[Question #2312] Hepatitis B from gay mutual masturbation in regards to question 952 and follow u

45 months ago
This truly is a new question regarding g the incidents described in question 952, so please don't delete.  I've almost come to terms regarding my not having HIV, but I never thought to ask if Hep B could be transmitted through the encounter I had.  I'm having what I think are various symptoms of Hep B, and when I looked at causes, I learned that it could be sexually transmitted.  Can you tell me if there is ANY possibility of Hep B, or any of the Hep strains, through what I did?  Thanks as always for what you do!
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
45 months ago
No, there is no possibility of any viral hepatitis transmission from the exposure described in your several previous threads. No STDs ever are transmitted by hand-genital contact, e.g. mutual masturbation. If you remain concerned about it, i.e. if negative tests will help reassure you more than my opinion, get tested. If this is your only potential exposure, you can be sure of negative results. (If you have been vaccinated against hepatitis B, do not test. It would be positive for antibody to HBV surface antigen (HBsAb, also called anti-HBs). If you have not been vaccinated, you could start an immunization series (3 shots over 6 months) now, then no worries in the future, no matter what kind of exposures you have.

The answers to your other questions, and the reply above, applies to any and all STDs or any other infections that might come to mind. Any additional questions about anything related to that exposure will be considered redundant and anxiety driven and will be deleted without reply. Here is the current statment we routinely post in this situation (although the opening words vary, depending on the particular exposure or STDs of convern):  Please note the forum does not permit repeated questions on the same topic or exposure. This being your second, it will have to be your last; future new questions about this exposure, testing, and your fears about HIV or other STDs will be deleted without reply and without refund of the posting fee. This policy is based on compassion, not criticism, and is designed to reduce temptations to keep paying for questions with obvious answers. In addition, continued answers tend to prolong users' anxieties. Finally, such questions have little educational value for other users, one of the forum's main purposes. I trust you will understand.

HHH, MD
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45 months ago
Thanks as always for your reply and the comfort it brought.  I hesitate to say the following for fear of being "banned" perhaps, but I have to take issue with the chastening, standard remarks regarding your policy.  I am fully aware of it and do understand the reasoning behind it,  but I feel as if it was unwarranted this time.  While I realize this question was related to other threads of mine, it was a new question, for which I wa glad to pay, yet it was treated as a follow up.  In my ignorance, I had no idea Hepatitis was every sexually transmitted, hence the new question.  I searched everywhere and could find no definitive answer, therefore I turned to you.  I know it's not your job to comfort and reassure me every time I have a new worry, but I felt as if this was a legitimate concern, that's all.
I just want you to realize that you are quite often a life line to those of us asking questions, and while it must be tedious to deal with, when we ask, it's because we have no other avenue at the time we ask.  I've told you before you're my hero and a lifesaver...I do understand but want you to understand it from this side also, that's all.  I had a couple more questions, but I'm afraid to ask.  I'm not "picking a fight" just wanted to pass this along for myself and for others.

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
45 months ago
Thanks for your perspective. Sorry if the wording of the policy sounds harsh -- call it "tough love", if you like -- but we have found that less assertive warnings don't seem to make much difference for some users.

Neither we nor any other forum like this should be considered a "life line" and we do not accept that role. For 90% of repetative or anxiety driven questions, simply repeating facts doen't help:  there is almost always a "yes but", "what if", or "could I be the exception" sort of question. The problem with most such users and their questions is psychological, but we are not psychologists and have no desire to function as distant counselors or to keep repeating the same answers to questions with slightly different wording.

If your "couple more questions" do not repeat ones already answered, and if the answers are not obvious based on previous replies, please go ahead. They will be answered directly and objectively.

Thanks for your understanding.

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45 months ago
I do
Understand and didn't mean to be rude or anything.  I can't thank you enough ever for all your help...this just seemed like a new area I might need to be worried about.  Thank you for reviewing all my queries...I guess my further questions are asked and answered according to you, but related to Hep b or any kind, am I safe to infer that there's NO risk of that regardless of how many times, partners, etc one is involved with in mutual masturbation? Not to say that I've had multiple experiences, but would it always be safe no matter what?  I guess my anxiety came a little when you suggested a vaccine so as not to worry,  but my take on that was that mutual masturbation is safe, period,but with vaccine , one wouldn't have to worry about other types of sex?  I guess simply put, I'm asking if mutual masturbation is safe, regardless?  
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
45 months ago
Correct -- no known HIV/STD risk from mutual masturbation, no matter how often. In theory, if the risk were say one chance in many million, obviously that risk would rise with multiple exposures. But still no proved cases, so why worry?

I don't get why being vaccinated would increase your risk because of other types of sex. If you're saying you don't want vaccination because it will increase the temptation of other kinds of exposures, I think that's pretty irrational.  You're in control of your temptations. The vast majority of the world goes well beyond mutual masturbation in their sexual expression, accepting a balance between risk and benefit.

That completes the two follow-ups and replies with each question, and concludes this thread. The warning stands. Best wishes to you.

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