are indeed from contaminated food.

I don't think you're at a big risk for gonorrhea and chlamydia, or for hep A, but if you want to test for those, you should.

Sorry, never mind.

Frankly speaking, I did not explicitly explained my sexual encounter to the lab specialist, I merely gave some hints and based on that he suggested the aforementioned tests. It is a conservative society where I live.

I did however tested for Hepatitis A later on (in another medical institution) and it came back negative. I'm looking forward to getting Hep A & B vaccines ASAP.

I still have not tested for either chlamydia nor gonorrhea. Some of the medical staff there (the dermatologist, the virologist and the pharmacist) did not have a decisive answer whether these tests are urinal-sample based or blood-sample based.
You don't have to tell them about the anal sex for the gonorrhea and chlamydia testing. Just tell someone the condom broke during sex, and get tested.

You say it's a conservative society. I'm guessing Middle East - I may be wrong. I've never had anyone use this clinic, but I found it online and they do a swab and use urine to test for gonorrhea and chlamydia. https://middle-east.better2know.com/clinics/

All of their testing is listed here - and it's quite the options list:


The Instant Peace of Mind looks like they use a swab, and the Peace of Mind uses urine. Both are acceptable for getting accurate results. The urine is probably preferable for comfort, but you have to wait for results.

I can't vouch for them, but maybe you know something about them that I don't.

Oh and you don't have to tell me where you live - you shouldn't, actually.
It's embarrassing to even talk openly about sex, at all.
Tell me, based on the encounter, do you recommend me to go test for gonorrhea, chlamydia and NGU, despite NOT having symptoms?
Okay, you have this thread already going, so I'm adding your rimming question to it, just so I can keep everything straight. It helps me have all your history in one place.

You asked, "Does rimming pose any risk? male (giver) to female, and vice versa?"

Here's a pretty good article on it - https://www.healthline.com/health/healthy-sex/what-is-rimming It's pretty low risk, with similar risks to oral sex.

You can get other bacteria from it - this article explains that better - https://www.menshealth.com/sex-women/a23652027/what-is-rimming/

A week ago, I said this, in this thread:  "I don't think you're at a big risk for gonorrhea and chlamydia, or for hep A, but if you want to test for those, you should."

I still agree with that. You haven't had any symptoms since Oct., you pulled out as soon as you knew. I don't think it's a huge risk. I don't think you'll relax until you'll test, so test.
Yep, merging the two topics was a good idea. Well, this pretty much wraps everything up.
Thank you from the bottom of my heart for such unconditioned and generous consultation you've granted to me that is worth paying for. I wish you and your family health and happiness.
Yet another update..

This is not to add any further questions at all but rather to help the community by disseminating all information that might be of help.

I've been hesitant to test for gonorrhea, chlamydia and NGU. After a long discussion with a specialist he told me I don't have to do it because of th absence of any symptoms and he explained everything including the possibility of asymptomatic infections. I forgot to ask about mycoplasma but I guess I'd get a similar answer.
Why are you hesitant?

It is unlikely that after all this time that you'd you asymptomatic infections of everything - I agree with that. However, it's only been 4 months. It's quite possible for you to have asymptomatic gonorrhea or chlamydia.

Just test and put your mind at ease, and move beyond this. You've seen a ton of doctors, and you could have tested many times over by now. Chances are excellent that you are negative for everything, but at least testing would mean you'd know for sure.
The reason behind my hesitation was me not wanting to waste much time or spend gobs of money on tests that might not be really necessary and spend it elsewhere i.e. (Angiokeratoma) . Anyways, long story short, I went yet to one more lab specialist that I've never been to before (ridiculous I know) and he kept saying that there are not such thing as chlamydia or gonorrhea urinal-based tests (only blood samples) or swabs taken directly from the penile discharge (which I don't have). I left him and went back to the other lab and asked for the tests (after another long discussion) they said all I had to do is provide urinal sample and then it will be analyzed for any bacterial activity or abnormalities (overall urine check), this one was much cheaper than I thought, the results did not show any abnormalities as per a phone call I made with the lab.
It was a crazy night and funny evening I had been through (you could make a comedy show out of it) because I told myself why not visiting an otolaryngologist as well since I have been noticing weird substance rarely coming out of my throat, thinking it might be related to a serious disease or STD related case. I told the receptionist from the very beginning that I believe I'm all okay and I just need to be assured, if things appear to be okay, I, kindly would like to get my money back, she said it's all fine. I got into the clinic, the otolaryngologist was frowny and unpleasant with bad attitude, he just checked my throat and desperately wanted to diagnose me with anything possible (trivial things). Right after that, he began ranting that I can never have my money back. I left him, without saying a word, and asked the receptionist to hand me back my money (32 USD).
Oh yeah, and I got my first dose of hep B vaccination.
Hep A and HPV vaccinations were not available.
I did all this in a very short period of time.
Well, I'm glad that everything turned out negative in the end, and that you have peace of mind.

Oral STDs most often have no symptoms, so whatever is giving you the weird substance isn't an STD. If the doctor said allergies or sinuses or something, I'd bet that's true.

I hope you can rest easier now. :)
Thanks a million times. It's frustrating no STD clinics do exist AT ALL in my region, thus I resort to dermatology clinics and labs. Sex outside of marriage is against the norms here (behind the scenes is something else though). It's funny I got asked why I required for HPV vaccine that is mostly given to women here to prevent possible cancer from developing, or is given to sexually active people. I kept blabbing about my repetitive visits to dental clinics, barbershops, etc. The same with Hep A, telling me only people who intend to go abroad to places where such virus is common may take the vaccine, again I came up with my own excuses that sounded logical to them. Hep A vaccine is not available and if it supposedly was, its effect won't last for more than a year anyways, and if someone gets infected it is not serious and the body will get rid of it. HPV vaccine is not available as I mentioned (some say it never was available). I wonder can someone who already had HPV develop immunity against it.
Hep A is mostly transmitted by contaminated foods, not sexual activity, so at least there's that.

It's not at all true that the vaccine is only good for a year - if you get the series (2 shots, given over 6 months), it lasts about 20 years.

I don't know if Hep A is common where you live - you can google Hep A incidence and your country and if you live in a place where they are transparent with info, you should be able to find it.

There are dozens of different strains of HPV that affect the genital area. If you get one, you usually won't get that one again, but you can get another one. The HPV vaccine protects against the 9 most common strains.

I'm sorry you live in a place where you can't be honest about yourself, and where you can't get better healthcare.
@auntiejessi, people such as yourself is the reason why I still have hope in humanity and life.
Aww ty - that's very sweet. :)
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