I recently had a male to male massage. I was fingered anally with receiving a handjob. I have been previously vaccinated for mpox 2 doses on 2 separate occasions. 4 doses.  The last dose 7 months ago. I am quite scared of mpox. Do you think I have a realistic mpox risk from this one encounter? I checked my state health department website mentioning no mpox cases in 4 weeks. Prior to that there were 1-2 cases every other week. Any STI risk from the finger in the rectum? Thank you for advice! 

Congratulations as well  on your sexual health practices.  I know that you use condoms regularly and vaccination against mpox is an essential element of mpox prevention.  You are doing things right. 

 Your risk for mpox is low- as you have found out, mpox is rather uncommon in your community and you are vaccinated.  There is no recommendation for further vaccination beyond what you have already had.  I think your risk for mpox from the events you describe is very, very low and would not worry.  Nor do I see any risk for other STIs.  I see no reason for concern of for testing.  Please don't worry.  EWH

Thank you for your rapid response. The interaction only happened 24 hours ago and I am now feeling my face burning up. I am assuming my symptoms have nothing to do with mpox. It would take 5 or more days to notice any symptoms correct. It is probably just me worrying causing my flushed/burning up face? Thank you again for your thoughts and advice. Many thanks!!