[Question #10112] Mutual masturbation + slight touch

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25 months ago
Good morning kind Doctors.
I'm a 30yo girl from Germany with very very little sexual experience.
I have been recently meeting up with a bisexual guy (30yo "high risk person" because he sometimes enganges in protected penetrative homosexual anal sex but overall he's a bit promiscuous) we enganged in very light sexual contact which is, unfortunately, causing me to develop a lot of anxiety because of my huge fear of STDs and HIV.
1° encounter) 19 days ago: mutual masturbation with zero genital-genital contact but with hands-genitals contact to and from both of our bodies, which means I touched his penis shaft while he was stimulating my clitoris, then he masturbated himself and I was touching myself. He did ejaculate on his belly but I absolutely did not come in contact with any semen.
2° encounter) 1 day ago: very short mutual masturbation where I touched a bit his penis shaft but this time his penis head (uncircumcised guy, foreskin retracted) touched for 1-2 seconds my clitoris and then he pulled it away. We did not proceed to go any further than.
This morning, so 19 days after the 1st encounter, I had one episode of light diarrhea and a bit of fever (37.0-37.2°C).
My last STDs test was on May 21th 2023, it included NAT RNA HIV test, 4th gen HIV 1/2 COMBO Ab/Ag, Treponema Pallidum TPHA.
Everything came back fully negative. This test was, however, before these two encounters that I had this june.
I am asking you, what is the risk that I have contracted an STD from the two encounter I had with this guy?
I am specifically worried about syphilis and HIV.
Thank you very much for the time to read and to reply my doubts and my anxiety.
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Edward W. Hook M.D.
25 months ago
Welcome to the Forum and thanks for your questions.  I'll be glad to provide some information which I hope you will find helpful.  

The activities you describe did not place you at risk for HIV or for other STIs, including syphilis.  Despite your partner's high risk characteristics, it is statistically unlikely that he is infected- most persons who have risky behaviors are not.  More importantly however, the events and exposures you describe were no risk events in terms of HIV or STIs.  There is agreement among all experts, the WHO, and the U.S. CDC that mutual masturbation including touching and direct exposure to partners genital secretions does not put a person at risk for HIV or for other STIs.  This was a no risk.  There is no reason for concern and no scientific or medical reason for testing related to the activities you describe.  

I hope my response is helpful.  If any part of this response is unclear or there are additional questions, please don't hesitate to use your up to two follow-ups for clarification.  EWH
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25 months ago
Doctor Hook, thank you very much for your reply and your deep analysis of my situation.
In this case since I do not feel ready for penetrative condom-protected sex, and I want to stick just to this "frottage" and this mutual masturbation, would you consider it a safe sex practice that I can continue engaging into without risking any infection?
I am an blood and plasma donor and here in Germany you get permanently deferred if you test positive for syphilis antibodies, hepatitis C, hepatisis B (which I am vaccinated for) and obviously HIV.
I want to continue actively donating blood and plasma and therefore I must be careful with sex encounter and only practice extremely safe sex that protects me from becoming infected with STDs.


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Edward W. Hook M.D.
25 months ago
Frottage and mutual masturbation are both virtually no risk sex acts as long as you avoid direct contact with obvious lesions.   Even should you inadvertently contact a lesion during such activities, the risk for infection would be minuscule.  I would not worry about continued frottage and mutual masturbation.  EWH ---
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25 months ago
Thank you very much for your additional answer and for clearing up any doubt I've had over these past experiences.
I'm glad you could classify these experiences as no risk so I could relax my anxiety. I will continue to practice only extremely safe sex practices so I can continue being a blood donor and keeping the blood supply safe.
The moderators can close this post and mark it as  "solved" .
Thanks again and keep up the excellent work you,Dr. Handsfield and R.N. Warren are doing!
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Edward W. Hook M.D.
25 months ago
Thaks for your thanks. I'm pleased you found our comments helpful.  EWH---