[Question #1345] Herpes and HPV through saliva, hand to genitals

49 months ago
Hi yesterday i went to  strip club , a dancer gave me hand job.  Rubbed my penis and spitted saliva 3 times on her hand within  period of 2 minutes. I didn't ejaculate. I have never done something like this before, not sexually active otherwise. I am concerned if i am at risk of getting HSV or HPV from this activity. I have seen various posts where Dr. Hunter says this is zero risk activity. But i found this page which says yes it can be transmitted through saliva through skin abrasions and mucous membranes in genitals. I know there is lot of information on internet may be even myths, and i understand you can't comment on what others are saying, but i am sharing this as it comes from a well respected ''uni of maryland medical center'' http://umm.edu/health/medical/reports/articles/herpes-simplex  
Please help. I am losing sleep over it. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
49 months ago
I think it is important, when reading things on the internet, to consider the source. I see the site you are listing.   In this case, perhaps the people writing about transmission via saliva was talking about receiving oral sex.  When a person receives oral sex, there is a small possibility, if their partner has oral herpes, that they could acquire that genitally.  HOWEVER, in your case, this isn't what happened, you got a small amount of saliva on your penis, which is an entirely different thing.  There needs to be a certain amount of virus present to infect another person, and this volume is NOT present in the small amount of salive used to masturbate you.  Please be reassured that there is virtually no risk in the activity you engaged in with this dancer. 

Terri
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49 months ago
Hi Terri, thanks for your prompt reply. Its a great relief to hear soon from people like you. It helps to put mind at ease. But i am still confused, forgetting about other websites or what other people say, i read here in a reply by Dr. Edward Hook, :  '' Acquiring herpes from receipt of oral sex is likewise very rare. There is 1 in 1000 or less chance of you acquiring herpes from your partner if she has oral herpes and you do not''. But then there is a section on genital herpes by Dr. Hunter Handsfield which says :"In recent years, about half of new genital herpes cases have been caused by HSV-1, largely due to an increased frequency of oral sex''. Does that not sound conflicting to you?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
49 months ago
It is not at all conflicting results.  Nope.  As I said, with ORAL SEX you could acquire HSV 1 from a partner - and it is true that many new cases of genital herpes are due to HSV 1.  Those two concepts do not conflict.  And you did not receive oral sex - remember the quantity of virus thing we talked about earlier?  Oral sex has that quantity - a bit of saliva does not.

Terri
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49 months ago
Hi Terri, thanks again for reply. I think i will be closing this thread after your this last reply. But to be clear i was not mentioning the conflict in oral sex and handjob herpes. I understand that. What sounded conflicting to me two statements on oral sex only. The statements  made by Dr. Edward and by Dr. Hunter. One says probability of getting herpes from oral sex is very rare, 1 in 1000.  And the other statement says, even you said it, that there has been increase in  herpes from oral sex, at least half of the genital herpes is from oral sex. Am i clear this time? Please re-read my first answer. 
Getting back to original situation that i got concerned about (since i never engaged in oral sex), you said that the quantity of virus matters. But the site that i mentioned earlier, from Uni of Maryland Med center, says a droplet from breath can cause herpes. I am worried. But anyhow, if you say so, i believe you, after all you are an expert.  Should i just be worry free then? and move on? Thanks again. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
49 months ago
I think all herpes experts would totally agree that that statement by the University of Maryland is not correct.
I'm not aware of the statistic of oral sex transferring herpes is one in 1000.    Is that at a single encounter?  Is that multiple encounters between an infected and uninfected people?  Is that over a period of one year?  I'm just not sure what that reference is.  And again, both could be true.  Let's say the 1 in 1,000 refers to a single encounter.  I'm not sure where that comes from, but let's say it's accurate.  That means, having oral sex once a day for three years might transmit oral herpes to the genital of an infected person.  So that's pretty low.  But herpes isn't all that common.  So it could still be true that half of new herpes is HSV 1. Do you see what I mean?  I think we are dealing with a certain amount of estimation here, to be honest.  The point here is that YOUR experience is not worrisome to me. 

Terri
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