I have strictly followed the protocol of Dr Handsfield, who say in many ways that only unprotected anal or vaginal sex is genuine risk of STI's, oral insertive extremely minimal to point of near negligibility, while kissing and hand-genital contact are risk free and should be no cause for concern (unless visible herpes).  But some doctors are indicated that kissing (saliva) can carry Hepatitis B or CMV. Is this not being mentioned because these are not considered STI's, or is there some other reason for discrepancy of info?  What is the reality...this is frightening. I have kissed many prostitutes though never insert anything anywhere, even with a condom, under premise I am thus safe. If Hepatitis or other mouth-born illnesses are going unmentioned am now risking my wif's health by kissing her?  The source of this is Dr Krull or Krill (?) on the The Body website, which is an very credible site.  So ya, worried. Please help! 

I am not sure why you felt the need to start two new threads.  One would have been sufficient.  Please see my earlier response and let me know which one I should delete.  EWH
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Your response is very helpful as alway Dr Hook....I started the second thread only because was not able to see that the  first question had taken , in my haste repeated (you have to imagine most of us write in these questions feel very nervous and off balance so prone to make mental errors).  I believe I am entitled to one follow up, may I ask if agree?   The CDC website indicated that a three series vaccination for HepB /HepA combo would remain effective for decades (in adults), B in particular possibly for life. Only immusupressed individuals would need a booster (which I have no reason to think I am) .....I did receive full vaccination series in 2011,  was always thinking I needed to take it again...but if the vaccination is multi-decade effective the I am feeling quite "out of the woods" all the more so....do this square with your knowledge of the vaccination's length of effectiveness.  Thus I may consider myself immunized from A and B Hep  (within a 95% probability I read) for decades? 

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Dr Hook, Thank you again.  I was not nervous per se about the asking of questions, but rather you must imagine the majority of us out there get ourselves into these situations in the first place by cheating on our regular partners, thus much guilt attacks the mind..it is very difficult to avoid deep emotional stress when these incident can cause such sickness and pain. I am seeking a failsafe no-worries protocol for occasional sexual diversion which could never possibly cause my wife harm (in a medical sense).   I have read yours and the other leading doctors (HHH), Dr Gomez, others, and there seemed to be strong unanimity that hand-to-genital contact and open mouth  kissing are genuinely safe sexual interactions. I am prone to OCD, and so discovering the inclusion of HepB into the risk category by one of the doctors on The Body.com (a generally excellent and consistent site) set me into a bit of a frenzy. May we set the record straight once and for all:   apart from very unusual / unlikely circumstances, like open bleeding wounds (which no one in their right mind would engage in sex with), obvious ill looking sores and lesions, and sharp instruments lying about, a normal "happy ending massage" (hand stimulus), some erotic kissing, and bit of digital play in any of the orifaces (this without any oral sex or genital penetration) can be considered a safe method for averting STI's?   You have said this perhaps 100s of times but there is some force of hearing it directly addressed to oneself.  It's a such a shame sex has to be so scary but that's the world we live in, we really need to know black and white what is OK to do and what is not assuredly OK.  Thank you for indulging my question...you are a great service to humanity Doctor. 

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