Peace of Mind

[Spaz1001]

Recently had unprotected oral sex (recipient) from an African American woman.  It lasted just a few minutes.  We've known each other for a few months, and I received oral sex from her 6 months ago.  After that, everything was fine.  As you can tell from earlier posts, been tested extensively since.  No issues.

After this time, she and I spoke about our respective  histories. She explained she was clean never had any STD issues.  She had a urinary tract infection about 8 years ago (so she says) and that was it.  She had no visible bumps, chancres or blisters in her mouth.  I asked her to check.  To the extent this is relevant, she's a mother of 2 and is seemingly quite responsible.  She said she had just one sexual partner for the last 7 years and they recently broke up.  She said

Should I be tested for syphilis, chlamydia or gonorrhea?  Last time I was with her, I worried before and it turned out fine.  I'm am prone to ruminating.    

Thoughts?  

[Edward W Hook, MD]

If I were you, I would be confident at this time. EWh

[Spaz1001]

One follow up, it's now 4 days past the experience.  I haven't noticed anything reasonably out of the ordinary.  I do notice I'm paying a heck of a lot more attention to everything that goes on down there.  I'm urinating fine with no discomfort.  Though I am urinating more, but I am intentionally drinking lots of fluids to continue to monitor myself and I'm clearly nervous.  No discharges.  

Let's assume this trend of no discomfort while urninating continues, how long before I can be confident I'm likely to be okay (even though I am likely to be okay).

Also, the woman explained she was tested in August for STDs.  I have no reason to doubt her veracity, however, I'm a skeptic.  

[Edward W Hook, MD]

Welcome to the Forum. You know your partner, have had a sincere discussion of personal histories and risks and following exposure to her in the past have undergone extensive testing which served to verify that you did not get an ST of any sort.  So your question can be rephrased as "What is the likelihood that your partner has acquired and STD in the interval since you were last with her".  My sense from your post is that the likelihood is low but of course you must be the one that makes the decision that will guide your decisions about testing.

If you have any doubts, you can go and get tested.  Among the bacterial STDs only gonorrhea and nongonococcal urethritis (NGU) are transmitted through oral sex; chlamydia is not and without an obvious sore or lesion on your partner’s mouth, the chances of syphilis and herpes is likewise tiny.   If you had gotten gonorrhea or NGU you would have most likely developed symptoms of urethritis (penile infection).  Even if your partner had an STD (any STD and it is likely she did not), most exposures do not lead to infection.

I hope this comment is helpful. I certainly would not worry.  EWH