[Question #6898] Syphillis risk?
62 months ago
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Edward W. Hook M.D.
62 months ago
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Welcome to our Forum and thanks for your question. Your comment about your next not catching STIs brought a smile to my face although you'd be surprised at some of the things I've seen :). In answer to your question however, you are in the clear- no risk that a future syphilis (or HIV for that matter) test will become positive related to the exposures you describe. To elaborate and provide some additional information which I hope will be helpful:
1. Syphilis is transmitted sexually only by direct contact. Thus realistically your February 3rd encounter was your only real risk for syphilis or HIV. Mutual masturbation, even when there is lots of contact with a partner's genital secretions is not associated with risk for STIs including HIV and even the CDC which tends to be quite conservative, classifies mutual masturbation as a no risk event. While I suppose that, theoretically if a partner has a syphilis lesion transmission might occur, in over 35 years or STI-focused practice neither of us has seen such a case.
2. While the very conservative recommendations for syphilis testing suggest that persons might develop a positive syphilis blood test, in practice virtually all blood tests become positive by 30 days and certainly by 6 weeks (42 days).
I see no need for further testing or monitoring for syphilis, HIV, gonorrhea or chlamydia. There is an outside chance that the perineal bump you have discovered could be a genital wart - the timing is about right. Warts however a mostly a nuisance and do not jeopardize your health. My advice would be at some convenient time in the future you have a trained clinician take a look. If it is a wart it is easily treated.
I hope this information is helpful. If there are further questions please use your up to two follow-up questions for clarification. EWH
62 months ago
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Edward W. Hook M.D.
62 months ago
|