Dr. Jyotisterna Mittal
Dermatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Dear doctor,
I am a 19 years old male and I am quite anxious at the moment. I had protected sex with a condom in the past 12 hours with a female whom I met for the first time and she was never tested for STDs. There was no breakage of condom but we had oral sex and for oral sex, condom was not used. Also, I am worried because I had sex after I recently shaved my genital area. Should I go to the pharmacy to take the PEP (post-exposure prophylaxis)? And when would be the fastest time to get tested? Also, is there a high chance of contracting the HIV in my case? Thank you.
Hi,
Welcome to icliniq.com.
I understand your concern.
There is no risk of HIV (human immunodeficiency virus) in your case. There is also no need of PEP. Receiving oral sex does not cause HIV in normal circumstances. The genital contact was protected so you are safe.
I hope this clarifies your doubt.
Regards.
Patient's Query
Hi doctor,
Thank you for your reply.
I was wondering whether I have a high chance of contracting other STDs such as HPV, herpes, chlamydia, gonorrhea, and syphilis. I heard HPV is very easily transmitted, and can be transmitted even with a condom worn. Thus, I was wondering whether I have a high chance of having it, and its impact on my health. Furthermore, If I should be worried of any other STD when would be the appropriate time to get tested? And are they detrimental to my health, and lifestyle and incurable like HIV?
Thank you very much.
Hi,
Welcome back to icliniq.com.
Yes HPV, herpes, syphilis may be transmitted even with condom. Gnorrhea, clamydia can be gotten from oral contact. If you do not have any symptom, like any lesion over genital area, there is no need of testing. Syphilis, gonorrhoea is dangerous but curable. Mostly testing is done if there are any lesions or symptoms. However, if you want, you can go for VDRL (venereal disease research laboratory) test for syphilis, HSV (herpes simplex virus) 1 and 2 to rule them out. You can test after six weeks of exposure. Regards.
Patient's Query
Hi doctor,
Thank you for the reply.
As for the lesion, I had a very small abrasion on the base shaft of my penis due to shaving my penis the night before. It is quite small that it is hardly visible when looked at. When wearing a condom, I think the part was covered, but it got exposed as it was at the very base of the penis. Yet, should I still be worried of the exposure? That is, is there a high risk and should I get tested in six weeks?
Thank you.
Hi,
Welcome back to icliniq.com.
If you think there was an erosion on the base and it could not have been protected, you can go for HIV, VDRL HSV 1 and 2 testing after six weeks from exposure. Though the rest is very less, it is just to be on the safer side. As far as other STDs are concerned, it can be treated if any sign or symptom appears. Regards.
Patient's Query
Hi doctor,
Thank you for the reply.
To finally confirm, despite the erosion on the skin, the likelihood of HIV infection is minuscule for me to start taking the PEP? For herpes, I should wait until I get the symptoms as it is unlikely to get infected in my case and get tested later? And finally, to be on the safe side, get tested after six weeks for other STDs? I am just very worried about the HIV infection. Thank you very much.
Hi,
Welcome back to icliniq.com.
Chances of getting STDs with the exposure you describe is negligible, but for being sure, you should get HIV RTPCR (reverse transcription polymerase chain reaction) after two weeks and 4th generation ELISA (enzyme-linked immunosorbent assay) after six weeks. For other possible STDs like herpes, molloscum, gonorrhoea, you can wait till the appearance of symptoms as they are treatable. Regards.
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Dermatology
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