But what do you mean by your not second guessing the Dr?
No, what you just said...and also in your opinion, why does he mean by herpes test is not recommended in this setting? Thanks
What does what mean? What Dr.HHH said?
What does that mean Vance??
I am not going to second guess a Dr.
Hey Vance, is this accurate??
by Forum-M.D.-HHH
, Jul 29, 2009Welcome to the STD forum.
There are two parts to judging how likely it is you acquired an STD in this situation: 1) What is the likelihood your partner was infected, and with which infections? 2) If she had something, what is the chance you caught it.
Let's deal with the second question first. If she had gonorrhea or chlamydia, there's probably a 50-50 chance you caught it. If she had herpes or HIV, it's probably 1 in 1,000. Syphilis is somewhere in between, although good estimates don't exist.
So what are the chances she had any of these things? Probably pretty low, despite her sexual history. Chlamydia is primarily an STD of youth -- quite uncommon beyond age 25. Gonorrhea is somewhat the same; although the age range is a bit older than for chlamydia, gonorrhea is a rare STD these days in most sexually active populatoins. (However, if your partner is African American or from an urban inner-city environment, the risk is quite a bit higher.) Herpes is pretty common -- around 20% of all sexually active adults are infected -- but it is only intermittently transmissible. Syphilis is extremely rare in most heterosexual men and women in the US.
The main other STD of potential concern is genital human papillomavirus (HPV). However, almost everybody has that from time to time and usually it remains asymptomatic, and there is no test for it anyway. It's really not an issue and not much can be done anyway.
For these reasons, the large majority of men in your situation don't get infected. However, the risk isn't zero.
What to do now? If you develop none of the common STD symptoms within 1-2 weeks (discharge of pus or mucus from the penis, painful urination, penile blisters or other sores), you can be pretty certain you are home free. But if you want more definite proof, you can see a health care provider for testing. Gonorrhea and chlamydia testing can be done on a simple urine test, which is valid within a few days of exposure. Blood tests for syphilis and HIV can be done after about 6 weeks. Herpes testing usually isn't recommended in this setting.
Finally, I probably don't need to say what you have been telling yourself: If you find yourself in similar circumstances again, use a condom!
Best wishes-- HHH, MD
Lets say I contracted gonerrhea, chlamydia,or syphilis... Are they all curable with antibiotics? I know herpes is for life...
No STD is on top, it's a risk for all STD's based on the condom break.
Testing times: Gonorrhea and chlaymida-1 week
syphilis-6 weeks
herpes and HIV-3 months