First Sexual Experience: Concerns About STDs and Safety Measures - Urology

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The first time having intercourse, there is a fear of contracting an infection?


Hello Doctor, I arranged to meet a girl online.
This was my first sexual experience, and the girl is not a sex worker.
We both took a shower beforehand, and during the process, I inserted my fingers into her vagina and licked her nipples, but there was no oral sex.
We used a condom throughout the entire experience, and afterward, I rinsed my genital area twice.
The next day, I regretted it deeply and am worried about involving my family, so I would like to ask the doctor:
1.
Can I wash and share my intimate clothing and used utensils (chopsticks, cups) with my family? This part is indeed concerning.
2.
Is there a risk of contracting any sexually transmitted infections (STIs) from the entire experience?
3.
If I were to contract an STI, can I still receive the HPV nine-valent vaccine? Thank you, Doctor.

Xiao Li, 20~29 year old female. Ask Date: 2023/10/09

Dr. Du Shixi reply Urology


Hello: There is a possibility of infection with any contact with bodily fluids, although the risk varies.
Regarding your concerns: 1.
Is it safe to wash and share intimate clothing and used utensils (chopsticks, cups) with family members? As long as proper cleaning is done, it should not pose a problem.
2.
Is there a risk of disease transmission throughout the process? Yes, any contact with bodily fluids carries a risk of infection.
3.
If someone contracts a sexually transmitted infection, can they still receive the HPV nine-valent vaccine? Yes, they can, but the physician will assess the situation before administering the vaccine.

Reply Date: 2023/10/09

More Info


It's completely understandable to have concerns about STDs and safety measures, especially when engaging in sexual activity for the first time. Let's address your questions one by one, while also providing some additional context and information regarding sexual health.

1. Sharing Personal Items: Regarding your concern about sharing personal items like underwear and utensils with family members, it's important to note that STDs are primarily transmitted through sexual contact, bodily fluids, and skin-to-skin contact. The risk of transmitting STDs through shared items such as clothing or eating utensils is extremely low. However, it’s always a good practice to maintain personal hygiene and avoid sharing items that come into direct contact with bodily fluids.

2. Risk of STD Transmission: Since you mentioned that both you and your partner used a condom throughout the sexual activity, this significantly reduces the risk of transmitting STDs, including HIV. Condoms are highly effective in preventing the exchange of bodily fluids, which is the primary mode of transmission for most sexually transmitted infections (STIs). However, it's important to remember that while condoms greatly reduce risk, they do not eliminate it entirely. If there was any breakage or slippage of the condom during intercourse, that could increase the risk. Given that you did not engage in oral sex and used a condom correctly, the likelihood of contracting an STD is relatively low.

3. HPV Vaccination After Potential Exposure: The HPV vaccine is designed to protect against certain strains of the human papillomavirus that can lead to cervical cancer and other health issues. If you were to contract an STD, it would not affect your ability to receive the HPV vaccine. In fact, it's recommended that individuals, especially those who are sexually active, get vaccinated against HPV if they haven't already. The vaccine is most effective when given before the onset of sexual activity, but it can still provide benefits even after exposure to the virus.


Additional Considerations:
- Testing: If you have concerns about potential exposure to STDs, it is advisable to get tested. Many STDs can be asymptomatic, meaning you might not show any symptoms even if you are infected. Testing is the only way to know for sure. It's generally recommended to wait about 2-3 weeks after potential exposure for accurate results, but some tests may require longer.

- Communication with Partners: Open communication with sexual partners about sexual health, history, and testing is crucial. This can help reduce anxiety and ensure that both partners are informed about potential risks.

- Education on Safe Practices: Educating yourself about safe sex practices, including the proper use of condoms and understanding the risks associated with various sexual activities, can empower you to make informed decisions in the future.

- Mental Health: It's common to feel anxious or regretful after a first sexual experience, especially if it was unplanned or if you have concerns about health risks. Consider talking to a trusted friend or a mental health professional if these feelings persist.

In conclusion, while your concerns are valid, the measures you took (using a condom and practicing hygiene) significantly reduce the risk of STD transmission. Remember to prioritize your health by getting tested and considering vaccination for HPV if you haven't done so already. If you have any further questions or concerns, don't hesitate to reach out to a healthcare provider for personalized advice.

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