[Question #2897] STD Risks

41 months ago
Hi I am curious as to what STDs I am at risk for? I have had multiple partners over the last 3 months. I am a gay male. I feel like I practice safe sex but get confused sometimes. I strictly participate in Kissing, Naked Frottage and mutual masturbation and handjobs with anonymous male partners. I really enjoy this and have always considered it safe but still test 1x annually. Is this considered safe sex with little or no STD risk or am I incorrect and in fact have risk for HIV an dother STDs? Thank You!!      
Edward W. Hook M.D.
Edward W. Hook M.D.
41 months ago
Welcome to our Forum and congratulations on your practice of safe sex.  The activities you describe are no risk activities with respect to the most common STIs- gonorrhea, chlamydia and HIV.  For lesion diseases such as syphilis, herpes and HPV there is a theoretical risk for infection as these infections can be transmitted trough direct contact with lesions of the disease but I emphasize that these concerns, particularly for syphilis, are largely theoretical and should not be of concern to you unless a partner has a visible lesion..  As for HPV, nearly everyone (well over 80%) will acquire these infections and nearly but not all will be transmitted through penetrative sexual contact.  There are a tiny proportion of HPV infections which cannot be explained as a result of penetrative sexual contact.  You can nearly completely eliminate your risk for HPV if you get the HPV vaccine.

I hope these comments are helpful to you.  Please don't hesitate to use your up to two follow-up questions if any of what I've said is unclear or if there are further questions.  EWH
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41 months ago
Tan you Dr Hook for the information. One last question. I am entering into a committed relationship so should I test for anything specific prior to being with him based on my stated activity up to this point? what would you recommend? I have tested 6 months ago.
Edward W. Hook M.D.
Edward W. Hook M.D.
41 months ago
Good question.  If your only sorts of contacts have been the ones you mention above, I see no reason for testing, particularly if you were tested six months ago.  On the other hand, in some instances, a great way to establish communication and set the stage for moving forward with trust is for both members of a committed relationship to go together for testing.  That said from what you have described, I see no medical reason for you to seek testing at this time.  EWH
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41 months ago
Thanks for all of the fantastic information. No further questions or concerns. Cheers!! 
Edward W. Hook M.D.
Edward W. Hook M.D.
41 months ago
Glad to help.  As per Forum Guidelines, this thread will now be closed.  Take care and again, congratulations on your approach to sexual health.  EWH
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