[Question #2733] Herpes from CSW?

41 months ago
Hi, 

I slept with a CSW last night. I will try to keep this short. Details are below. Can you please help with this? 

What we did: Oral and sex with condom, masturbation on me, boobjob, and I sucked on her boobs and nipples. 

What I'm concerned with: On her boob was a red patch of raised skin (about 1/2 inch oval). It was not on the nipple, but about a 1/2 inch to the side. Is this herpes? Could I have gotten oral herpes from sucking on her boobs/nipple? Could I have gotten genital herpes from the boobjob? 

Other information: She was an escort from Europe in NY, and was very clean and professional. And when I looked up herpes on nipples, the red patch of skin on her boob didn't look like the blisters/pimples or open canker-like sores. It looked dry and like it had been on her for a long time (not temporary). I pointed it out and asked her if it was a birthmark to not offend her, and she said yes. I was a little paranoid later, so asked again to just confirm, and she seemed slightly annoyed and said yes again, like she was offended that I was suggesting it was an STD. She also did not seem to try to hide it. Also she was very pale with lots of moles and freckles, so it seemed like she had sensitive skin and that maybe it could have just been some other dermatological thing? 

Could I have been at risk for any other STDs from this exposure (syphilis, hepatitis, HPV, AIDS, gonorrhea, UTI, etc.)?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
It sounds to me like you did a good job of practicing safe sex with this person.  And the area on her breast that you describe sounds absolutely nothing like herpes to me.  If she told you it was a birthmark, then it was very likely a birthmark!  Herpes and birthmarks don't look at all alike.  It's good that you looked up herpes on the breast and was able to see that for yourself.  I am not concerned about you getting herpes on your penis from the boobjob or on your mouth from sucking on her nipples, nope.  Or any other STD's either

Terri
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41 months ago
Thanks for the reply! Regarding the birthmark... I just suggested that it was a birthmark and she just replied yes, so she could have just been lying or not understood (her English wasn't very good)? In my experience, birthmarks are brownish and flat and not red and raised. Does this change your response? Can you please explain why you don't think this is herpes?

A few other things I forgot to add:

1. I have a calloused small bump on my palm which had cracked open maybe a few days before and had about an 1/8" cut, but was completely dry and not bleeding inside. I also had about a day or two old hangnail on my finger which I used to masturbate her (only outside, not inside). Am I at risk for anything because of the hangnail and cracked calloused bump?

2. A day or two after, I had a bit painful urination in the morning, but no pain after and no discharge or any other problems. Is this a UTI that I could have gotten from her? My concern is that before giving oral sex, she used her mouth to put on the condom and that perhaps her mouth had touched my penis shaft for a second and her saliva traveled up the condom and into the urethra?

3. Later, my 7 year old niece had a UTI. Could it be possible that if I had gotten a UTI that somehow I transferred it to her by hugging her or touching something in her house that she also touched? 



Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
Birthmarks can appear in many different ways - they can be brown or red or pink or purple.  Difficult to say
It is very unlikely that even with this break in the skin that you would get whitlow, but just keep an eye on the area and if you see blistering, have it swab tested.  I think the chances are incredibly tiny of this happening.  The condom placing experience that you describe it not a risk for herpes or other STI - too little contact. 
If you have a UTI it isn't from your contact with the CSW if all of the details of the encounter are as you described.  Also men rarely get UTI and your symptoms sound nothing like a UTI to me.  And no, you absolutely did not give your niece a UTI by hugging her or touching her.  I understand that you have questions about this encounter, but honestly, I don't think your situation presents a risk for acquiring an STI.

Terri
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41 months ago
Ok, can you please explain why you think the red patch on her breast is not herpes?

Also, regarding UTI, my urination was normal after that one time in the morning, so guessing it was not a UTI infection.

About whitlow, I masturbated her with my finger with the hangnail (not the cracked calloused bump). Does this change your response? I know you said it is probably very unlikely, but how long should I look out for blisters?

And lastly! I got a sore throat and a canker sore on the inside of my gums a day or 2 after being with her, although I believe the canker sore may have started before I saw her. Also, I get canker sores every now and then (from stress, accidentally biting my lip, etc.) and have never tested positive for oral herpes. Do you think the sore throat or canker sore is anything related to an STD?

Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
I don't think it is herpes because herpes doesn't present as a red patch as you described it.  It presents as blisters or ulcers or scabs particularly on something like breast tissue.
No, I don't think you had a UTI.
I know of no cases of masturbation resulting in whitlow.  Generally, it takes more contact than that to get whitlow.  I can't say with 100% certainty that this can't happen but if you are concerned, continue to observe for 10 days from exposure.
Canker sores are not caused by herpes - their cause is unclear.  I don't think, given what you describe, that you are at risk for an STI

Terri
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