[Question #7524] Stroking inner thigh

55 months ago

Hello,

Went for a massage again for about 4 hours. General massage with oil. I did not allow her to touch my penis. I was wearing underwear and massage shorts. Would have thought little of this, but she did sit on my face, wearing a short skirt and panties. Again I am very confident that I did not penetrate her with my tongue or even have access to her vagina. Underwear was quite thick. Stupidly I also rubbed her vagina through her underwear. I did not gain access and am certain I did not finger her. However, on her inner thigh - up to the knickers crease I noted a blister. It was dark, could have been anything. It did not appear to be a chancre sore. It did not appear to be a herpes type rash. I briefly pressed this with my index finger. No sores on hands.

Tried to put it out of my mind and move on, but a week later I am bothered. Old anxiety coming back.

I am in contact with her and she claims she has no blister and tested for everything, also we did not really do anything that could be described as sex. A bit of rubbing through clothes. I ent to see her again for a massage but my trousers on this time. She showed me, I could not see anything. She also has a daughter and claims to have slept with only two men. She says they are a legit place and she does not even give handjobs.

So, am I at risk for anything? Assuming this blister was anything.

Could I have infected my face or finger from this touching? Particularly concerned about syphilis or hsv 2. Would it be even possible from what I have described assuming she was infected?

I have read a post on health tap where dr handsfield says syphilis needs sex to occur. Touch is never enough. Certain no bodily fluids had contact and penis was covered at all times.

Have a family and scared a bit. Also been through the anxiety of testing too much and would hope this is a stupid concern, but again feel I need expert advice for this.

Edward W. Hook M.D.

55 months ago

Welcome to our forum and thanks for your questions. I’ll be glad to comment. The activities you describe were entirely no risk events. STIs including Syphilis and HSV

Are not transmitted through clothing or by mere touching without the repetitive friction that occurs during sexual activity. Her sitting on your face or your touching the bump/lesion you describe would not lead to transmission of infection. There is no neeed for concern or for testing of any sort. Please don’t worry.

Feel free to follow up if any part of this reply is unclear. EWH

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55 months ago

Hello Dr Hook. Thanks for your response. As I said I was in contact with the girl. Your reply helped me no end. However, just to hopefully put this away, I asked her to test for hsv 2. I am paranoid and seeing a negative result would have helped me move on. She seems so confidant she was fine. Anyway, she agreed. She was tested today and it was positive. However, through my translation of her results, it seems she had the IGM test. She is distraught and although I do not know her well, I want to help.

Am I correct in thinking the IGM test does not differentiate between hsv 1 and 2?

The fact it was positive does this in anyhow change your assessment of my (lack of) exposure?

Finally, do you have access to colleagues who could translate mandarin? I am pretty certain from my app it is the IGM test but not sure. However, if you can, can the picture of results be removed instantly? If not i can always find a local doctor to translate.

Thanks again

55 months ago

Sorry doc. One more thing then I believe thread is over. Will still pay extra if you can translate test clearly for me. I understand the IGM is a bad test. But the fact that she was over 3.5, does that at least partially indicate a new infection if the IGM is to believed at all? Some internet sources claim IGM will only be present for 2- 3 weeks. So the fact she has a high IGM does that indicate recent infection and if so, does that increase my risk. Again, gone over the situation time and time again but I definitely did not engage in cunnilingus. Worried if she had an open rash and sat on my face would it potentially infect me through face sitting if legs it touched my lips? Does being hsv 1 positive ( confirmed) give me any protection at all?

Edward W. Hook M.D.

55 months ago

I'm sorry to hear that she tested and hope that you have not. HSV blood tests are problematic and not recommended in most settings because they have problems with sensitivity (they can miss some infections) because they have problems in terms of falsely positive test results (more on this below), and even when they accurately diagnoses HSV infection, they provide no information about how long infection has been present or who it came from. All of these negative characteristics are so common with HSV IgM tests that there are NO experts who routinely recommend use of these tests. The CDC specifically recommends against all such testing.

Thus her test results in no way change my assessment or recommendations. If her IgG test is negative or was not done, I would strongly recommend that she ignore the IgM test result and do her best to move forward.

Unfortunately, I do not have colleagues who might help with translation. EWH

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55 months ago

Final question doc. Am I correct in my translation that an IGM does not differentiate between hsv 1 and 2?

Edward W. Hook M.D.

55 months ago

Clearly this was on your mind. This follow-up appeared moments after I replied to your last post. Before I comment further, I also need to tell you that we provide up to three responses to each client's questions and since this is my 3rd response, this will complete the thread. There will be no further responses and I cannot imagine what additional information you cold supply that would change my assessment.

The value of the IgM test is not helpful. Its a crummy test which, as I mentioned should never be used. No change in my assessment of advice, even if your lips touched her lesion and the lesion turned out to be HSV (which is unlikely).

Related to the 2nd part of your question, if you have had HSV-1 or cold sores in the past, this provides a degree of resistance to HSV-2 infection. Further, I should add that a biological characteristic of HSV-2 is that it only very rarely infects the mouth and oral cavity.

Please don't worry. I am confident there is no risk whatsoever for HSV from the events you described. Even if the lesion you noted was HSV and even if your lips touched it. Take care. EWH

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Edward W. Hook M.D.

55 months ago

What part of the statement that the HSV IgM test is WORTHLESS and should NEVER be ordered is unclear. End of thread. EWH
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