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STD risk from Protected Sex with Call Girl?

Hi Doctor,

Several days ago I had protected intercourse with a call girl in Miami. Any kissing was closed mouth.  She put on a condom to provide a blow job. Then removed it and used lube to jerk me off for a short time. Then put on a new condom and added lube to herself prior to the intercourse which last a minute or so.

I removed the condom in the bathroom and put on shorts. She left within about 2 minutes from that point and I took a shower and washed my penis and pubic area very thourally.

I did notice some of her vaginal fluid at the very base of my penis but condom was used entire time.

I am freaking out about my risk and so upset with myself I can't sleep. I went to my general practitioner and told her everything. It had only been a couple days but she told me to pee in a cup and she would test for clymadia and gonorrhea. But she would not prescribe me any preventative anti biotics.

I was drunk and never did anything like that before. I am freaking I could pass something to my parter without her knowing. I dont need to list all the normal Stds but they all have me panicking right now..
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207091 tn?1337709493
COMMUNITY LEADER
First thing - guilt doesn't equal risk.

You aren't at risk for gonorrhea, chlamydia, NGU, HIV, hep B - you had condom protected everything. There's no way you could have gotten those.

There is a slight risk for syphilis, herpes type 1 and 2 genitally, and HPV, but condoms significantly reduce the risk. These are transmitted by direct skin to skin contact and the condom doesn't cover all the skin. You can test for syphilis at 6 weeks, get a type specific IgG herpes blood test at 4 months if you insist on testing, and there is no HPV test for men.

A note on herpes testing - if you get no symptoms, really, really think about testing. There are a lot of false positives with herpes tests, and if this happens to you, it could send you down an anxiety and guilt spiral that could take months to get out of while you get confirmation tests. Your chances of getting herpes from a one-time protected encounter are about 1 in 10,000. If you get any sores, get seen by your provider as soon as possible and get a type specific culture or PCR swab.

Her vaginal fluid at the base of your penis means absolutely nothing.
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6 Comments
How long until I should see any symptoms if I am going to at all. How concerned should I be with passing anything I have a slight chnace of getting to my partner?

I am really torn between telling her or burying it cause this is never ******* happening to me again.  I can promise that.
Again - the chances of you getting anything are really, really low. Keep that in mind.

If you got syphilis, you'll see a sore between 3 weeks - 90 days, with the average of 21 days.

If you got herpes, you'll see blisters or paper-cut like sores anywhere between 2-20 days, with the average of 4 days.

Don't tell her. The risk of you having anything is really low, or I might advise differently. Telling her relieves your guilt and puts all the pain on her. If you need to tell someone, get a therapist and tell them. The only exception would be is if this isn't your first time and if this is a pattern, and she needs to be tested from past activities of yours.

And a note - this didn't "happen to you". You chose this behavior and actively participated. I'm not shaming you - just stating facts here. If you're going to deal with this, you need to do so honestly.
Fair enough. It didnt "happen" to me. But no its not a pattern and it will never happen again.
Okay, then I don't see any need to tell her, and don't see any reason to worry. You can test for syphilis and herpes if it calms your nerves, but those are the only things you have any risk for, and the risk is very low.

Hang in there. You'll get through this.
Thanks much for help. One other thing wanted to ask about. Feels like there is slight tingle in my penis, off and on since yesterday. Kinda like when your arm fallas asleep but not near as intense. I dunno if my senses are just heightened because of all the anxiety or if that's something I should be worried about?
That's not really a symptom of an STD. Do you still have it? I'd go with anxiety and a hyper-awareness.
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