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Answered Questions

In the years since SmartSexResource launched, we have developed a library of questions asked by you, and answered by our expert sexual health nurses.

Our answered questions library cover a broad range of sexual health topics and common questions we hear at our clinics.

STI Prevention (57)

Hi, I have a concern regarding getting HIV. I had unprotected oral sex about a week back with a sex worker, who has been in this profession for a few years and is well-reviewed. I am freaking out now about getting HIV. Can you please advise what are the chances of getting HIV after receiving unprotected oral sex and when should I get tested (3 weeks i guess)? I did not have any sores on my genitals, and apparently she did not have any ulcers, wounds etc in her mouth, but of course, I am not sure about that. She did mention though that she does not have HIV but I am not sure whether to rely on her or not. We did not have any other form of sexual activity. Thank you.

Hi, and thank you for your question

The chance of getting HIV from oral sex is extremely low as indicated in our Know Your Chances charts and on our HIV and AIDS information page. If you are sexually active, we recommend getting tested routinely (every 6-12 months) for all sexually transmitted infections (STIs) including HIV, syphilis, chlamydia and gonorrhea. The best time to test for HIV is 6-12 weeks after an encounter as it can take up to this amount of time for antibodies to be detectable if a person has acquired the virus.

I would add that simply because someone does sex work, this does not mean that they have HIV. In fact you have indicated that this person told you that they do not have HIV and that they are “well-reviewed” on their profile. Whether you engage in sexual contact with someone who does sex work, or with someone you met online or at any other venue, it is important to consider precautions you may want to take against infections. As already noted, oral sex is generally pretty low risk for HIV but other infections such as HSV, syphilis, chlamydia and gonorrhea can be more easily passed this way. Regardless of the partner, condoms are a good way to prevent or to decrease the chance of passing these infections.

Let us know if this does not answer your question or if you have any more questions or concerns.
Health Nurse

Can I get hiv while rubbing my genital with someone else while wearing thin clothing? The other person was also wearing underwear.

Hello, and thank you for your question.

HIV is transmitted through blood and body fluids, and cannot be passed through casual contact, skin to skin contact, or through clothing.

For more information on a variety of sexually transmitted infections please visit STIs at a Glance or for info about transmission risk check out Know your Chances.

Please let us know if this does not answer your question or if you have any more questions or concerns.
Health Nurse

I’m finishing my 7 day since I got a shot from a Doctor and 4 pills I had the next day that were prescribed. Can I have sex today?

Hi, thanks for your question

Yes, you can have sex today! BUT if the person that you’re going to have sex with was a partner from before you got treatment, make sure they took the treatment and waited for 7 days before sex as well!

If you have sex with an ongoing partner that has not been treated for the infection, you will likely get it back again.

Let us know if this does not answer your question or if you have any more questions or concerns.
Health Nurse

Can I use flavoured condom for vaginal sex?

Hi, and thanks for your question

The simple answer is yes, you can! As with any condom use it’s recommended to check the packing for the expiration date, to ensure it’s not damaged and to make sure it provides protection against sexually transmitted infections and pregnancy.

Check out our Flavoured Condoms page on Smart Sex Resource for more details.

Let us know if this does not answer your question or if you have any more questions or concerns.
Health Nurse

Does condom work? Have you seen any case of HIV with an intact condom?

Hi, and thanks for your question

Condoms, when used properly, are a very effective barrier against HIV transmission. They are also excellent at preventing other sexually transmitted infections such as chlamydia, gonorrhea, and syphilis as well as preventing pregnancy.

For maximum efficacy it’s important that condoms be used correctly. A new condom should be used every time you have intercourse, as well as with each new partner, and when switching from anal to oral or vaginal penetration. The condom should be put on before the penis/external genitals touch the partner’s genitals or anus.

I don’t have any data on whether there has ever been a case of HIV with an intact condom, but what I can say is that condoms are very effective at preventing HIV.

Have a look at our Condoms page for more information and tips. You might also find our Know Your Chances charts helpful when considering risk of various types of STIs including HIV.

Let us know if this does not answer your question or if you have any more questions or concerns.
Health Nurse

How long will I have genital warts (HPV)?

Genital warts are caused by the human papillomavirus (HPV). It is one of the most common sexually transmitted infections (STIs). 

There are over 100 types of HPV. About 40 of them can affect the anus/rectum, genitals and less commonly, the mouth and throat. HPV is sexually transmitted through skin-to-skin contact. This includes sexual contact such as, genitals rubbing together, penetrative sex (vaginal/internal genital or anal/rectal intercourse), oral sex, sharing sex toys, and hands on genitals. HPV may still be present even if there are no visible warts or when the warts are gone. Wearing condoms can help to reduce, but not eliminate the chances of passing HPV from one partner to another.

For the majority of people, the virus will clear the body on its own without causing symptoms/warts or problems. 

For those who do get symptoms (genital warts), most of these will eventually go away with or without having them treated, often within 18-24 months. Once your genital warts are gone, this does not mean the HPV infection is gone or cured. Genital warts can come back and you can get HPV again from a partner who has it.

There are now vaccines that protect against the more common HPV types. The vaccine will not help you get rid of HPV if you already have it, but it can prevent future infections. To learn more about the HPV and other vaccines, click here.

Resources

I understand that if you have a wart (HPV virus) the wart will go away in months to up to 2 years without treatment. Does that mean that your body has cleared itself from the virus…so cured?…and if so, can you get the same type/strain again? or do you become immune to it? If you’re not ‘cured’ but the wart just goes away, does that mean you’re always going to be infectious?

Your immune system is responsible for clearing out the HPV virus within our bodies, but when and how it is cleared depends on the strain and your immune system. Some people may not have completeresolution of an HPV type. It could be that the type is dormant or “sleeping” in their body, but reawakens at some point. This sometimes happens when the body is under more stress that affects the immune system, such as periods of extreme stress or certain medications like chemotherapy.

It’s also possible that a person may resolve the type completely, but then get it again at a future date. It’s also very possible that someone could be infected with a different
HPV type if they are exposed to it. Having one type of HPV does not mean you won’t get other types of HPV if exposed to them. Regardless of the reason, some people can
have recurrent HPV.

Although our immune system does its best to protect us from HPV exposures, there is still a possibility of transmission if HPV is present. HPV passed through skin-to-skin contact during sexual activity. This includes any kind of sexual contact with the anal and genital regions, including genitals rubbing together, penetrative sex (vaginal or anal intercourse), oral sex, sharing sex toys, and hands on genitals. HPV may still be present even if there are no visible warts or when the warts are gone. Since HPV is so common that most people acquire it sooner or later, it is not realistic to avoid it. There is no need to stop having sex even if warts or other signs of HPV are present, or are being treated.

Condoms and other barrier methods can reduce the possibility of HPV transmission, although they do not provide full protection as HPV can be passed through other skin-to-skin contact. Condoms also protect against other STIs, including gonorrhea, chlamydia, syphilis and HIV. Using condoms is a good way to reduce the risk of getting STIs. Vaccination is the most effective way to protect ourself against HPV. A decade of using the HPV vaccine in British Columbia has shown that it is both safe and effective. For more information about the HPV vaccine visitwww.immunizebc.ca/hpv

Does this answer your question? Please let us know

 

I’ve been diagnosed with hpv and am being treated for one genital wart above my labia. My boyfriend and I (I am a female) have been having unprotected sex for 6 months and the wart (previously thought to be a skin tag) has always been present. Can my boyfriend and I still have sexual while I’m being treated, can I give him oral sex as well and do we need to use co dons. He most likely has it and can we pass it back and forth?

HPV is a skin-to-skin contact STI which means that it is possible to transmit the virus to your partner during sex. It is important to note that there are more than 150 different types of strains of HPV, and only a few will cause genital warts. This means that you don’t necesarily need to have a wart to have HPV. Rest assured that HPV is quite common and our immune systems typically clear this virus out in most individuals on average 1-2 years (This may vary on your immune system and HPV strain). If you want to minimize your risk factors of transmitting HPV I recommend using a condom to and avoiding skin to skin contact when a wart is visible.

Let us know if this does not answer your question or if you have any more questions or concerns

Health Nurse

 

 

I had protected sex about 3 months ago but i dont know if the condom was latex or not. I am very worried if I have hiv. I have some sort of bumps on the inner part of my foreskin (uncircumcised) that do not hurt. I have also been getting increased acne and dry lips and sometimes a cough that reappears. Can hiv get through a condom and what might these symptoms indicate?

Hi, and thank you for your question

Condoms, when used properly, can prevent sexually transmitted infections (STIs) including HIV.
The symptoms you describe are not associated with an HIV infection. If you are concerned about any current symptoms or about STIs I would recommend seeing your doctor for assessment. And of course, we recommend routine testing for all STIs (including chlamydia, gonorrhea, HIV, and syphilis) for all sexually active individuals.

Let us know if this does not answer your question or if you have any more questions or concerns.
Health Nurse
 

Can I get STD if I deep kiss and sucking breast of a massage girl?I use condoms for vaginal and anal sex and do not use condoms for receiving oral sex.

Hi and thank you for your question.

Using condoms for vaginal and anal sex are a great way to lower your chances of getting a STD. The trick with condoms is that they have to be used from start to finish of the sexual encounter, and they have to be put on correctly. Also, condoms only protect the parts that are covered. That means, infections that are transmitted skin to skin are still possible even if using condoms – like herpes or genital warts. 

Ideally, you would also use some kind of barrier or condom when having oral sex, as some STDs can be passed orally – for example gonorrhea, chlamydia, syphilis.

Though uncommon, some STDs can be passed through deep kissing. Herpes is one example.

Here are some resources that you may find helpful:

Chances with Oral Sex: https://smartsexresource.com/sites/default/files/Oral-Sex-Table-v3.png

Chances with Anal or Vaginal Sex: https://smartsexresource.com/sites/default/files/Anal-Vaginal-Sex-Table-v3.png

Chances with Other Kinds of Sex: https://smartsexresource.com/sites/default/files/Other-Sex-Table-v3.png

Assessing Risk: https://www.srhweek.ca/caring-for-yourself/sexually-transmissible-and-blood-borne-infections-stbbis/assessing-risk/

If you are sexually active, and have new or different partners, or your partners have new or different partners, it’s always a good idea to get tested regularly. Ideally this would happen any time you experience symptoms, or if you don’t have symptoms, test a couple of months after a new partner or risk – this would cover off any window periods (the time from infection to the time it can be picked up on a test).

Hope this helps.

Health Nurse