[Question #10155] Handjob

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25 months ago
Greetings,

Would the following exposure reflect a theoretical possibility of becoming infected with an STI from a handjob?:

The masseuse has a cut (infected lesion) on her hand or finger(s) and that cut (or the blood from it) comes into direct contact with inside the opening of my penis (urethra?). Assuming the cut (lesion) or blood is infected with an STI; particularly blood-borne STI.

Just to confirm, the urethra is mucosal tissue correct?

Thanks,
Michael


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Edward W. Hook M.D.
25 months ago
Welcome to the Forum.  Thanks for your question although in the spirit of full disclosure, I must tell you that "theoretical" questions have little value.  Theoretically you could be struck by a meteorite falling from space while reading this. That does not make it a realistic concern.  If yo have a concern, say so.

Receipt of masturbation is considered by virtually all experts, as well as the WHO and CDC as safe sex in terms of risk for HIV or other STIs.  The presentence of cuts on a partners hands or a rash on your genitals does not change that assessment.  Concerns that they may come into contact with mucosal surfaces on the inside of the urethra are unfounded.   Persons who engage only in receipt of, or performance of a masturbation are NOT at risk for HIV or other STIs. They do not need testing.

Further, most masseuses' and commercial sex workers do not have STIs or HIV.

The inside of the urethra is a mucosal surface.  Concerns about the introduction of infected material into the urethra during receipt of masturbation are unfounded.

EWH
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25 months ago

Thank you Dr. Hook.

 

Hands are typically not an infection site for STIs provided a potentially infected person has a lesion/cut on them, correct (with the exception of syphilis maybe but rarely)?

 

However, and I suppose I am really overthinking this – if there is fresh infected blood flow to the hands while bleeding assuming that is happening at the time of masturbation and hypothetically the infected material in the blood directly connects with the mucosal surface of the urethra of the recipient in masturbation - is there an apparent scientific explanation with regards to the viability of STI pathogens considering their fragility, irrespective of viral load, why the recipient wouldn’t become infected practically speaking?

 

I essentially feel vulnerable if mucosal surface is exposed.

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Edward W. Hook M.D.
25 months ago
Correct, STIs are not transferred to or from hands.  Cuts and abrasions do not change this generalization.  The FACT is that transfer of the sort you describe has not been observed- quite the contrary. Blood and secretions on hands do NOT result in infection.  The mucosal surface is not that easy to access, exposure to the environment eliminates the infectiousness of any pathogen present and the amount of material (and organisms) transferred is mechanically reduced with each transfer.  These reasons combine to provide a logical scientific reason why transfer of fluids or blood in the process of masturbation does not lead to infection and is classified as safe sex by virtually every authority on the subject.  You are overthinking this!  EWH .---
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25 months ago

Final thought – this is probably overthinking at its best, although I am having trouble ignoring it:

 

What about infected blood not (or minimally) exposed to the environment if just exiting the cut when the hand/finger(s) directly contact the urethra inside the penis during masturbation?

 

Is that the theoretical risk - potentially transmittable with sufficient viral load?


Thanks Dr. Hook

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Edward W. Hook M.D.
25 months ago
You are definitely overthinking this.

The "what if" scenario you describe in implausible.  As I've already told you, there is NO KNOWN RISK OF GETTING ANY STI FROM RECEIPT OF MASTUBATION

Give up on the idea that you might have been infected through receipt of masturbation.  Time for you to move on.

This completes this thread.  EWH
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