[Question #12158] CSW Happy Ending Risk
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9 months ago
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I have read through a lot regarding this issue and I feel as though I need to get my own clarification. Thank you for the work you do here. There is so much bad information out there that is scare mongering.
I’ll keep it brief:
1. Received a handjob at the end of an oil massage (recently circumcised)
2. Sucked on her nipple lightly a few time while reciving. (Did not feel/taste any lactation)
3. She put pressure and maybe a the tip of her in her into my bum hole.
No visible lessons, marks and hands felt soft.
What are my risks with this encounter and can I continue to be sexually active with my long term partner?
I am worried about HPV, herpes (if she had it on her hands) and any skin to skin STIs. I know chlamydia, ghonnorea and hiv cannot be passed this way.
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9 months ago
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Also the more I read outside of this forum, there seems to be two options.
I trust this forum as I have used it before and think it’s great.
Is there actually zero risk with a handjob for STIs / HIV. As I have read that you can still get an array of STIs even ghonnorea and clamydia from a handjob. (I don’t know what to believe) also I have read you can get HIV from kissing a nipple. Very confused.
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H. Hunter Handsfield, MD
9 months ago
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Welcome back to the forum. Thanks for your continued confidence our services.
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You describe zero risk exposures, all three of them. STDs are not transmitted by hand-genital contact, even if genital fluid is used for lubrication, and there is no evidence (or reason to suspect) that the oil used could harbor sexually transmitted bacteria or viruses. Mouth contact with any body part is risk free except for direct genital-oral contact; breasts and nipples (or non-genital skin anywhere on the body) do not carry or transmit them. Anal and vaginal fingering also are entirely risk free. Do not get tested for anything.
You have not read any legitimate professional information stating that STDs can be transmitted in these ways. Personal testimony and other assertions on websites for people with (or afraid of) various health problems are the very last place to go for reliable infection (like Reddit, for example). Anybody can write anything they want. If you feel compelled to search online about STDs and HIV (or any other health problem on your mind), I would advise going only to professionally run or moderated sites.
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
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9 months ago
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Hi Dr. Handfeild,
I want to thank you again for the wonderful service you and the team provide. I hope this forum stays open to help the countless people in the future.
I trust what you say and I’m thankful for your expert knowledge.
Could I bother you with a follow up:
As per your advice, you’re saying zero risk of all STIs and HIV for all events. Would that mean I could do this say 50 times and not have to worry at all being a zero exposure? Not that I will it’s more just the thought of how safe it may be. Given that advice that it’s zero risk - can I continue to be sexually active with my partner of 7 years. (Both clean, previous to this decision)
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9 months ago
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I will use this last post to question the integrity of some sites:
NHS? - they say I can get multiple STIs from a handjob, why are they providing such contrasting information given they are a major government healthcare provider? Is it being conservative for legal reasons maybe?
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H. Hunter Handsfield, MD
9 months ago
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"...I could do this say 50 times and not have to worry at all being a zero exposure?" Yes. Or a hundred or more times.
"...can I continue to be sexually active with my partner...? That is what I would do if somehow I were in your situation.
Interesting that NHS (GUM clinics?) say hand-genital contact is a risk. I'm amazed and wonder if it's an official resource or if the statement reflects an official position. If so, all I can suggest is that they're citing theoretic risks in absence of data. One certainly can imagine that if syphilis, HSV or HPV, for example, were in vaginal fluid used for lubrication, and if contact was vigorous or prolonged, infection might take hold. Or if fluid were massaged into the urethra, maybe gonorrhea, chlamydia, or HIV. However, there has never been a reliable scientific report that such STD transmission ever occurred; and in my 50+ years in the STD business, I've never seen such a case nor had a colleague tell me they had such a patient. If you can locate an NHS resource about this, I would be interested in seeing it. However, I remain entirely confident in my assessment and advice in your situation.
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9 months ago
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Thank you for the fast replies.
Please see link: https://www.willowtreefamilydoctors.nhs.uk/health-information/health-promotion-screening/sexual-health/
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- Non penetrative contact (body rubbing, mutual masturbation without penetration) carries the lowest risk. Herpes can be transmitted through kissing, and it may be possible to transmit other STIs (including syphilis and Hepatitis B) in this way, although the risk is lower than for penetrative sex.”
This is one source from the NHS but health line, STD Clinic NYC and a few other reputable websites say that some are possible while others aren’t. Many sites claim Syphylis and herpes are likely to be passed this way, as they are skin to skin contact. As I said in my original question that maybe they are being conservative or there is a theoretical possibility?
I am more than happy with your advice and apprentice your expertise. Thank you for easing my thoughts, yet again. I will go on about my life and learn my lesson from this anxiety.
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H. Hunter Handsfield, MD
9 months ago
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That's not an NHS website, just information from one clinic. It's quite long and I didn't try to read it all. It appears to be the clinic's viewpoint, not necessarily NHS policies or prevention advice. In any case, I would not interpret the bulleted statement as indicating significant risk. It doesn't quite say zero risk, but I stand by all I've said above. If I had been asked to critique the statement, I would change a few words to say something like I did above: possible risk in theory, but very few if any cases are known to have occurred. To my knowledge, any theoretical risk has rarely if ever been borne out in any known cases. The main source for STI/HIV policy and standards in the UK is the British Association for Sexual Health and HIV (BASHH, https://www.bashh.org/).
That completes the two follow-up exchanges included with each question and so ends this thread. Thanks for the thanks; I'm glad to have helped.
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