[Question #3975] Hot tubs, fingering, STDs

33 months ago
Hello Doctors! Thank you for this valuable service. I am hoping you can put my mind at ease a little, I was in a hot tub with a female friend, both naked. Things got a little crazy and we began to masturbate each other. At no point was there anything insertive (oral, vaginal, or anal) perhaps just a small amount of (if any) contact between our private parts. However, I did have a finger deep in her vagina while she  was in the water. She had touched herself as well. Then we both touched/rubber/stroked my penis for an extended amount of time and I climaxed. I do believe that my friend is STD free, but am not entirely sure. I went through a similar situation last year that caused and enormous amount of panic and ended up getting tested for HIV, chlamydia, and gonnorhea, all negative. I recall reading that there is little to no risk of HIV transmission or virtually any other type of STD with such activity but I would like some reassurance. My questions are 
1)  should I be concerned about any STDs? 
2) can I resume sex with my regular partner. 
I do not want to go down that road of excessive worry again. I have felt a little discomfort in my genitals for the last day  (the incident happened  2-1/2 days ago) and a little back pain, although I believe the back pain is from lifting heavy things...most of what I read in your forum suggests that the genital discomfort is anxiety.  Anyway, thank you kindly for your time! I look forward to hearing from you!
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
33 months ago
Welcome to the forum. Thanks for your confidence in our services.

What you "recall reading" is absolutely correct. No STDs are transmitted by hand-genital contact or fingering. And whatever theoretical risk might exist would be further reduced by the dilution that would occur when doing it under water, and/or with the flushing effect that would occur in a hot tub. Whatever "discomfort" you are feeling in the genital area is not due to any infection from this event -- it sounds like your anxieties and worry are magnifying trivial symptoms or normal body sensations that otherwise you would ignore or not even notice. And in any case, no STD causes such symptoms -- or back pain.

So the direct answers to your questions are 1) no you should not be concerned and 2) yes you absolutely should continue unprotected sex with your regular partner without worry of transmitting anything from your hot tub adventure.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD

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33 months ago
Dear Dr. Handsfield,
Thank you very much for the answers! And when I said "recalled reading", nearly everything I read was in  your forums, so thank you again for such a great service. 
Just a quick follow up question or two...
1) The pain I am feeling is both in my back and then around my flank (I guess) around my waist toward the front of my torso to my navel. it isn't constant...comes and goes...Just to clarify, this is not an indication of something that may have gotten into my urethra, then up to my kidneys, such as chlamydia, gonnorhea, or some other type of UTI correct? (It's most likely anxiety and guilt, yes?) 
2) Is there any need to be tested for anything?
Sorry to be redundant here, but as you obviously know and have seen, anxiety and worry get the best of us out here! Plus, I would feel just horrible to pass anything on to my partner. 
With that said, I do feel much better after your response.  You, Dr. Hook, and Terry Warren are so wonderfully patient with those of us dealing with these issues! Much thanks to you again and have a great day!
 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
32 months ago
1) No STD (gonorrhea, chlamydia, or any other) behaves in the way you describe. They never ascend the urinary tract to the kidneys or otherwise cause back pain. And without lower urinary symptoms, clearly you have no such infection, and no UTI either.  I already answered about psychological explanations -- see above.

2) And no, you certainly need not be tested for any STD or other infection.

Thanks for the kind words about the forum and our services. I'm glad you have benefited.
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32 months ago
Thanks again Doctor!!
I will make this my last inquiry/set of questions.

1) So for men to be infected with  Chlamydia and Gonorrhea, there must be a lot of, or at least some,  insertive "action" (for lack of a better word)? (It seems there is a  lot of misinformation out there on how these diseases are spread, particularly in regard to transfer via touching self then touching each other,)  
2) HIV would be completely ruled out in this instance due to immersion in water, correct? (again, redundant...sorry)
3) IF I was to get tested for Chlamydia or Gonorrhea, what is the window period for detection?
(Im sure I am being paranoid...or maybe overly cautious....and I apologize...)

Again, I can't thank you enough for your knowledge and patience! 
All the best to you and yours!

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
32 months ago
1) STDs are not very efficiently transmitted. Even with unprotected vaginal sex, most events with an infected partner don't result in transmission to the uninfected partner (although the risk is higher for the female partner than for the insertive (penile) partner. Non-insertive contact is highly unlikely to transmit infection, although the risk isn't necessarily zero.

2) Correct, no risk of HIV.

3) Urine or urethral testing is valid any time more than 2-3 days after exposure for gonorrhea and 4-5 days for chlamydia. But yes, you are being overly cautious.

The chance of a falsely positive result is higher than the possibility you were infected. I advise against it. However, if you are otherwise sexually active and not consistently monogamous, you need occasional testing (e.g. once a year) for gonorrhea, chlamydia, syphilis, and HIV. On that basis, maybe get tested if it hasn't been done recently. But for sure not because of the hot tub events you have described.

That concludes this thread. Thanks for the thanks about our services. Take care and stay safe!
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