[Question #12253] Handjob and fingering, symptoms of bacterial infection
9 months ago
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Hi experts. On 2nd of November i received a handjob from massage parlor, before that i fingered her and i made sure i didn’t touched my penis with that hand. I also made sure she didn’t finger herself before touching me but she might have touched herself from the outside of the vagina minutes before she gave me handjob. 10 days after i masterbuated and clean my penis with a body wash which might be harsh soap, i felt tingling sensation when i urinate but i brushed that off as nothing. 2 days after i felt a stabbing pain in the tip of the penis, it was red open sore which bled once and it stopped but its still red until now. My penis has a sharp pain always. It doesn’t look like herpes blisters or syphillis. Additionally there is burning while urinating especially more at the end and always feel the urge to urinate. Its always wet, precum discharge then i discovered white discharge twice or three time. I dont know if its chlaymdia or gonorrhea but i didn’t had sex at all, infact i never had sex except for brief short protected vaginal sex. My guess might be ecoli infection in penis due not wiping probably my anus and it made its way to my penis but also it doesn’t make sense. Help me understand what’s going on experts. Im in need to understand what is happening from just simple mutual masterbuation. I saw your comments here it says even if genital secretions used as lubricants it is risk free of STD/HIV.
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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 in our forum, and glad you recall the main take-home message from our last discussion -- the low risk of HIV and by extension other STDs, from sexual exposures other than those involving penile penetration.
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Unfortunately, you now ask questions beyond our expertise. We are defininitely not experts in the mechanics or risks associated with masturbation, hand-genital contact, and so on; and I am not aware of any research on the topic, although there might have been such research published in non-STD journals. Anything I can say is based only on common sense understanding of what might happen. Undoubtedly some kinds of contact could result in penile injuries, but the only one with which I have had any experience over the years was tooth injury resulting from overly assertive oral sex.
E. coli and other intestinal bacteria can cause urethritis and urinary tract infection following anal sex, but I've never heard of that happening without insertive anal sex. The presence of urethral discharge does imply urethritis, but 10 days is on the far side of the usual incubation period. Still, it would be wise for you to be professionally evaluated (not self evaluation!) with standard work-up, including microscopic exam of the discharge for WBCs (to confirm urethritis) and testing for gonorrhea and chlamydia. However, if you have either of these, or nongonococcal urethritis (NGU), I have difficulty understanding how you acquired it given your description of the recent massage events. In any case, almost certainly none of these problems has anything to do with your own masturbation 10 days later.
My only other comment is that genital herpes is the most common overall cause of genital ulceration, but I agree this seems very unlikely. On the other hand, if you have a persisting penile sore or ulcer, evaluation for herpes would make sense.
Sorry I can't be more helpful. Let me know if anything isn't clear.
HHH, MD
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9 months ago
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Thanks for reply.
I dont understand, you said we are not experts in mechanics or risk associated with masterbuation, hand genital contact but in all your replies commenting about Hand genital contact saying No risk of HIV/STD.
I went to the urologist and he checked up my penis and said there is inflammation and took a swab to check for Gonorrhea. The results are not out yet but these symptoms matches Gonorrhea. I dont understand how it could when i didn’t have any sex where all the websites and professional ones says its a risk free. It might be non std infection?
2. im worried if i got gonorrhea without having actual penetrative sex, i might also got other stds too because i have a few mutual masterbuation or i read somewhere that you can transmit more than one std at the same time if the person has like HIV which its highly unlikely since its more of blood borne in these kind of activities i have done. Help me understand because im lost.
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H. Hunter Handsfield, MD
9 months ago
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That we know hand-genital contact to be free of STD/HIV risk is unrelated to the methods of masturbation and risk of injury as a result.
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The symptoms do match gonorrhea, and also chlamydia and nongonococcal urethritis. As I said above, I also have trouble understanding exactly how you acquired any of these. Follow the urologist's advice about treatment and about interpretation of the test results when they are available.
Yes, it is possible to acquire more than one STD at a time. But gonorrhea is far more easily transmitted than HIV or other blood borne viruses, for which you were at little or no risk.
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H. Hunter Handsfield, MD
9 months ago
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Actually, probably it's not gonorrhea but chlamydia or NGU. Or something entirley unrelated, perhaps some sort of infection introduced by masturbation and not from the sexual encounter you have described. Gonorrhea symptoms almost always appear within 2-5 days; 10 days is much too long but fits with chlamydia and NGU. While awaiting test results, the standard treatment is ceftriaxone by injection (usually 500 mg) plus doxycycline 100 mg twice daily for a week. However, the details differ across several countries. Where are you?
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9 months ago
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I understand there are ways of methods that you can injure a penis by masterbuation unrelated to diseases.
1- Doctor, you said little or no risk of hiv, i want to understand how little, in what way there is little risk of hiv from handjob or fingering?
2- Gonorrhea is treatable and curable if its or other bacterial infection and i understand bacteria infections like easier to transmit but my worry shifted to i might have HIV too from multiple handjobs and fingering ( mutual masterbuation)but i really never ever had unprotected sex not even oral as i promised myself leaving that once i get married.
3- im in Saudi Arabia, i dont know about the STD rates over here and HIV because there is no much report about it.
4- The Urologist said lets see the Gonorrhea swab test tomorrow before starting any antibiotics, he told me it might also be Mycoplasma or Ureaplaama. He said Chlamydia or Gonorrhea has profuse discharge but mine only little comes out. He just gave me a shot of painkiller to reduce the pain.
5- im worried since i might have got STD from doing this activities multiple times, there is a chance i might got incurable diseases like HIV, educate me how its a no risk or how its little risk. There are no reported cases about this except for one deep knife fight. Thank you, i hope you understand my worries.
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H. Hunter Handsfield, MD
9 months ago
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1,5. Zero risk of HIV or any other "incurable" STD. There's never been a known case sexually other than by intercourse.
2. I don't see anything here that requires further comment.
3. STD rates generally are considered to be low in your country, but because of cultural issues there my understanding is that there have been few studies, leaving room for uncertainty.
4. STD knowledge in Islamic countries often is poor. I have no way to judge your urologist's knowledge in general, but Ureaplasma and most genital mycoplasmas are entirely normal bacteira in the urinary tract. Even if testing is positive, these would not explain your symptoms and would not require treatment. It is very peculiar to suspect gonorrhea but not start treatment for it while awaiting test results. But since gonorrhea is unlikely for the reasons already discussed, it should be fine in this situation.
Your questions indicate extreme naivete about STDs for a medical professional, even if still in training -- perhaps not surprising given policies and procedures in your country. Nevertheless, I would say that in your own interest, both personally and professionally, you have an obligation to educate yourself properly about STDs. There are all sorts of excelleing online resources, from online textbooks to many excellent websites.
That completes the two follow-up exchanges usually included with each question and normally would end this thread. However, it will remain open for one (and only one) more comment, which I suggest you not post until all test results are available and you have started treatment.
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9 months ago
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Hi doctor.
1. Hi. I just went out from the urologist and the urethral discharge swab came negative for gonorrhea. Thank god. He gave me doxycycline hyclate 100mg, cefexime 400mg and Moxifloxacin 400 mg ( this should be used after i finish the first two which is after 1 week). He told me this to cover all the bacterial infection.
2. I asked him also about mutual masterbuation ( handjobs and fingering) risk of hiv, he said if there were cuts or abrashions in penis or fingers no matter the size, it’s possible to get infected, which made worried because i had a cut under my fingernails from clipping my nails too short and 1 hour i fingered the girl, it stings when i apply alcohol and next day when i squeezed it hard small blood came out. I did those activities dozen of times, which made me worried i might a cut or abrashion that i didn’t know about it. I have no idea what to think now. Thank you.
9 months ago
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3- also if there was vaginal secretion in their hands and they gave me a handjob, is that a risk? While vigorously giving me handjob will that transmit? Or vigorously fingering her. I wanted to understand more about this from you before the thread is closed. Thank you again.
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H. Hunter Handsfield, MD
9 months ago
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1) So you have nongonococcal urethritis (NGU). Your treatment is OK, but the sequential treatment with later moxifloxacin is only for Mycoplasma genitalium, which almost certainly you do not have. If that was included in the tests you had, it will be negative. In that case, ask the doctor about skipping that treatment. (This definitely is not standard or recommended treatment for NGU until or unless M. genitalium has been found to be present.) That said, at least this is evidence your doctor has reasonably good understanding of STDs, even if he also has an inclination toward over treatment.
2,3. I agree it may be "possible" to acquire an STD in these circumstances, but that's theoretical only, with no known actual cases. I am unaware of any case actually reported to have happened, and certainly have never heard of such a patient in my 50 years in the STD business.
That concludes this thread. Best wishes to you.
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