[Question #5924] STD/STI Risk from Handjob

19 months ago
Hello,
While I’ve seen this question asked multiple times I wanted to get definitive clarity.

I was at a strip club and a stripper gave me a handjob and spit  on my penis a few times. There was no direct contact or penetration with her mouth or genitals. I freaked out and scrubbed my penis with a towel and soap - and then put hand sanitizer on it (ouch). 

24 hours later there appeared to be slight abrasions on the head of my penis which seem to be healing - most likely caused by the vigorous cleaning and hand sanitizer - but can be sure. 

Can you give me a risk assessment? Should I go get tested? 
19 months ago
Most likely caused by the cleaning - But cannot* be sure 

Also there seemed to be a lot of saliva 
Edward W. Hook M.D.
Edward W. Hook M.D.
19 months ago
Welcome to the Forum. I think you'll find that my definitive answer will be the same as you have seen on earlier replies.  Receipt of masturbation, irrespective of the lubricant is a no-risk event.  no risk for HIV, no risk for gonorrhea, chlamydia, herpes, syphilis or any other STI.  There is no need for concern or testing if such and event is the only thing that occurred.  The act of masturbation itself typically involves a fair amount of friction and, from the sound of things, so did your subsequent cleaning.  After these activities, you might be sore but that would not change the fact that what you have described did not put you at risk for STI in any way.  

thanks again for your question.  I hope this response is helpful.  Please use the follow-up question if anything is unclear.  EWH
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19 months ago
Thank you Dr. 
A few clarifying questions 
1. If she rubbed her vagina prior to touching me does that change anything?
2. If I touched her vagina fluids and eventually touched myself does that change anything?
3. If the spit from her mouth went directly on my penis tip (not her hand fist) does that change anything?
4. What if it got into the opening of the urethra? 
5. Given the above does not change your opinion, do you believe I am safe to resume unprotected sex with a monogamous partner without exposing them to risk. 
Edward W. Hook M.D.
Edward W. Hook M.D.
19 months ago
With all due respect, your follow-up question are a bit qualifying nuances regarding my earlier response.  They do not change my opinion of assessment. Thus, while not trying to be overly abrupt:
1.  No change.  Rubbing of the vagina without penetration would not put you at risk.  No penetration, no risk.
2.  Contact with vaginal fluids, whether the contact is your hands, your genitals or anywhere else did not put you t risk for HIV or other STIs
3.  No change.
4.  Still no change (she'd  have to be spitting quite accurately and forcefully).
5.  Yes, I see no reason, based on the description you have provided to not resume unprotected sex with your regular partner.  

EWH

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19 months ago
Last two questions (I promise), 
When I reached out to urgent care they advised to get tested. Is this because they are unknowlegable , and not specialized (like you), or trying to operate a business and make money off of labs? 

You’re a very well credentialed (and busy) physician - how do you find time to respond to everyone here? (Is it really you Hahahhaha)
Edward W. Hook M.D.
Edward W. Hook M.D.
19 months ago
Health care providers in urgent care settings tend to be generalists who approach patients with an abundance of caution which lead them to both over test and overtreat.  I do not think profit is their motive.  OTOH, patients tend to feel better if a test of one sort or another has been done.  

Dr. Handsfield and I do this because there is a need and all too often clients have questions which are difficult to answer in other settings.  it really is me.  

As you probably know, we provide up to three response for each client's question. this is my 3rd response.  Thus, as per forum guidelines, this thread will be closed shortly.  Take care. EWH
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