[Question #3120] std risk

39 months ago
Eight days ago, I engaged in frottage with two men.  There was deep kissing for several minutes, penis to penis brief but vigorous naked frottage with no orgasm for about 1 minute, and very briefly one person’s penis was near my anus (I stepped away so I don’t think he went in at all). There was also mutual masturbation by hand with orgasm (no semen got on me).  I didn’t notice lesions or cuts on myself or them during or after, but didn’t get a great look at them.  There was no condom and no oral or sex.  Both said they were clean and also asked me if I was beforehand, so I don’t believe they think they have anything.  Given other threads I’ve seen here I believed my risk to be low.  5-6 days later I saw what looked like a very small pimple on the shaft of me penis.  It did not really look like a blister, but more like a pimple with a tiny white area at the top.  It is painless with no itching and has remained the same for about 2 days now.  I may have gotten things like these before, but can’t remember.  There is also a small bump on the other side of the shaft, which doesn’t look like the first one.  It doesn’t look like a blister or a pimple, but rather like a slightly larger version of the many bumps around the base of the penis which seem normal and which I’ve had forever.  It has been 8 days and these are my only symptoms.  What are the odds I need to worry about an STD from the encounter or the symptoms?  Should I abstain from sex with my typical partner?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
39 months ago
Welcome to the forum. Thanks for your question, and thanks for reading our replies to other questions simililar to yours. You learned well:  you rcomment that you "believed [your] risk to be low" is exactly right.

This was a risk free encounter; no STDs are transmitted byt his sort of contact. Pimples are fairly common on the penis, and I'm confident it has nothing to do with the sexual event described. As for the other "small bump on the other side of the shaft", I have to believe you're looking too closely and noticing some sort of natural variation in your penile skin. However, if you are convinced it is new or abnormal, I would recommend professional examination, ideally by a dermatologist. In the meantime, I see no need for you to be tested for anything or to refrain from sex iwth your regular partner.

I hope this information has been helpful. Best wishes and Merry Christmas!

HHH, MD

---
39 months ago
A quick follow up. The first pimple disappeared. Then, about 10 days post-encounter, I got a larger lesion on the penis shaft. At peak, it looked like a larger pimple, with a bit of yellow tip.  At first, it looked a bit shiny, a bit like a blister, but it was hard to tell. 2 days after appearing, only an indentation remains and a bit of very slight scabbing. There was no pain or itching, but it looked similar to herpes sores I saw online (though it was a single lesion and also looked as much or more like a pimple). Could this be consistent with herpes or another std, or am I getting unlucky with pimples at a bad time?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
39 months ago
As noted above, the sexual exposure described carried non appreciable risk of STD. And this still doesn't sound like herpes or any other STD. Although herpes can be transmitted by non-insertive genital-genital contact, initial herpes rarely would present with one pimple like lesion, then another single lesion 10 days later. As for looking like herpes lesions, this also doesn't mean much. One clue about herpes lesions vs pimples is that herpes usually is quite superficial:  think of the blisters and sores as being "on" the skin; whereas pimples, boils, etc start deeper -- think of them as being "in" the skin and then growing outward.

So I remain confident you don't have herpes. Or, in the very slim chance you do, these episodes have been recurrent outbreaks of an infection acquired months or years previously. I am entirely sure they aren't related to your recent frottage event.

Does that help?

---