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DrRussMD
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 63840
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
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Hi i am currently working in Bahrain and the other night had

Resolved Question:

Hi i am currently working in Bahrain and the other night had one too many drinks and ended up going with a Chinese sex worker. I wore a condom for all penetration but not for oral sex both ways or skin contact ie her straddling me and rubbing herself up against me what is the likelihood of catching an std in this instance?
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 years ago.

Dr. David :

This is Dr. David

Dr. David :

unprotected oral sex with an HIV positive woman has a 0.5 to 1 in 10,000 risks for HIV spread.

Dr. David :

you can read it here

Dr. David :

http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5402a1.htm#tab1

Dr. David :

rubbing on skin is not a risk for HIV

Customer: I know I'm ok for HIV it's other stds I'm referring to?
Dr. David :

the more sex partners you have, the more you increase your risks for contraction of herpes and HPV virus.

Dr. David :

if you wore a condom, risks for contracting gonorrhea, chlamydia and syphillis is small.

Dr. David :

oral spread of these is small if she did not show active oral infection or lesions from gonorrhea, chlamydia or syphillis.

Customer: I'm looking for the risks in the one case I asked about? Not HIV but other stds?
Dr. David :

did you see my replies above?

Customer: Yes just seen them so really I shouldn't have need to worry as I didn't see anything untoward although it was dark
Dr. David :

you don't have to worry.

Dr. David :

you can always go to a sex clinic and get blood testing

Dr. David :

if you develop penile discharge, you should get that tested.

Dr. David :

but since you wore a condom, it should be fine.

Customer: What about the skin to skin contact of private parts anything to worry about
Dr. David :

this increases risks for herpes and HPV virus spread

Dr. David :

and with more sex partners you have, the risk for these viral spreads increase.

Dr. David :

and condoms do not protect for herpes or HPV virus.

Dr. David :

let me know if you have other questions.

if done for now, please leave positive rating below the chat box so I can get credit for helping you today

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Expert:  DrRussMD replied 2 years ago.

Hello

 

I am Doctor Thomas, double board certified US doctor in internal medicine and integrative medicine. I am a clinician [hands on with patients] of over 20 years experience. I will start by asking you a question or by giving you an answer based on your information provided so far. I will be here to follow up with any further questions or concerns you might have.

 

In fact condoms do reduce the spread of HPV and herpes.

 

If one practices safe sex and avoids herpes outbreaks, and the partner is on acyclovir, this is a lower risk per year of getting herpes than if condoms are not used, even with the other measures.

 

HPV will have the spread prevented as long as the condom covers the lesion, and if there is no viral spread to the hands, etc.

 

Both herpes blisters and warts on other parts of the body, not covered by a condom, can be spread.

 

All STDs can be spread orally, even though the risk is lower.

 

IN your situation, the botXXXXX XXXXXne is that you need the gold standard of HIV testing [3 months and 6 months elisa] as any active adult should have.

 

You should also be specifically tested for gonorrhea and chlamydia. HPV or HSV are tested off the lesions if they form, or in the case of HSV, you can wait 6 weeks or so and have a serum test.

 

Use reply to let me know if you have further questions [click reply to expert].

Please do not forget a positive rating [hopefully you will click an excellent; or come back to ask me more as needed].

DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 63840
Experience: Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
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