[Question #5448] Really Confused

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74 months ago
I understand the response I received about mutual masturbation. Today, I went back to the nurse practitioner because the first round of Flagyl didn't clear up the BV. The NP ordered a culture to check for mycoplasma. She looked me square in the face and said mycoplasma is a STD and it is transmitted through genital to genital contact. Mutual masturbation involves genital to genital contact but I was told on this forum you can't get STDs that way. I saw a response from another questioner where the answer he/she received was that without penetration transmission of STDs is basically impossible. My questions: (1) could I have gotten mycoplasma from engaging in mutual masturbation? (2) I had the BV discharge before the mutual masturbation. Could I have already had mycoplasma before the mutual masturbation? (3) can two monogamous partners develop mycoplasma from time to time? (4) I had a wet mount 20 days after the mutual masturbation. Would that have picked up trich if I had it? It only showed BV. I am utterly terrified now that one night of mutual masturbation may have resulted in a STD. Please provide some clarification. Thank you for your help and patience.
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74 months ago
Correction: should have written genital to hand contact with mutual masturbation instead of genital to genital contact 
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H. Hunter Handsfield, MD
74 months ago
Welcome back to the forum. But I have to admit I am puzzled why you are still "Really Confused" (your question title). All four of your previous threads directly or indirectly discussed hand-gential contact, fingering, etc and that they are not risks for any STD. "Genital-genital contact" is NOT considered to include mutual masturbation; it means direct genital-genital contact, usually through penile-vaginal intercourse. Either your NP misunderstands the meaning of the term or you misunderstood her.

Some types of mycoplasma are entirely normal in the genital tract. That includes ureaplasma, as discussed in a previous thread. A pssible exception is a particular bacteria called Mycoplasma genitalium. But even this isn't proved harmful in women, and in any case no risk by hand-genital contact. No authoritative STD experts recommend testing asymptomatic people for any kind of mycoplasma, even though many labs have learned to make lots of money by including such tests in routine test panels. And certainly no STD testing of any kind ever is recommended for people whose only potential exposures are hand-genital contact.

To your specific questions:  1) No risk from mutual masturbation, and no matter if you have mycoplasma (or ureaplasma). Up to three quarters of all people have positive genital tract tests for various kinds of mycoplasma or ureaplasma. 2) BV is not caused by mycoplasmas of any kind. The triggers for BV are not well understood, but could include hand-genital contact. But BV isn't considered an STD because it is not consistently transmitted betwen partners when one person has it. 3) It isn't certain when and where genital ureaplasma/mycoplasma originates, but many (most?) probably come from their mothers' genital tracts during vaginal delivery. It's probably there life long. So certainly both member of a monogamous couple could have it.

You've now had several discussion on the forum that should help you understand that being "utterly terrified" of any STD from mutual masturbation. It is an unwarranted and somewhat irrational fear, especially after the repeated science-based explanations you have had both here and perhaps from some of your own heatlh care providers. In any case, this will have to be your last such question on the forum. Repeated anxiety driven questions with predictable answers are not permitted-- ASHA is not keen on getting paid for information whose answers already have been given; repeated answers often prolong anxiety rather than helping relieve it; and such questions have limited educational value for other readers, one of the forum's main goals. Thank you for your understanding.

Best wishes. Let me know if anything isn't clear. 

HHH, MD
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74 months ago
Thank you for your response. While I do appreciate your response and your taking the time to answer my question, I feel the need to advocate for why I have made seemingly repeated posts about the same thing on this forum. I cannot speak for other users of this forum who seem to post repeatedly but I can say for me that if I appear "irrational" it is due to inconsistencies and discrepancies among what medical professionals tell me about sexual health. For instance, in the obgyn medical practice that I use, one medical professional told me that ureaplasma is  definitely a sexually transmitted disease and another medical professional from that same practice told me that ureaplasma is "not" a sexually transmitted disease. I have read posts from other users of this forum who seem to be confused by the information they are told by their medical providers. It is the inconsistencies that make me "utterly terrified" and may influence others to view my questions as "irrational." To clarify, I did not mention the mutual masturbation when I went to my medical provider today. I went back for the BV only. When she mentioned mycoplasma with no prompt from me about my sexual behaviors, it triggered me to think of the response I received on this forum that STDs are not possible from mutual masturbation.  She said I want to test you for mycoplasma because sometimes that can make it harder for BV to clear up. She went on to explain to me that mycoplasma is an STD. I never mentioned mutual masturbation to her in any fashion. I left the office and posted on this forum for clarification because my medical visit today triggered me to think that I could have possibly contracted mycoplasma from the mutual masturbation as that is they only risk I can think for a potential mycoplasma infection, which according to the provider I saw today, is a STD. I hope my explanation clears up why I was confused and, hopefully, clears up any assumption that I am irrational. I was satisfied with the last response I received about mutual masturbation from my most previous post on this forum until the medical provider I saw today mentioned mycoplasma. I think the service your colleagues and you provide is much needed, and I am glad that you offer it. I am thankful that your colleagues and you have taken the time to answer my questions with great thought and consideration.  I will certainly refrain from posting any further questions to this forum that involve mutual masturbation or that seem irrational. Thank you again. 
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H. Hunter Handsfield, MD
74 months ago
I understand all that. But it really doesn't change anything. The fact is that you'll never hear any different advice on this forum than you have already had -- that's the only issue here, not whether or not your concerns are real, valid, or rational. We just can't help more than we already have. There are no circumstances related to hand-genital contact that you might think of that have any realistic chance of changing our advice. I would also suggest that if you've been searching these issues online, you give it a long rest. Anxious persons tend to be drawn to information that inflames their fears and to miss the reassuring information also present. If you continue, at least try to limit searching to authoritative sites (health departments, academics, professionally moderated forums). Nate Cohn, the famous statisician [fivethirtyeight.com] wrote a book on statistics called The Signal and the Noise. In it he says (approximate quote) "Give an anxious person a computer with online connection in a dark room, and soon he'll believe his cold is the bubonic plague."---
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74 months ago
Like I wrote earlier, thanks for your help. I won't be posting anything similar again. 
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H. Hunter Handsfield, MD
74 months ago
I do hope the discussions have been helpful. Best wishes and stay safe.---