[Question #13179] Syphillis risk

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1 months ago
Hello there

I would like to know about syphillis risk in my encounters with other sexual workers who are women.


Exposures: proteced oral. No unprotected sex anal or oral. Massages at massage parlies where body to body contact has happened.

French kissing has happened with women.

No vaginal sex or anal. If any oral occurs it is protected.

Can you kindly let me know of my risk kf syhpilis as i was informed that body to body contact where fluids are exchanged can trasmitt this.

Do you suggest testing for shyphilis if no current symptomr or avoid having sex with my partner.

Is kissing dangerous for syphilis with men to women

Thank you

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1 months ago
Do you suggest any std testing based on the above exposures of massages and frottage
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Edward W. Hook M.D.
1 months ago
Welcome back to the Forum.  This question is similar to one 7 months ago when I replied- "In the past year or so there are several reports of gonorrhea being acquired in the throat as a result of deep, "French" kissing, primarily among men who have other men as sex partners .  Gonorrhea and other STIs are NOT transmitted through simple, non-deep (i.e. tongue involved) kissing and is only very rarely transmitted through deep kissing.  Kissing remains among the very lowest risk of possible exposures and is not something I would be worried about.  I certainly would not recommend testing every time that a person is involved with deep kissing of another person, particularly if that person is of the opposite gender.   Personally, in your situation, I would not be worried and would not seek testing, (FYI, oro-pharyngeal gonorrhea is uncommon, is most often asymptomatic, is inefficiently transmitted, does not cause complications, and tends to resolve without treatment over a few weeks after acquistion)."  The answers have not changed.

Receipt of condom protected oral sex is virtually risk free.  

Syphilis is nearly 100 times les common than gonorrhea or chlamydia, the majority of syphilis infections now occur among men with other men as sex partners and syphilis from receipt of unprotected oral sex is quite rare - as I said above, there is virtually no risk from receipt of condom protected oral sex.

Frottage and erotic massages, even when finished with receipt of masturbation is likewise a virtually no risk event with no scientific or medical need for testing

Nothing you describe above suggests any medical need for testing or that your partner may be at risk because of these activities.  Some clients chose to test for their own peace of mind and reassurance and that, of course, is a personal choice.  Hope this information is helpful.  EWH
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