[Question #13204] STI Transmission via Sex Toy

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1 months ago
Hi all. I have come across responses of your experts (on this site and elsewhere) for many years when researching information of this nature, and the time has come for me to ask my own question of the panel. I'll try to cut straight to the point. 

I visited a domme several days ago. Clearly, this activity is sexual in nature but the lady strictly advertised zero sexual contact or services as available in her sessions; only consensual BDSM play. I was surprised then, when towards the end of the session, a small wand style vibrator was produced and rubbed against my penis until I ejaculated. 

At the time, I paid this no mind, but several hours later, the implication of this additional act slowly dawned on me. The wand vibrator used on me was not covered with a condom. I had checked with the domme and she advised me that toys are always cleaned after every customer, by using hibiscrub (I believe a UK market antiseptic wash) and medical grade alcohol. But, as I'm sure you've seen many a time with posters on your forum; the nagging possibility that the toy had not been cleaned remains in my mind. I was the first "customer" that day, so if the vibrator had been used previously and not cleaned, then realistically it could have been last used some time the night before. 

Now, I must mention at this point that I have read many replies here to other questions, as well as researched elsewhere online, and I am getting conflicting information. There are worrying studies (or perhaps individual study, parrotted many times by different outlets) stated that HPV in particular can remain on sex toys, even after cleaning, for long periods of time. 

Am I right in understanding that I am at ZERO risk of transmission of ANY sti/std from this encounter? 

I'd appreciate your input on this situation. Thank you in advance! 
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Edward W. Hook M.D.
1 months ago
Welcome to our firm. Thank you for your questions. I’ll be glad to comment and hope that the reassurance that I provide will allow you to move forward without concern. I think you have already concluded that the activities you describe were no risk. That is the case. STI’s are not transmitted by inanimate objects unless they are used immediately on one person and then another. Even then, transmission is extraordinarily rare. STI‘s become non-infectious almost immediately of pun contact with the environment. Further, in your instance there was no penetration either. I see no reason for concern and no reason for testing. 

I would add that I appreciate your coming to our site and would urge you in the future to stay off the Internet. Many of the non-professional, so-called expert sites found on the Internet are not staffed by medical professionals and make statements which are often incorrect for a variety of reasons. Some incorrect answers come from information that is misinterpreted, that is out of date, that is taken out of context, or simply reflects passing on urban myths, which are found all too frequently on the Internet. 

I hope this information is helpful to you. As I said, I see no reason for concern and no need for testing. If any part of this response is unclear, please feel free to use. You’re up to two follow ups for clarification. Take care. EWH.
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1 months ago
Hi Dr. Hook, thank you very much for your swift and informative reply. I have actually posted the above question on behalf of a close personal friend who is somewhat technophobic. I had my own “experience” with HPV transmission several years ago (low risk GW strain) and amongst the sea of contradictory information available online, it was responses from yourself or Dr. HH (often copied over to websites such as Reddit) that allowed me to make the right informed decisions going forward. I wanted to do the same here. 

Anyway, that’s not really important to the matter at hand - that being the follow up question, which is more specifically about HPV. Can I ask what it is you think of studies such as this:

https://pmc.ncbi.nlm.nih.gov/articles/PMC6678034/Human papillomavirus DNA detected in fingertip, oral and bathroom samples from unvaccinated adolescent girls in Tanzania - PMC

I mention it because it is one of the few seemingly actually reputable sources suggesting that it *is* possible to spread HPV via fingers / objects. 

I’d be keen to know what you think of studies such as this which fly against the (admittedly more comforting) advice that HPV is almost always transmitted by direct sexual contact only. 

As always, thanks for your time and expertise. 
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Edward W. Hook M.D.
1 months ago
We ask clients to stick to one topic for their questions.  I’ll provide a brief response but will not entertain follow up questions on this topic.  If you have more questions you’ll need to start a new question.

The topic of HPV spread through auto inoculation or transfer of infection on fingers on fingers or inanimate objects has been repeatedly discussed.  The presence of small amounts of virus is only a portion of what’s needed for transmission.  Transmission of the virus to cause infection requires the virus in sufficient quantities to start the infection, friction to introduce the virus into the skin surface and a susceptible ( unvaccinated) host.  While theoretically possible and possibly the origin of a small fraction of infections vast experience has shown that non-sexual transmission is extraordinarily rare.  EWH
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1 months ago
Hi Dr. Hook, I heavily appreciate your reply; I did not intend to take liberties with the question system and figured the query was somewhat related to the initial one. I shall absolutely keep this in mind for any future interactions. Regardless, I also greatly appreciated your response in regards to such. 

In regards to the initial query of the sex toy, I would finish up my three responses by also asking: if any tingling or burning sensation is experienced in or around the genital area, especially that seems to come and go with focus on the subject or the thought at hand, would you see any reason for testing or would - based in the information in the original query - you perhaps chalk this up to something anxiety-induced? 

As this is the final reply I have I will wrap up by extending once more my thanks to yourself and your fellow colleagues for the support that you provide with this service. Truly, it is a valuable resource in a sea of contradictory information. Thank you for your time and expertise. 
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Edward W. Hook M.D.
1 months ago
Thanks for your understanding of our approach to questions.

Regarding the tingling/burning sensations you are experiencing I am confident that they are not associated with an STI acquired during your recent encounter.  When they cause symptoms, the symptoms are continuous not intermittent and are associated with observable signs of infection.  We find that often when clients are looking for symptoms there is a tendency to notice normal sensations which are normally overlooked.  

As you know, this response completes this thread.  I hope the information I’ve provided will help you to move forward without concern.  Take care.  EWH
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