Ports o' call

[docp87]

*I had to severely truncate my question due to character limit* (Peruvian CSW) I put the condom on, and we went at it for a while. I withdrew, and freaked out because I thought the condom had broken. It didn't; it just stretched and the tip of the condom was drooping, leaving my penis in the middle of the shaft of the condom. I found a white milkiness at the base of the condom (it was all scrunched up at the base from having been stretched) and in the tip; actually all throughout. I figured it was the lubricant from the condom mixed with friction and perhaps my pre-ejaculatory fluid (if I had any, I don't recall). I pulled the condom back down, and I went back in. We went at it, then I pulled out to check on the condom again. She thought I came because of the white milkiness in the droopy, streched-out tip. The tip was not distended or anything from any sort of fluid...it was sucked flat as if there were no air in the tip at all. Then I went back in. This time, the condom rode up my shaft a little bit from the base, having been dragged up my shaft by her tightness. The condom emerged and the base of it ended on the middle of my penis shaft. No vaginal exposure to my meatus, I believe. I checked the condom repeatedly; no visual on any breakage.Then finally, I pulled out, looked at it one last time for breakage, and pulled it off. My shaft was slimy and gooey. My worry here is that there was a break or tear that I did not see near the base, but I doubt it. So, Doc, what's the happs? Any real risk here (including for HIV)?

[docp87]

Dr. Hook,

How does having other STDs make HIV transmission more likely (other than the obvious open lesions, etc.)?

[Edward W Hook, MD]

Glad to help.  EWH

[docp87]

Thanks Doc,

I guess I was just freaked out at the thought of the condom having been somehow compromised because of the stretching and not noticing it.

[Edward W Hook, MD]

Welcome to the STD Prevention Forum. the bottom line is that condoms are highly effective for prevention of STDs, including HIV.  Although condoms may slip during use, as long as they do not slip off they are protective. Thus a condom that slips part way down the shaft of the penis is protective.  

Following intercourse with a condom, there may be mucoid (medical term for gooey) secretions on the shaft of the penis from within the condom.  This material is typically a combination of the lubricant from the condom itself and perhaps a small amount of pre ejaculatory secretions.  it is not something to worry about.  you do not need testing for the exposures you describe.

Hope these comments are helpful.  EWH