[Question #6078] Mutual Masturbation and STDs

17 months ago
Hey Doctors - At the risk of your Ire for asking another question about mutual masturbation here we go. A few weeks ago I engaged in a mutual handjob with another gay male. I asked if he was STD/HIV free and he answered yes. It was a few minutes with our hands back and forth on each others penis. I did see pre-cum on his penis but to my knowledge it was not smeared on my penis and didn't contact my urethra that I know of. The other day I noticed that the tip of my penis was red and there was a slight irritation when I pee. I would say burning urethra is too strong but it does feel like irritation. No discharge that I can tell upon examining my penis. Of course now I am freaking out and constantly looking and examining my penis to see if there is any discharge. Like many many times a day as I am terrified I have an STD. What are the realistic chances of any STD here based on the events that occurred?
Edward W. Hook M.D.
Edward W. Hook M.D.
17 months ago
Welcome back to the Forum.  I do not find your current question irritating but it does suggest that you are worrying about STIs far more than you need to.  In mutual masturbation it is typical for participants to get each others' genital secretions on each other but despite this, STIs, including HIV are not transmitted.  Mutual masturbation is considered safe sex.  I would not be worried about STIs.  I do think that you may be too focused on your genitalia.  When persons focus on their genitals, they tend to become aware of normal sensations which they are typically not aware of normally.  This may be what you are experiencing.  Further, repeated self examination can be irritating in and of itself, causing the urethra to appear red.  

I urge you not to worry about STIs of any sort from the exposure that you have described.  EWH
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16 months ago
Thanks Doctor! If by chance I had caught something from this and took doxycycline 100mg twice daily for 14 days would that reasonably eliminate any concerns?
Edward W. Hook M.D.
Edward W. Hook M.D.
16 months ago
Fourteen days of doxycycline would cure any chlamydia infections, non-chlamydia NGU and syphilis.  I would have little effect on other STIs. We recommend against taking antibiotics in situations where you have no idea of what is being treated as the antibiotics themselves may have side effects.  

As I said before, I think your concerns are misplaced.  You need to move forward without continuing concern.  EWH
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16 months ago
Thanks Doctor. At 4 weeks and just for reassurance I had a 10 test panel done (gonorrhoea, chlamyida, RPR, HIV, etc) and all was negative. Can I take these results as conclusive with no further testing? I do now have a small sore on one of my fingers but for the life of my cannot remember how it got there. It showed up after my testing. 
Edward W. Hook M.D.
Edward W. Hook M.D.
16 months ago

Yes, I urge you to believe your test results.  It is (past) time for you to stop worrying about the encounter you described and move on.  You were not infected.

As you know, we provide up to three responses for each client's questions. this is my 3rd response. Thus, as per Forum guidelines, the thread will now be closed.  EWH

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