[Question #6901] STD from urine? Diaper Fetish

12 months ago
Hello Doctor,

I have been in a lot of guilt and worry lately and just can't seem to get it out of my mind that I could've given my girlfriend STD's. My problem is having a diaper fetish. Throughout the years we've been together I would go to public washrooms and dig in the garbage bin for baby/toddler diapers and would put my hand and fingers into the urine inside the diaper.  After my fetish, I would finger her once we got back to my place. Thinking about it now, I am unsure whether I washed my hands every time or whether I washed them properly. I am extremely worried that throughout these years since I have started fingering her I would've given her some sort of STD from this. Is there any way I could've given her (HPV, Chlamydia, Gonorrhea, Trichomonas, Hepatitis C) from the urine in the diapers?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
12 months ago
Welcome to the forum. Thanks for your confidence in our services, and for an interesting question.

This fetish carries some rather important and potentially serious health risks -- but not from any STD. Few babies are likely to have any STD, for obvious reasons. The main risk is for enteric (intestinal) infections, including both minor and serious ones -- everything from inconvenient but mostly harmless viral gastroenteritis (e.g. norovirus infection) to dangerous ones like typhoid fever, depending in part on where you are (very low risk in industrialized countries, high in many other places). Also risk of hepatitis A. (If you have not been vaccinated against hep A, do it now.) Urine isn't the issue for any of these infections, but many or most diapers also contain feces.

The most serious risk at the present time is for coronavirus infection, and the risk probably is high no matter where you are. The novel coronavirus that causes COVID-19 is shed in feces and could easily be acquired from such a fetish.

If you continue to pursue this activity, I would advise wearing nitrile or latex gloves. If that sort of protection is not compatible with the pleasure you experience from these activities, for sure wash your hands with soap and water (for a solid 20-30 seconds) after every such event. Keep your hands away from your face or other parts of until you have done so. For sure there is no excuse for not washing before you have any contact of any kind with anyother person -- which of course means washing before any sort of sexual contact, especially fingering, with your sex partner(s). If you do not, and given the mortality of COVID-19 (probably around 1 chance in a thousand, assuming you and your partner are under age 60, higher if older), you are risking death for yourself and your pertner. One chance in a thousand might not sound very high, but would you play Russian roulette with a pistol with 1,000 chambers?

There is no risk for any of the specific other infections you mention. STDs are not transmitted by urine, and not often by feces; and as already noted, few young children have these or any other STDs.

I hope these comments are helpful, and that they help you think about continuing this fetish and the protections you must take if you do so.

HHH, MD
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12 months ago
Thank you for the reply doctor. Just for clarification, so even if the baby or toddler did have STDs (HPV, Gonorrhea, Chlamydia, Hepatitis C) there would still be No Way 
12 months ago
Shoot I clicked the submit button by accident... I was saying, just for clarification, so even if the baby or toddler DID have STDs (HPV, Trichomonas, Gonorrhea, Chlamydia, Hepatitis C) there would still be NO WAY  that I could have given ANY STD's to my girlfriend from this? I have also stopped this activity completely for a year now so getting Coronavirus from this is not my concern. However, I just have a lot of guilt and worry from this because my girlfriend and I are eachother's very first partner that is why I am so concerned because I really don't want her to catch anything from my stupid fetish. We also both got checked for Gonorrhea, Chlamydia, HIV, and Syphillis last year with the results coming back as negative both times, therefore I am particularly worried about her getting HPV, Trichomonas, and Hepatitis C from this.
12 months ago
Forgot to add, is Hepatitis A the only STD that is transmitted from feces? 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
12 months ago
Your emphasis on "NO WAY" implies you are looking for 100% certainty. Of course that is impossible to say. I can imagine a scenario in which you contacted a diaper contaminated with STD bacteria or viruses, and then were transmitted if you immediately fingered a sex partner. Or yourself. But with gloves or washing, the risk would truly be zero.

That completes the two follow-up comments and replies included wiht each question and so ends this thread. Do your best to move on without worry. Or, if you are bothered by your compulsion/fetish, consider professional counseling. 

I hope the discussion has been helpful. 
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