MSM anal. Condom broke. Std risks?

[rogers2barton]

So I had protected anal sex with another man of unknown status last night up until the condom ruptured. After I felt it break, I pulled out immediately. I was exposed for about 2 to 3 seconds. What's my for risk STDs? Would this warrant testing? Any thoughts are appreciated.

[Edward W Hook, MD]

Let's stop the numbers games. The statistical risk for HIV If your partner had HIV (unknown and unlikely) is, on average about  1 in  200 (0.5%) and likely lower than that because your exposure was brief.  The risk for other STDs is likewise low.  Low is low.  I would not worry but continue to think testing is a reasonable approach.  EWH

[rogers2barton]

Sorry to be a bother again but you said less than 1 percent, isn't it essentially zero? I'm messing with own head. Still afraid I got infected with something even with what you said. My paranoia and anxiety can't  help it. I need my mind at ease. Should I really be worried?

[rogers2barton]

Thanks Doctor Hook.

[Edward W Hook, MD]

The overall chance of any infection is low, less than 1%.  That said, testing is reasonable  if you are at all concerned.   EWH

[rogers2barton]

Was any type of infection likely?

[Edward W Hook, MD]

Sorry, I thought you were the bottom.  There is still some risk and testing is probably worthwhile  but, the tests should be tests from your urethra.  This could be either a swab specimen taken from your penis os a urine specimen collected just as you start to void.  EWH

[rogers2barton]

You say to test for rectal specimens. I was the top. Is there a difference? It was a very brief exposure.

[rogers2barton]

I was top. I mentioned I pulled out.

[Edward W Hook, MD]

Welcome to the Forum.  While the brief duration of exposure you mention makes infection unlikely. You were exposed to a partner of unknown status.  The infections that you are most at risk for are gonorrhea and chlamydia.  You can reliability test for test infections with specimens taken from your rectum with a swab at any time more than 3 days after the event.  the risk for syphilis is lower and can be tested for with a blood test about a month after the exposure.  As for herpes, herpes becomes apparent with clinical lesions between four and 14 days after exposure.  if you do not develop lesions by 14 days, I would not worry about herpes.

I hope these comments are helpful. EWH