Std From Rimming

Std From Rimming




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Std From Rimming

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Forums > STDs > STD from oral and rimming unprotected

Doctor:

I saw an escort and received unprotected oral and rimming - there was no sex. Approximately 72 hours later, I noticed  very small cuts on my anus, now I do shave down there and this could be a result  ( but only shave a few days prior ) of that but the discomfort seemed to start when I was washing the area today and they look fresh. What are the chances of an STD?  I have not noticed anything else abnormal on my penis.


Can this be an STD from receiving rimming?

If this was inflicted by razor prior and received rimming was I at exposure for STDS and HIV?

This seems very soon to see symptoms - Is it possible to have symptoms so soon?



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H. Hunter Handsfield, M.D.
Jun 06, 2014


The timing is a bit too early. More important, the appearance of lesions of intial herpes lesions is very different than shaving nicks.  If the marks look like shaving nicks, that's what they are.


Can the nicks be a result of herpes from exposure this soon?


H. Hunter Handsfield, M.D.
Jun 06, 2014


Welcome to the forum.  Thanks for your question, which arrived while I was logged in.  Most users shouldn't expect real-time replies!

The STD/HIV risks from oral-anal contact (rimming) have never been formally studied, but all the available evidence and biology of the STD bacteria and viruses suggest very low risk.  The primary risk from rimming is for the oral partner, for garden variety gastrointestinal infections that result in nausea, vomiting, and/or diarrhea.  It is likely there is no risk at all for the anal partner for gonorrhea, chlamydia, HIV, or hepatitis.  Even when these infections are present orally, they typically are deep seated in the throat, and not transmitted in saliva or by tongue contact.  Syphilis and herpes in theory would be higher risk, but still very low.

Oral sex also can be considered safe sex, especially for the penile partner.  The risk of STDs isn't zero, but it's much lower than for vaginal or anal sex.  In the absence of symptoms, testing generally isn't necessary after such exposures.  I will also add that many escorts -- expensive female sex workers by appointment -- have very low STD/HIV rates; they know how to protect themselves and often are tested frequently.

Your shaving makes no difference.  There is little if any increased risk of STD transmission by saliva exposure to shaving nicks or other minor skin injuries.

STD symptoms -- discharge, sores, etc -- can occur as soon as 2-5 days after exposure, usually with 10 days, and rarely up to 3 weeks.  In any case, in the absence of symptoms.

All things considered, I don't think you have anything to worry about.  If somehow I were in your situation, I would not get tested for anything and would continue unprotected sex at home without fear of infecting my regular partner.

I hope this has helped.  Best wishes--  HHH, MD


John C Hagan III, MD, FACS, FAAO Jun 08


John C Hagan III, MD, FACS, FAAO 12/20


John C Hagan III, MD, FACS, FAAO 04/18


Herpes spreads by oral, vaginal and anal sex.


Herpes sores blister, then burst, scab and heal.


STIs are the most common cause of genital sores.


Millions of people are diagnosed with STDs in the U.S. each year.


STDs can't be transmitted by casual contact, like hugging or touching.


Syphilis is an STD that is transmitted by oral, genital and anal sex.


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Forums > STDs > Risks in Performing Rimming

This question is for either Dr. Hook or Hansfield, I would like to know how much at risk did I put myself in for stds and other diseases by performing a rimjob on a women of unknown status. It was only brief, I do not know the exact time now I seem to be thinking it could have been a few seconds (30ish) to a bit over a min. My main concern with reading the internet is a Hepatitis infection. Furthermore, am I virtually guaranteed to get some sort of viral illness that causes diarrhea? What are my chances for escaping this episode with my health 100% unaffected?


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H. Hunter Handsfield, M.D.
Sep 26, 2011


Thanks for the response sir it was greatly appreciated, from my understanding of your post the odds should hopefully be in my favor that I escape this incident without getting sick and can continue my regular day-day activities without taking any extra precautions?


H. Hunter Handsfield, M.D.
Sep 25, 2011


Welcome to the forum.

The STD risks associated with rimming (medical term analingus) have never been studied; all I can do is make reasonable judgments based on anatomy, and the frequency of various STDs carried in the anus and rectum.

As you already seem to know, the main infections risked by analingus are viral and bacterial intestinal infections, not traditional STDs.  In other words, if you catch anything at all, it probably would cause a combination of nausea, vomiting, and diarrhea for a few days, nothing more.  However, you certainly are not "virtually guaranteed" to acquire such an infection.  Maybe a 5% chance as a guess; but that's only a guess.

Hepatitis A also is an enteric (intestinal) virus, so you are right to be concerned about hep A -- but not hep B or C.  However, hep A is rare in outwardly healthy people and it is unlikely your partner was infected if she has not been sick with obvious hepatitis (jaundice, etc).  So although it's a theoretical risk, it's really not a significant worry.

There probably are very low risks for gonorrhea, oral herpes due to HSV-2, and perhaps syphilis (except syphilis currently is rare in the US, except in gay/bi men).  Chlamydia doesn't infect the mouth (or only very rarely), and oral HPV infections rarely cause any symptoms or problem.  HIV has never been known to be transmitted by analingus and the risk undoubtedly is very low, even if your partner had HIV -- which is statistically unlikely.

If I were in your situation, if after 7-10 days I had no symptoms like oral sores, sore throat, or gastroenteritis, I would not feel a need for testing and would continue unprotected sex with my wife without fear of infecting her.  But if you remain nervous about it, visit your local health department STD clinic and follow their advice about screening tests.

Regards---  HHH, MD


John C Hagan III, MD, FACS, FAAO Jun 08


John C Hagan III, MD, FACS, FAAO 12/20


John C Hagan III, MD, FACS, FAAO 04/18


Herpes spreads by oral, vaginal and anal sex.


Herpes sores blister, then burst, scab and heal.


STIs are the most common cause of genital sores.


Millions of people are diagnosed with STDs in the U.S. each year.


STDs can't be transmitted by casual contact, like hugging or touching.


Syphilis is an STD that is transmitted by oral, genital and anal sex.


The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions . If you think you may have a medical emergency, call your physician or 911 immediately.


By using this Site you agree to the following Terms and Conditions . If you think you may have a medical emergency, call your physician or 911 immediately.


Copyright © Vitals Consumer Services LLC


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I was rimmed by a stranger, who appeared to be quite a regular in the anonymous scene (in Montreal if that matters) the other day. (Assume he's had dozens of partners over the past month.) It was my first anonymous sexual encounter. There was no oral, other than licking my balls and perineum and flicking his tongue up around my asshole, and that was all he did. Realistically speaking, what's my risk of getting HIV? Is it pretty much zero?
I started experiencing flu-like symptoms within two days, with tingling in my groin and shooting pains in my thighs. I'm pretty sure that this is HSV, which sucks, but is manageable.
No risk of HIV. Herpes risk is very low. Two days sounds too short to start experiencing symptoms. Although not completely unheard of to have them so quickly, it would be rare.
Really? Pretty sure that I've been exposed to HSV-2 from this guy. I read that there's a really good chance of contracting HSV-2 from the ball-sucking, crack-flicking, ass-licking. Here are my symptoms:
About 12 hours post-encounter, a lot of tingling and burning all over the crotch, balls, and ass. Pretty intense, but not painful.
Fever 2 days after encounter, around 99.8 degrees. Easily controlled with aspirin.
Flu-like symptoms, nerve-pain and shooting pains in my thighs on days 3 and 4 post exposure (could this be HSV replicating prodrome?).
Day 5 - Tingling goes away, now a rash forming on my scrotum.
It sounds like a pretty classic primary onset of HSV-2, right? Could it be anything else?
homerBM is absolutely correct. You are unlikely to have caught anything from this exposure and with symptoms in this timeframe. It's very possible you were exposed, HSV-1 more likely than HSV-2. But it doesn't matter because single exposure is likely insufficient to cause infection. STDs and diseases in general just don't work that way. You see, skin is an incredible barrier to organisms so they have to try really, really hard to get through. And once they do they find sentinals from the immune system, the innate immune system, ready and waiting to kill and destroy anything non-human. All while having to survive in the harsh environment of the world without any of the complex environment regluation that multi-cellular organisms like mammals provide. You need many, many exposures, even under ideal conditions, before the odds of actually contracting a disease becomes likely. If you've ever played civilization, it's sort of like how sometimes your spearman, one of the weakest units in the game, occasionally defeats a battleship, one of the strong units.
You won't believe me but there's plenty of other causes for paresthesia like you're describing. Tight muscles for example can do it. Given the timing of the symptoms, I'd say anxiety is more likely. Having had paresthesia from anxiety, I can tell you that it's very real and difficult to conclusively diagnose.
Thanks for your thoughtful response! My symptoms have largely subsided over the past few days - after getting intensely worse on Day 5 with a new rash forming on my scrotum, the rash disappeared quickly thereafter. I just kept it dry and clean and tried not to think about it. However, I know I was stupid and had an innately "risky" encounter, even if it was low risk.
What about gonorrhea? Could that explain some of the outbreak? I had my STD screen conducted one day after exposure, but that would probably be too soon to catch gonorrhea, and they only had me urinate in a cup, which might not catch gonorrhea of the anus, right? What's the right time frame and timing to get re-tested for this stuff?

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