Infected fluids on penis wound

[worriedforfamily]

Greetings Doctor(s)

I am 28 and a married man from India.  I have had sex with and kissed only one woman (my wife) my whole life.  My wife and I are planning a pregnancy.

However I made a really bad and stupid mistake last Thursday. (4days ago).  NO PENETRATION and NO UNPROTECTED SEX.

After a drunken night with friends I went to the red light district JB road cheap brothels.  I hired a CSW for really cheap and received protected oral from her.  I also fingered her.
My worry emanates from the fact that a few hours before this encounter I have had a big round and deep wound on my mid penis shaft while trimming my pubic hair.  The wound was fresh, around 5mm diameter and had bled as it the trimmer had taken out layers of my skin on my penis shaft.  

After fingering her, I used the same fingers to masturbate my wounded penis.  She also masturbated herself and then used same fingers with her infectious vaginal fluids to masturbate my bare penis. So her vaginal secretions went into the wound I had.  Also she had cold sores(oral herpes) on her lips.  I put my fingers in her mouth once and then masturbated my bare penis.  So her infected saliva also got in the fresh open wound on my shaft.  She licked/kissed my bare torso also a bit but did not touch her mouth with my bare penis at all.  She only did protected oral with her mouth touching no part other than the condom.  

Now you see since her infected fluids got in contact with me directly in the quite fresh wound I had on my penis, I am really worried about Genital Herpes (HSV-1 or HSV-2), Hepatitis B or C, HIV and any other STDs that exist.  I have not touched my wife since that day.

I really regret everything.  I know nothing of STDs. I am on the verge of breaking down with worries.  

Please advise me.  I want to know when I can have unprotected sex with my wife without any fear of infecting her ever.  We want to have children and set up a family. Please help.

[H. Hunter Handsfield, M.D.]

Welcome to the forum.  Thanks for your question.

My initial reply comes after reading only the first few lines.  Based on the infomration there, I'm sure you have nothing to worry about!  You wrote, with empahsis and an internet "shout" (all caps) "NO PENETRATION and NO UNPROTECTED SEX."  That means there was no significant risk of any STD.

Now I have read the rest of your question.  Guess what?  You are not at measurable risk for any STD.  Oral sex is safe sex -- not completely risk free, but with far lower STD risks than unprotected vaginal sex.  Let's take them one STD at a time:

HSV-2:  Never any risk from oral to genital exposure.  HSV-2 is rarely if ever transmitted this way.

HSV-1:  Potential risk but low, if your partner wasn't in the midst of an overt oral herpes outbreak.

HIV:  Rarely if ever transmitted by oral sex.

Hepatitis B and C:  Rarely if ever transmitted by oral sex.

Gonorrhea (which you didn't mention):  Possible risk by oral to penile transmission, but if you caught gonorrhea, almost certainly you would have had obvious symptoms (pus dripping from your penis) within a few days after the event.

Chlamydia (the most common STD, also not mentioned):  Rarely if ever transmitted by oral to penile sex.

Syphilis:   Conceivable risk, but most cases these days (in the US) are among gay men.

The penile open sore:  Not likely to increase the risk of infection.

If within a week of the event you have not had symptoms (pus or mucus from the penis, sores on the penis) you can safely assume you were not infected with anything and can have unprotected sex with your wife.  If you want extra reassurance, you could visit a doctor or your local public health STD clinic for examination and testing.  If you do, you can expect negative results.  You had safe sex with little or no risk of infection.

I hope this has been helpful.  Best wishes--  HHH, MD

[worriedforfamily]

Hi doctor.

I wish to point out that the Oral Sex was Protected with condom fully.  NO lips/mouth contact with uncovered part or penile sore.  Does this not make it zero risk?  I read condom protected oral sex is no risk on the forum.  I guess you told me about unprotected oral perhaps.  Sorry if I got it wrong here doctor.

I was worried only about the genital secretions and saliva coming momentarily in direct contact with the open penile sore during the handjob.  This is my main and only worry in this whole situation.

In light of these info should I be concerned and look out for symptoms or can I return to normal life of unprotected sex with my wife now?

[worriedforfamily]

I must add that she did have oral sores.  But the Oral sex was condom Protected and her mouth was not in contact with any uncovered part.  I am worried about the CSW's genital secretions or saliva (she had cold sores) getting on my open penile sore in mutual masturbation.

Perhaps I wrongly wrote it up there in my initial question.  I apologise sincerely for it.

In light of these info should I be concerned and look out for symptoms or can I return to normal life of unprotected sex with my wife now itself?

thank you in advance.

[worriedforfamily]

I am really sorry for this problem with my English.  I speak Hindi only.  I really hope you note that the oral sex was condom protected and even the penile sore was covered with condom during the protected oral sex.  However as I said the girl had cold sores.  I am also worried about the CSW's genital secretions or saliva (she had cold sores) getting on my open penile sore in mutual masturbation.  

Is there a risk from the condom protected oral sex and/or the transfer of her genital secretions/saliva to my open penile sore during the fingering and masturbation of bare penis?  Or can I move on and have unprotected sex with my wife now?

I see your answer is more for Unprotected oral sex above.  Please tell me about the protected oral sex and the secondary touching of genital secretions and saliva directly to the open penile sore I had.

Sorry for being so long.  I just hope things are clearer now.

Thank you in advance for your time.

[H. Hunter Handsfield, M.D.]

Condoms work.  If the condom remained visibly intact, then the oral exposure carried no risk -- regardless of her oral sores, and regardless of what caused them.  You were at no risk for any STD, including HIV, from the events described and do not need testing.  But as I said above, you are free to do that if my reassurance doesn't settle your fears and you need the additional assurance of negative STD/HIV testing.

That will end this thread.  There is no additional information you can provide that would change my opinion or advice, so please don't ask; I won't have any reply.  Best wishes to you.

[worriedforfamily]

Thank You Doctor.

The condom did not break.  I filled it with water and checked it.  Your reassurance is enough. I will not lose my time or money over testing.

I will continue my intimate life with my wife normally as from today since I was at no risk of any STDs as you said.

Thank you for allowing me to move on.

Namaste

[H. Hunter Handsfield, M.D.]

Thanks for the thanks.  I'm glad to have helped.