STD Risks After Sexual Encounters: Key Questions Answered

Concerns about sexually transmitted infections (STIs)?

Hello, doctor.
Recently, I have engaged the services of foreign sex workers, which included: French kissing, unprotected oral sex, and protected vaginal intercourse.
I have a line on both sides of my mouth (which I have had since childhood) that has no sensation; I'm not sure if it is a wound, as I cannot feel anything when I touch it, but I can feel the raised area.

1.
What is the risk of contracting a sexually transmitted infection (STI) in this situation?
2.
If I do contract an STI, is there a way to completely cure it?
3.
What is the likelihood of contracting HIV in this scenario?
4.
If I am concerned about STIs, how often should I get tested? Is every three months sufficient, and for how long should I continue this testing?
Thank you, doctor.

Lin, 20~29 year old female. Ask Date: 2023/09/03

Dr. Chen Jiansheng reply Urology

Please seek medical attention.

Reply Date: 2023/09/03

More Info

When it comes to understanding the risks of sexually transmitted diseases (STDs), including HIV, after engaging with sex workers, it's essential to evaluate the specific circumstances of the encounter and the nature of the activities involved. Here’s a detailed analysis based on your questions:
1. Risk of Infection: The risk of contracting STDs, including HIV, depends on several factors, including the type of sexual activity, the presence of any cuts or sores, and the health status of both partners. In your case, you mentioned engaging in kissing, unprotected oral sex, and protected vaginal intercourse. Unprotected oral sex carries a risk for STDs, particularly if there are any cuts or sores in the mouth, as these can serve as entry points for pathogens. The line you described in your mouth, if it is indeed a sore or lesion, could potentially increase your risk. However, if it is a benign condition that has been present for a long time without any symptoms, the risk may be lower.
2. Cure for STDs: Many STDs can be treated and cured, particularly bacterial infections such as chlamydia and gonorrhea. Viral infections like HIV and herpes are manageable but not curable. Antiretroviral therapy (ART) can effectively manage HIV, allowing individuals to live long, healthy lives. Regular medical check-ups and following treatment protocols are crucial for managing these conditions.

3. Risk of HIV: The risk of contracting HIV from oral sex is generally lower than from vaginal or anal intercourse, especially if no bodily fluids are exchanged. However, the presence of any oral lesions or bleeding gums can increase this risk. The overall risk is still considered low, but it is not zero. If the sex worker is HIV-positive, the risk could be higher, particularly if there was any exchange of bodily fluids.

4. Testing Frequency: For individuals who are at risk of STDs, it is recommended to get tested regularly. The CDC suggests testing for HIV at least once a year for sexually active individuals, but every three months may be advisable for those with higher risk factors, such as multiple partners or unprotected sex. If you have concerns about potential exposure, it is wise to consult a healthcare provider about the appropriate testing schedule and which tests to take.

In summary, while the risk of contracting STDs, including HIV, exists, it is essential to consider the specifics of your encounter. If you are concerned about potential exposure, getting tested is the best course of action. Regular screenings and open communication with healthcare providers can help manage your sexual health effectively. Always practice safe sex by using condoms and being aware of your partner's health status to minimize risks in the future.

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