Sexually Transmitted Diseases/Should I get tested?


I recently had anal sex (I was the top) with a transsexual and the condom slipped off as we was in the reverse cowgirl position I don't mean to be graphic, but as I pulled out the tip of the condom was stuck in her anus I think it had to be no longer than a minute, maybe shorter that the condom slipped off I assume my partner was negative not sure I know I'm negative now lets assume my partner was poz how much of a risk would it have been (and FYI I don't think my penis head made contact with her anus without a condom but I'm still worried and I'm a 29 year old black man who has never had an STD and Has been sleeping with transsexuals exclusively for the last 8 years and my partner in this encounter is a 27 year old transsexual just for you to know)

Hello Raekwon,
Yes, of course you should be regularly tested for gonorrhea/chlamydia with a urine test, and blood test for syphilis and HIV, every 3-6 months depending on what you consider your risk to be (based on the types of sexual activity you do).  If your partners (transsexual, gay, bi, straight... it doesn't really matter) are always bottoming during anal sex, then they may be at high risk for HIV and other STDs, and even though you wear condoms regularly, it's a good idea to have routine testing. Bottoms are at higher risk for acquiring STDs if they play with multiple partners (and may not tell you) or if they bareback (without condoms).  If you or other tops are UNCIRCUMCISED, and fuck without condoms, than you are at increased risk due to the increased sensitivity of the foreskin and glans (head) to acquiring and spreading infection.  

Good luck!

Sexually Transmitted Diseases

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Mark P. Behar


Almost any question or concern about gay men's health issues, sexually transmitted infections, abnormal Pap smears, anal cytology (anal "Pap smears"), etc. There is no such thing as “d/d free” or “clean” (free of infection), so why do so many of us deceive ourselves into thinking that some people are indeed totally free from a potentially infectious disease, like HIV, herpes, hepatitis, syphilis, chlamydia, warts, gonorrhea, etc., just because they say so? Clinical laboratory tests are not perfect, and having a “negative” or “nonreactive” test does not mean that a person is free from infection. Perhaps at the moment the test was taken, the person was uninfected; or, perhaps, the test wasn’t sensitive enough to detect presence of the infection. There is really no way that anyone can determine that they are truly “disease free,” and there are over a hundred of infectious conditions that can be spread without your knowing anything. Rather than trying to “pre-screen” or “serosort” a potential sex-mate with deceptive questions that are impossible to know by today’s technologies, a wiser option may be to consider everyone infected with something, and either use appropriate protective measures (“safer sex”), or accept the responsibility and consequences of possibly “catching” something from someone who’s hotter than expected (pun intended!). There is much research that supports the contention that an HIV positive person reliably taking HIV medications, and having an undetectable viral load, presents a lower risk for transmission of HIV than people who may think or say they are HIV negative, but are not. Food for thought!


Family Practice PA since 1981; Volunteer Clinician for Brady East STD (BESTD) Clinic, Milwaukee, since 1977; answered STD questions submitted to their web site. Professionally lectured at national and regional Physician Assistant and Nurse Practitioner conferences, and at national gay & lesbian health conferences on topics including HIV/AIDS, herpes, hepatitis, STDs, human papilloma virus (the cause of venereal warts), abnormal Pap smears, gay and lesbian health issues, among others.

Co-Founder, Lesbian, Bisexual, & Gay Physician Assistant Caucus of the American Academy of Physician Assistants, Inc.; American Academy of Physician Assistants; Wisconsin Academy of Physician Assistants; National Co-Chair (2012-16), National Association of Black and White Men Together: A Gay, Multiracial Organization for All People (NABWMT)

Journal of the American Academy of Physician Assistants (JAPA) Q Visions, Quarterly Newsletter of the NABWMT

Bachelor's of Arts, 1972 (University of Wisconsin, Milwaukee, WI) Graduate Credits Experimental Psychology, 1972-75 (Tulane University, New Orleans, LA) Physician Assistant, Bachelor's of Science, 1981 (George Washington University, Washington, DC); Masters in Physician Assistant Studies, 2000 (University of Nebraska Medical Center, Omaha, NE)

Awards and Honors
Colposcopy Recognition Award (CRA), the American Association of Colposcopy and Cervical Pathology; Distinguished Fellow, Clinical Preceptor, American Academy of Physician Assistants; Fellow, Wisconsin Academy of Physician Assistants

Past/Present Clients
Brady East STD Clinic, Milwaukee, WI Milwaukee Health Services, Inc. (Martin Luther King Heritage Health Center), Dept. of Family Medicine and Early Intervention Program for HIV Infected Persons

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