Hello,

I recently had an encounter and would appreciate your assessment of the STI risk involved.

I was at a massage parlor, and during the encounter I inserted my index finger into the woman's vagina to stimulate her while she manually stimulated me. Shortly afterward, I used the same hand/finger to finish masturbating myself. I believe there may have been vaginal secretions on my finger at the time.

As soon as I realized what I had done, I removed that finger from contact with myself. To the best of my knowledge, I did not directly touch the tip/opening of my penis with the finger that had vaginal secretions on it.

Based on this exposure, would you consider there to be any meaningful risk of HIV or other STIs? Would you recommend any testing, and if so, what tests and at what time intervals?

Thank you for your time and expertise.

Thank you for your detailed assessment, Doctor. That does put me at ease.

I appreciate you taking the time to review everything and explain it so thoroughly.

Thank you for your reply. Just to be sure I understand correctly, based on the specific exposure I described (fingering a woman's vagina and then briefly masturbating myself with the same hand/finger), do you see any reason to avoid unprotected sex with my wife?

You stated that you do not consider there to be any meaningful risk of STIs and do not recommend any testing. I just want to confirm that, given that assessment, you would not have concerns about transmitting anything to my wife from this exposure.

Part of my confusion is that I often hear about "skin-to-skin" STIs, so I want to make sure I am correctly understanding the risk from the contact I described.