Hi,

Like most users, I am seeking some clarification on my situation and some guidance on what to do as a next step.

I am a 25 y/o male with no history of STD's.

On the 20th Jan 2011, I made a big mistake by giving unprotected oral sex to another male who I had never met and didn't know their sexual history.

He ejaculated in to my mouth, which I spat out. I then used mouthwash approx 10 minutes later.

The following day I asked whether they had been tested and they told me that they had and that they were all clean.

Please can you let me know which tests I should have done and the earliest I can have these.

Many thanks in advance.

[Dr Jose]

Hello,
Thank you so much for your post and welcome to our forum.
By having performed oral sex with ejaculation in the mouth, you have put yourself at risk mainly of throat Chlamydia and/or Gonorrhoea, as well as a possible risk of syphilis. Other that that, there is a possibility of herpes if the other guy had genital herpes, and from the poitn of view of HIV infection, the risk is extremely low, practically zero and it is more theoretical then real.
In summary, I believe that initially you ought to be tested for Chlamydia and Gonorrhea with a throat swab and you can do this anytime after one week of the encounter. Other that that, you coudl always have a blood test for syphilis after 4 weeks. At the same time, you coudl alwso have a HIV Duo test, mainly just for your peace of mind as I would not consider that you had really put yourself at risk.
Best wishes,
José

Thank you very much for your reply Jose.

I will arrange to come in for an appointment as suggested.

You also mentioned the risk of Herpes - At what stage can this be tested and what are the chances / stats that this may have occurred?

Thanks!

[Dr Sean]

Hello

If you have lesions suspicious of or looking like herpes then we can take a PCR swab from the lesion and this will almost always correctly identify herpes and discriminate between herpes 1 and herpes 2.

If you don't have lesions then there are two possibilities:-

1) take blood and then repeat in 2 weeks - if you have a new infection the "titre" - the amount of virus in the sample will increase.

2) wait 12 weeks and then take a single sample. If you have antibodies to one or other then that indicates infection with one or other or both at some point in time. This does not allow us to tell when the infection occurred - simply whether you have ever had it.

best regards, Sean