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Unprotected Oral Sex

I have read previous posts but was looking for a consult just for me. I had unprotected oral sex with a sex worker at a massage parlor. Worst mistake of my life. I was on alprazolam coming back from a trip (I have a fear of flying) due to turbulence I had taken 2 pills of .5mg and it took my anxiety completely away. Driving home I passed a shady massage parlor that I had always resisted before for all of the right reasons, but that day it seemed like I had no compunctions or inhibitions like normal. I went in and had a massage and unprotected oral sex. Did not have any anxiety for the rest of the evening and went to sleep. Woke up next day terrified of what I had done. This was 4 days ago now and I am still terrified and mortified at what I have done. My wife returns from a trip in 3 days and I am worried about STD's and Anxiety and how to deal with this.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the STD forum.

If you have indeed read other discussions, you know the answers.  And although we always respond to users' specific questions, the replies are automatic and standard.  Here they are once again.

Oral sex is safe sex; not zero risk, but single episodes of oral sex rarely result in any STD and we don't recommend STD testing for persons with exposures like you describe.  The only STDs to which you were susceptible, with any measurable level of risk, are gonorrhea, herpes from HSV-1, and nongonococcal urethritis (NGU) not due to chlamydia.  You need not worry at all about HIV, syphilis, hepatitis, HPV, HSV-2, trichononas, or chlamydia.

If you develop no symptoms in the next 1-2 weeks (penile blisters/sores, urethral discharge), it will reliably indicate you weren't infected. If you want even greater reassurance, you can visit your personal health care provider or your local health department STD clinic for examination and testing.  Urine testing for gonorrhea can be done accurately at any time.  There is no reliable test for asymptomatic NGU, but NGU acquired by oral sex probably is harmless, without known serious health outcomes for either infected men or their sex partners.  Blood tests for other STDs have no meaning until 6-12 weeks after exposure.

If I were in your situation, knowing what I know, I would not get tested and would continue unprotected sex with my wife.  And trust me, I would not take risks for her health.  The chance of infection is low enough that it wouldn't worry me.

Regards--  HHH, MD
Helpful - 3
239123 tn?1267647614
MEDICAL PROFESSIONAL
Stop examining yourself.  If you caught anything you would have obviously abnormal discharge of pus or mucus from your penis, or very obvious blister-like lesion or open sores of the penis.  The symptoms will not be subtle.

That's definitely all for this thread.  I will delete any additional comments without reply.
Helpful - 1
239123 tn?1267647614
MEDICAL PROFESSIONAL
Read my original reply.  I haven't changed my mind and I'm not going to repeat myself.  Please try to accept the reassurance you have had and move on.  Of course you can always visit a clinic for STD testing if it will make you feel better.

That will be all for this thread.  
Helpful - 1
Avatar universal
Doctor,

Can you elaborate on what I should be looking for. I have no experience in this and feel i am over examining myself. Would the signs be obvious and explicit. Every time I perceive a blemish on my penis I have great anxiety. Thank you.
Helpful - 0
Avatar universal
Doctor,

Can you please provide some more reassurance? No symptoms that you have described have appeared. Am I out of the woods. Terrified to bring something like this to my wife.
Helpful - 0
Avatar universal
"And trust me, I would not take risks for her health"

That is exactly what I needed to hear. Thank you.
Helpful - 0

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