[Question #8311] Saliva spit on the penis

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46 months ago
Dear Doctor,

Recently I went to a massage parlour and I was offered a handjob which I accepted. While doing it, the masseuse directly spit saliva onto my penis and continued. 

I'm very scared now about the STDs and STIs and having sleepless nights. If she has STIs/STDs, will I get them ? (Herpes, Gonorrhea, Chlamydiae, HIV, Syphilis, Trich or any other STI/STD).

(So scared of Herpes infection !)

Thank you in advance !
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H. Hunter Handsfield, MD
46 months ago
Welcome to the forum. Thanks for your question.

Exposure to saliva carries little or no risk for any STI -- in fact, saliva inhibits or kills most or all STI bacteria and viruses. And hand-genital contact is entirely risk free as well, even if saliva (or even genital fluids) are used for lubrication. In addition, even among the most sexually active persons -- such as sex workers -- the large majority have no active oral STI at any point in time; there's probably under one chance in 20 your partner had a transmissible infection in her mouth or throat. In my 50 years in the STI business, I have never seen a male patient with any STI who had not had intercourse, i.e. penis inside a partner's vagina, rectum or mouth, and certainly none that appeared to have been acquired by hand-genital contact. That doesn't necessarily mean the risk is zero, but You do not need testing on account of this event, for herpes or anything else.

Try not to worry. You had an entirely safe exposure and are not at risk. You do not need testing for anything. (That said, if you have otherwise been sexually active and not monogamous, STI/HIV testing might be a good idea. But not on account of the event you have described here.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD
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46 months ago
Dear Doctor,

Thank you very much for your reply, and your comment is very helpful !

Just to understand this more clearly (referring to your quote) - "there's probably under one chance in 20 your partner had a transmissible infection in her mouth or throat."
Did you mean that even if this person had a transmissible infection in her mouth or throat, that my exposure is safe (regarding the saliva incident) ?

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H. Hunter Handsfield, MD
46 months ago
I meant that she probably has no more than one chance in 20 of an active STI of any kind in her mouth or throat. And yes, even if she had such an infection, the exposure described would not have transmitted it to you.---
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46 months ago
Dear Doctor,

Thank you so much,

Just the two final questions (sorry for following up on this, I'm just scared)

1)
After discussing with you I was browsing the internet and came across this forum post which you have answered before to a similar situation (spit on penis).
https://www.medhelp.org/posts/STDs/Syphilis-transmission/show/1881465 
Doctor, on the matter of Herpes, you've mentioned to this person that if he gets any Herpes symptoms, then he can safely assume that he had herpes before the stated exposure. Is it still valid for my situation as well ?

2) 
I read this article just now : https://www.health.com/condition/sexual-health/saliva-as-lubricant
Doctor, I'm bit scared that this Ob-Gyn says the following in regards to using saliva as a lube on genitals (In this case, vagina),
"This scenario happens more than you might think—and it's the most common way genital herpes is contracted, she says" and also make some scary comments about other STI/STDs in related to saliva on genitals.
Doctor, is this believable ? Should I loose my sleep over this ? 

Please help, I just need to get past this whole thing Doctor. 


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H. Hunter Handsfield, MD
46 months ago
1) I stand by my statement in the other thread. It is irrelevant to your situation, since you have no symptoms or other suspicion you have genital herpes.

2) The other citation you quote is an alarmist, non-scientific statement by someone not recognized as an STI expert. No, it is not believable and you should not lose any sleep over it.

Anxious persons often are just made more anxious by web searching the topic they are worried about. You're a great exam of someone mostly finding and focusing on information that inflames their fears, without ever seeing the reassuring information that also is available. I suggest to stay off the internet entirely about these issues.

You came here for our reasoned, science based advice. Accept it or not -- but we're not here to debate or argue about it!

That concludes this thread. I hope the discussion has been helpful. 
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