We met an hour later and I noticed it bled a little (I saw blood smeared on my inner thigh), but I quickly stopped the bleeding by applying pressure with a tissue. Then she gave me unprotected oral sex, then used saliva as lubricant and finished with a hand job. I told her about the cut and she avoided that area. I looked at her mouth closely and I didn't see any blisters present. We kissed many times on the lips too.

My question is - if she had HSV-1 (or any other STI), combined with my open wound, how much of a risk do I have getting infected? She did avoid touching my cut with her hands and lips, but I was worried the saliva might have dripped down the shaft and touched it. 

It took place around noon, and it's midnight now and I feel some mild pain and warm sensation near the cut, and I'm uncertain whether it's just from the cut or an infection is taking place.

Thank you in advance.

You describe a very low risk exposure. First, transmissible oral STIs are uncommon -- a lot less frequent than one might assume from many online sources, especially nonprofessional ones (like Reddit, for example). Second, when present, transmisson by oral sex is uncommon. Third, it sounds like your partner is especially unlikely to have a transmissible infection at this time. The chance of HSV1 transmission from oral sex, even if the oral partner is infected (without a visible outbreak) is under one chance in many thousand. Trransmission by kissing is equally uncommon, and hand-genital contact always is zero risk for all STDs. Having a superficial shaving wound does not significantly elevate the risk. As far as salive "touching" the wound, it's not an issue:  herpes and other STDs generally must be actively massaged into the tissue for infection to take hold. (This is why initial infections with the STIs transmitted skin to skin -- herpes, HPV, syphilis -- almost always show up at areas of friction during sex:  labia minora, vaginal opening, penile head and shaft) and not scrotum, labia major, etc.)

As for "mlld pain and warm sensation" near the cut, that has to be from minor physical or chemical irritation. No infection can start to cause symptoms sooner than 24-36 hours after exposure.

All things considered, you are at very low risk for any infection from this event. Keep your eye out for symptoms the next few days -- discharge from the penis, uncomfortable urination, penile sores, blisters, etc. Assuming nohting shows up, I would not advise testing for anything.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD

  Thank you so much for your response. While your words are very reassuring regarding the saliva coming into contact with the cut, I do worry about the massaging part, as during the handjob her saliva was involved and there was plenty of friction between the hand and the shaft, as well as the head of the penis. I tried not to worry too much as you have pointed out that it's unlikely she had a transmissible infection, but if there was, would it have been enough of massaging the virus into the tissue?

Also, I noticed 3 tiny red bumps on the top side of my penis shaft today, 24 hours after the encounter. They are about 1 cm apart so they're not really clusters, and they're solid as of this moment, but I'm worried they might be signs before an outbreak? Or is it more likely to be irritation from the shaving and the rubbing? If you could tell me more about the signs before and outbreak I'd appreciate it, so that I could have a better idea, and have some peace of mind.

I trust your judgement and comments and I think this forum is doing great work, my apologies for all the follow up questions despite your detailed and clear answers, I hope you don't mind. Thank you!