A service provided by the BC Centre for Disease Control

Close

Search

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 (56)

So my boyfriend has HSV 1 orally and I have genital HSV 1 and I was wondering if we had unprotected sex if it could trigger an outbreak? Or if because he has HSV 1 orally he could not preform oral sex on me any more. My last question is, is there anything we could do to eachother that would accudentally trigger an outbreak that we should look out for?

Hi,

Thanks for writing.

If you both have HSV-1, then you cannot pass it to each other.

Once a person has been exposed to HSV-1, their body will create “antibodies” for HSV-1, which will protect that person from getting it again.

So, since you are your partner both have the same strain, you are protected from getting it/giving it.

In short: you will not trigger an outbreak, and there is no reason to think you can pass HSV-1 between each other. He can give you oral without worrying about passing HSV-1 to you, or getting HSV-1 from you! We wouldn’t recommend worrying about this or having to “look out for” anything!

Hope this helps. Please feel free to submit another question if needed.

Health Nurse

my boyfriend might have Hep C what does this mean for him, me and us?Do I need to take percussions?Is it true that he could of had this many year ago but it could of been dormant?

Hi

Its very common for people to have hepatitis C for many years without knowing. Most of the time Hep C will show no symptoms when it is passed to someone and may do damage to the liver slowly so that people can feel fine for decades.

A blood test is needed to see if someone has hep c. Currently they have treatments available that have a high chance of curing hep c. Its important for the person with hep c to see a doctor and to get a referral to a liver specialist. The doctor will do blood tests and other tests on a routine basis to see how healthy the liver is and will also be able to discuss treatment options.

Hep C is usually passed via blood, it is a strong virus and can live outside the body for several days. The most common way it can pass to someone is if people share drug equipment that could have blood on it, sharp items that may have blood on them like reused tattoo or medical needles etc… You should also be careful not to share any personal care items that may have blood on them like nail clippers, toothbrushes and razors.

Hep C is not passed by activities like hugging, kissing, sharing communal space, sharing a cigarette or drink. Sharing food. To get hep C you need to get the person’s blood into your body.

In regard to precautions in regard to sex it really depends on your situation. They have found that Hep C transmission by sex in monogamous heterosexual couples that are HIV negative is a rare event. They have also found that this small risk does not seem to be related to any specific sexual practice. If someone is unsure and or find that being worried about hep c effects how they feel about having sex with a partner, condoms can be an option in these situations.

I am unsure of your situation, but there is evidence from studies of men who have sex with men that people who have HIV can shed Hep C in their semen and that their receptive partner during anal sex could have Hep C passed to them. If someone was in this situation we would recommend using condoms during anal sex.

Also have a look at the CATIE website as they are a Canadian website and have some great information on Hep C.
 

Let us know if you have any further questions or concerns.

HN

A girl has genital warts. I want to have sex with her, is it safe if I have a condom? Does kiss also transmit HPV virus?

Hi,

Thanks for your questions.

Yes, condoms reduce the chance of passing HPV. The HPV virus is passed through direct skin-to-skin contact, and the condom acts as a barrier between the skin. However, because condoms don’t cover all of the genitals, it’s still possible to pass HPV to the areas not covered by the condom. 

Although there’s no 100% way to protect against genital warts it’s important to know that they are not dangerous.They can be annoying, and some people don’t like the look of them, but genital warts are not dangerous in anyway.

We do not see HPV passed through kissing, however it is passed through oral sex.

Hope this helps! Please feel free to submit another question if needed.

Health Nurse

Can trichomoniasis be spread after I wash my hands

Hi,

Thanks for your question.

Trichomonoiasis is an STI that can be passed through unprotected sex. Trichomonoiasis does not normally live on the hands, unless you touch the genitals of someone who has it. If you get sexual fluids on your hands from someone who has Trichomoniasis, then washing your hands is a good idea.

Trichomonoiasis is a parasite that cannot live outside the human body, and would likely die very soon after being on your hands (even without washing), but washing your hands will make it even less likely.

If you are touching the genitals of someone who has Trichomonoiasis, and then plan to touch your own (or someone else’s) genitals right away,  then it’s definitely important to wash your hands, as there may not be time for it to die off first.

If you have tested positive for Trichomonoiasis you need to get treatment with medication, washing your hands will not treat an infection inisde your body.

Hope this helps, please feel free to submit another question as needed.

Health Nurse

 

I’d like to know the chances of an STI being passed from woman to woman, via someone who gives oral sex to one right after the other. Would the chances go down if the giver brushes their teeth or uses mouthwash in between? Same question for fingering, and is washing w/ soap and water necessary in between for safety, or is it enough to just wipe hands off between partners? Thank you!

Hi,

Thanks for writing.

It’s a really good idea to wash your hands with soap and water in between fingering partners. The sexual fluids from one person can stay on your hands (even if you wipe them off) and be transferred the other person. Sexual fluids can carry STIs like HIV, Gonorrhea, and Chlamydia and those can be passed if your hands are not washed between partners. Another alternative is getting disposable gloves to use, and switching gloves between partners.

For oral sex it’s less likely to pass sexual fluids. Brushing your teeth or using mouthwash could potentially reduce the chance of passing the STIs transmitted through sex fluids, but the chance is already low. Some STIs are passed by direct skin-to-skin contact and can be passed from your mouth to another person’s genitals. The STIs passed through skin-to-skin contact are Syphilis, Herpes, and HPV. You can reduce the chance of passing these if you use a barrier with your partners… for example when giving oral sex to a woman you can use a dental dam over the vulva/vagina.

Hope this helps!

Please feel free to submit another question as needed.

Health Nurse

hello, im a 29 years old male and I want to get tested for HPV because my girlfriend need the proof that im clean to have sex, where can I go to get that kind of test? here in Richmond bc or Vancouver area?

Hi,

Thanks for writing.

In Canada we do not currently have any routine testing for HPV.

The Human Papilloma Virus (HPV) is a virus that is passed through skin-to-skin contact. There are hundreds of different strains of HPV, and anyone who has been sexually active will likely carry one or more of these strains. Most of the strains are not dangerous, and most people who carry them won’t develop symptoms.

Some of the strains of HPV can cause genital warts and after being exposed to the virus someone might develop warts on their genitals. These warts are diagnosed as “HPV” by visual assessment by a doctor or nurse, they are not diagnosed through a test. These warts usually go away on their own in 1-2 years, and there is treatment that makes them go away sooner if desired.

Other stains of HPV do not cause genital warts, but they can cause an increased risk for cancer. The strains that can be risky for cancer are always invisible, and you can’t see by looking at person if they have it or not. Women over age 25 are encouraged to go for the 3-year PAP test to check for the pre-cancerous kinds, but no other precautions are recommended.

I am not sure if your girlfriend is concerned about genital warts or cancer, but it might be worth having a look at our HPV information page together. Condoms can certainly reduce the likelihood of passing HPV between partners, but because condoms don’t cover all skin they’re not a 100% guarantee.

Generally when people ask their partner to get tested for STIs they mean: Chalmydia, Gonorrhea, Syphilis, and HIV. If you need help finding an STI clinic near you check-out our Clinic Finder.

Hope this helps. Please let us know if you have any more questions.

Health Nurse

 

I had a protected sex with a casual partner and on the next day I had burning sensation and difficult to peeing with frequent urination. I am a male and worried if there is any chance of getting STI from this act.

Hi,

Thanks for writing.

Burning when you pee and frequent urination can be signs of an STI. The most common STIs to cause those symptoms are Chlamydia and Gonorrhea.

However, condoms protect against Chlamydia and Gonorrhea. So, if the condom was on your penis before any penetration, and it didn’t break during sex, and the condom was still on your penis when you withdrew, then you would not be at risk for Chlamydia or Gonorrhea. If there was any penetration before the condom went on, then there is a chance you can get an STI.

Typically, symptoms caused by STIs don’t usually show-up the next day. It takes a few days to a few weeks for symptoms to start. Have you had any other unprotected sex in the last 2-6 months? If so, it is more likely that your symptoms were caused by that previous contact, and not the casual partner you had protected sex with recently.

Lastly, Chlamydia and Gonorrhea can also be passed through unprotected oral sex. Did you receive any unprotected oral sex that same night/recently?

We would definitely recommend going to a see healthcare professional about your symptoms. Whether or not the symptoms are caused by an STI it’s important to get them assessed. It can be dangerous to have urinary symptoms without getting treatment, and there is a risk of infertility if the symptoms persist long enough.

For your symptoms you can go to your regular doctor, a walk-in clinic, or an STI clinic. Check out our Clinic Finder tool to find an STI clinic near you.

Please let us know if you have any more questions.

Health Nurse

What do I need to do to get a condom from a youth clinic and how?

Hi,

Thanks for writing.

Condoms are available for free at youth clinics, STI clinics, and at many major health centres. These condoms can be accessed simply by walking in and taking the condom(s).

Free condoms at clinics are usually located in a bowl near the entrance or front-desk where they can be easily picked-up by anyone visiting the clinic. If you cannot see where the condoms are located in a specific clinic just ask the front-desk person where the condoms or safe-sex supplies are located. Most staff will be happy to have someone asking about condoms, and can easily help you out.

To find a youth clinic or STI clinic near you have a look at our Clinic Finder Tool.

Hope this helps. Please feel free to submit another question as needed.

Health Nurse

Hello, please help with my doubts. I received unprotected oral sex from a sex worker. My girlfriend was out of the country at the time, I was weak and stupid. Although it seems to be low risk, I have a 4th generation test at 16 days after my contact, a 3rd generation test at 35 days and another 3rd generation test at 41 days, all of them negative. Just the idea of being infected with HIV has me deeply troubled, depressed, stressed and worried. I have even thought of having a 4th generation test at 50+ days, now that I’ve seen on this website that there’s no chance of a false negative after those days with a 4th gen test. My questions are: should I re-test? what is the danger of my exposure? I am also thinking of going with an infectious disease medic, I just want to live a normal life again. I don’t even want to touch my girlfriend in fear of infecting her with something. It has been 7 weeks now, I want to be happy again. Please help.

Hi,

We do not see HIV passed through oral sex, with or without a condom. See our Know Your Chances – Oral Sex for risks associated with oral sex.

Regarding your testing, you’re correct that different HIV tests have different window periods. In order for your test results to be accurate you need to be past the window period for the test. The 3rd and 4th generation HIV tests would give you a final result after 3 months, but it would be unusual for the 4th generation test not to pick up HIV by 6 weeks.    

You might be exposed to other sexually transmitted infections like Gonorrhea, Chlamydia, or Syphilis, from oral sex, though. It’s a good idea to get tested for these regularly if you’re sexually active. Using condoms for oral sex can protect you against many of these infections.

Also, it’s very common for people to experience stress and anxiety after having new sexual encounters. For more ideas about how to manage these feelings check out our Worry & Anxiety page.

Hope this helps. Please feel free to comment below or submit another question as needed.

Health Nurse

Hello,About 2 and a half years ago there could have been a possible, however not likely because i used protection, STD transmission. I know symptoms for an STD are generally undetectable, and I sure haven’t come across any. My question is, would I eventually begin to feel and notice symptoms after this long of a period? Is there a time frame where you just know you couldn’t possibly have an STD due to no symptoms showing up after so long? Does this time frame exist and is it a natural way of knowing you don’t have an STD as opposed to getting tested?Thank you so much for reading and i hope you understand my question.

Hi,

Thanks for writing.

Unfortunately, the only way to know if you have an STD (or not) is to get tested.

Like you mentioned, some STDs don’t create any symptoms, and it’s not possible to tell if someone has an STD based on the presence or absence of symptoms.

Further, there is no timeframe by which we can say a person would have either cleared, or become aware of having, an STD. We know that some STDs like Syphilis and Chlamydia can live in the body for years without creating symptoms… In the case of syphilis this can even be 20-30 years!

That said, condoms protect against most STDs, so the chance of getting an STD from protected sex is much lower than that of unprotected sex. However, some STDs (like Syphilis) are passed through skin-to-skin contact, which can occur even when using a condom.

If you’re concerned that you have been exposed to an STD we would recommend getting tested. Testing can be easy and confidential, and can be done with your regular family doctor, at a walk-in clinic, or at an STD Clinic. For a list of STD clinics near you check out our Clinic Finder page.

Hope this helps. Please feel free to comment below or submit another question as needed.

Health Nurse