[Question #8025] Mutual masturbation msm overall std risk

49 months ago

Hi Doctors,

I am a male on a stable relationship with a female partner. I am tested neg for Hiv, g/c, and pretty sure I don't have any of the more obvious stis (syphilis, herpes, moluscum) as I have never had any symptoms.

Last night I regretfully met with a stranger male on a dating app and engaged in mutual masturbation. He claimed to be all neg and on prep.

We kept it mostly contact free, with each one focusing on himself. There was however some contact: I masturbated him for a few seconds and masagged his testicles, all with a different hand I used on myself. I touched myself with said hand for a split second accidentally when we were done.

He also madturbated me for a few seconds (I had to ask, as again, he was mostly working on himself), I didn't notice any obvios sore or discharge (In fact not even precum, his penis remained almost dry for the whole act) but I don't recalled if he used the same hand he used on himself and since I didn't look exhaustively, maybe there could be some sore somewhere, he only touched my shaft though, nothing close my urethra. We both cummed on our own body, my hand was on his testicles when he did, but no cum on my hand.

He also had what I am really sure was a wart near his armpit, I avoided touching it, but I touched his nipple a couple inches away.

However, at some point he suggested trying me bottoming and I said no as we had no condoms, he said it was OK as he was clean and on prep, but of course I denied, this makes me wary of him assuming risky behaviors.

I was scared and took 100mg docycyline immediately and one 12 hours later, also took a bath and cleaned penis and hands exhaustively.

What are my overall std risk: hiv, g/c, herpes, moluscum, syphilis, hep?

Would you recommend testing?

Should I stop unprotected sex with my regular partner?

Or can I just move on and not think of this again?

Edward W. Hook M.D.

49 months ago

Welcome to our forum and thanks for your confidence in our service. I’ll be glad to comment and hope that my comments will help you to move forward without continuing concerned. The exposure that you described was an absolutely no risk of it for acquisition of any STI. Mutual masturbation is considered by all scientists to be safe sex with no risk for acquisition of HIV, gonorrhea, chlamydia, Syphilis, herpes, or other STI’s. Interestingly, despite the fact that it is quite typical for persons involved in mutual masturbation to occasionally get each other’s general secretions on one another, STD’s are not spread in this way. The events that you describe are safe sex. Thus, there is no reason for testing for any STI and there is no reason for you to abstain from unprotected sex with your regular sex partner.---

Edward W. Hook M.D.

49 months ago

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49 months ago

Thanks for your answer.

I would suppose your answer will still be the same regarldless of any if that may come into play... Ie. What if he touched an active sore and then my penis or what if his hand had some preseminal fluid.

Today, 8 days after the encounter I have been peeing more that usual (5 times in 12 hours or so) but no pain when urinating, nor discharge, and in fact urine has been passing just fine (I have heard bacterial std causes the need to urinate, but passing urine is actually hard or just a few drops) and transparent in color (maybe I just have had more liquid than usual?).

Is your advice on unprotected still the same?

Edward W. Hook M.D.

49 months ago

Thanks for your follow up questions. They are familiar. You are correct, my answers are unchanged by the additional information you have provided.

Frequent urination is not a symptom of STI’s. In fact, I recently published a paper on this topic and can say with great confidence. Urinary frequency is not a sign of an STI.. My suspicion is that your current symptoms are more a reflection of anxiety and closer observation the normal than the presence of an STI.

I hope this perspective is helpful. EWH

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