[Question #2424] Do I have any STD risk from this event?

43 months ago
Hello Doctors:

I recently visited a CSW who specializes in massage in the USA for quite simply a hand job.

The CSW got naked and wanted to give me an interesting experience, so rubbed her naked body on mine.  It was fun, except at one point during the body to body rubbing I felt her trimmed pubic hair touch my penis, so I assume there was a small incident of genital to genital naked touching?  Aside from this sensation of touching, there was no penetration or her vagina or mouth, at all, zero.

The reason i decided to request just a hand job, which I did get, was that I wanted to be safe and have no STD risk.  Two days after the event I called her and she assured me she being a Massage CSW is very careful not to have genital to genital naked contact, and that I should not worry, but I am married and am very concerned about Syphilis and Herpes.  I have had HSV1 for many years although have not had a breakout in years.

I hope this is clear?  
Edward W. Hook M.D.
Edward W. Hook M.D.
43 months ago
Welcome to our Forum.  I will be glad to comm et.  The medical term for the body rubbing that you describe is "frottage" and, like other forms of masturbation, is a no risk event.  While there is a theoretical possibility for transmission of lesion STIs such as herpes or syphilis by such exposure, neither Dr. Handsfield nor I have seen acquisition of infection in this way in our combined more than 80 years for STI focused practice or seen it reported in the literature.  Your risk for being struck by lightning is far higher than your risk of having gotten an STI from frottage.  I would not worry at all.  I see no reason for concern and no reason for testing.  EWH---
43 months ago
That reads pretty clear to me.

One summary could be: naked genital to genital rubbing, if not for more than a minute or so, has a theoretical possibility of STI transmission like herpes or syphilis, but in your experience you have never known that to happen so for practical purposes that activity for that short period of time is a no risk event with regard to all STIs?
Edward W. Hook M.D.
Edward W. Hook M.D.
43 months ago
Your summary is right on target.  I hope it will allow you to move forward without concern.  EWH---
43 months ago
I am hoping to hear you , that this was a no risk event, and that i should not worry and continue unprotected sex with my wife.

One last question, since i have one more i can ask, in the event my luck is awful and lightning strikes, and I get HSV2 or Syphilis, I would only be contagious when sores are present, is that correct?

Meaning, could i have sex with my wife unprotected and not harm her even if I somehow got Syphilis from this event as long as the sore or chancre is not present?

Feel free to scold me for being illogical and insane and misplacing my anxiety and guilt over this event into having been exposed to STIs when i was was not!?!?!
Edward W. Hook M.D.
Edward W. Hook M.D.
43 months ago
I have essentially said what you hoped to say.

Syphilis is transmitted only by direct lesion contact.  Herpes can be spread by asymptomatic persons with the disease.  You have no reason to worry about this.

I urge you to now move forward without concern.  There is no reason for you to hesitate to have unprotected sex with your wife.  EWH
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Edward W. Hook M.D.
Edward W. Hook M.D.
43 months ago
There have now been three replies to these questions.  As per Forum Guidelines, this thread will now be closed.  EWH
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