[Question #2486] Follow-Up Question #2424

43 months ago
Hello Doctor:

It has been 12 days since my 'exposure' and nothing at all so far resembling a chancre or lesion.

I know you said this was NO RISK, but this has been getting the best of me.

Two questions -- after how many days since exposure can i definitely rule out Syphilis or HSV2?  and curious, why is short naked genital to genital rubbing, less than 1 minute or so, NO RISK when prolonged rubbing for a few minutes or more at all risky?

Thank you.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
43 months ago
Sorry you found a need to return despite the reasoned, science-based reassurance you had from Dr. Hook a few days ago and from both of us in more distant past exposures. "This has been getting the best of me" is an emotional response, not one that is likely to be further helped by hearing once again that you were not at risk. But that's all I'm going to say.

It is wrong to focus on the biological reasons for low risk, such as duration of exposure. The important fact is that in the busiest STD clinic, we never see patients with genital herpes or syphilis who did not have actual insertive sex. We never see cases in whom the only exposure was frottage (body rubbing), hand-genital contact, or condom protected oral sex. The details of those exposures don't matter if there are no such cases. 

But if somehow you were going to get HSV2, symptoms would usually appear within 5 days and always within 2 weeks. Syphlis chancre (the initial sore) typciallly appears 10 days to 4 weeks after exposure. Blood tests require 4 months for HSV and 6 weeks for syphilis for conclusive results.

Please note the forum does not permit repeated questions on the same topic or exposure. This will have to be your last one; future new questions about this exposure, testing, and your fears about HSV, syphilis 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, experience shows that continued answers tend to prolong users' anxieties rather than reducing them. 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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43 months ago
I understand what you are saying, thank you.

Knowing myself and the guilt here, i won't be happy until 4 weeks past 'exposure'  as i am illogically concerned about Syphilis.

i have to remind myself that i was NOT at ANY risk at ALL.

I will not ask another question. 

thank you again for the assurance.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
43 months ago
Just to be clear, the no question stipulation is for new posts. You're free to ask another question on this thread or, perhaps most productively, to post your negative syphilis test result in a few weeks. I'll keep the thread open for another couple of weeks for that purpose.

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