[Question #9004] Handjob Query

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37 months ago
Hello Dr’s,

Last night I performed two handjobs at a gay sauna. I used my right hand and didn’t bring either one to climax. I used my left hand to masturbate myself and made sure nobody touched my penis.

I was wondering if this can be considered a zero risk event? I didn’t notice any visible sores on either gentleman but I know shedding can occur even if not symptomatic and realise there’s a chance I could have missed any visible symptoms of STIs. Is there any risk of HIV, syphilis, gonorrhoea, chlamydia, herpes, warts or HIV?

I made sure to wash my hands with soap afterwards then took a shower when I got home. 

My intention was to exclusively use my right hand on others and my left on myself so as to not transfer anything to my own penis. I can’t recall but I may have briefly touched another penis with my left hand before masturbating my own. Would this increase risk? Also, there is a chance that either of these men may have engaged in unprotected anal sex before this. Would this increase risk? Is there a chance that syphilis, herpes, warts etc could be transferred to either my hand or my penis (or both)?

Also, is there a chance I could spread anything from my hand to other body parts now? I asked a doctor on health tap who recommended HIV and syphilis testing. Is this necessary? Would it be fair to say with 100% confidence that this encounter can’t cause any risk to me and that there’s no way I could spread anything to my long term partner? Is there a legitimate need for testing?

Many thanks 
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Edward W. Hook M.D.
37 months ago
Welcome back to the forum. The event you described were zero risk for acquisition STI‘s including HIV. Giving or receiving masturbation carries no risk of acquiring any STI. This is the case even when the same hand is used for the purpose of masturbating a partner and then masturbating yourself. Similarly if, in the context of mutual masturbation, you happen to get a partners genital secretions on yourself, anywhere on your body, there is no risk for acquisition of an STI. 

The event you described was entirely no risk, requires no testing, and should not concern you in the least. 

I hope that this comment is helpful to you. Please don’t worry. EWH
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37 months ago
Thank you very much doctor.

I did have a question regarding your comment on genital secretions. Is what you said limited to semen. Or would this include any secretions from herpes sores, syphilis chancres, warts etc. The only reason I ask is that prior to my original question I had seen some images online of herpetic whitlow and primary syphilis on a finger. Or are these contracted from different means.

Also, I’m sure this could very well be me actively looking for issues but yesterday I noticed 2 red patches on the underside of my penis (either side of the frenulum)They’re still here this morning. I can’t see any raised lumps (other than the usual circumcision marks and fordyce spots I have. If I pull the skin taught it does appear flat).  There is a bit of irritation but I have some irritation as a whole across my penis and scrotum at the moment. Is there any chance this could be related to my recent incident?  
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37 months ago
Sorry, I did mean to add to that that I have developed a pink/red spot on the back of my right hand as well, under the knuckle of my index finger, near the webbing between that and my thumb. I noticed this the next morning (so within 12 hours of the incident). Is that anything to be worried about?
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Edward W. Hook M.D.
37 months ago
Herpetic Whitlow’s in the context of sexual activity are very, very rare. Personally, I would not be worried. Herpetic Whitlow’s are particular problems for healthcare professionals who may be repeatedly exposed and home by virtue of repeated handwashing often have chaffed hands.

My suspicion would be the collisions you describe on the underside of your penis or more likely to be the result of repeateded examination than any STI resulting from the contact you describe.

I would not be worried about the lesion you describe on the back of your hand. My sense is that you are being hyper vigilant. EWH
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36 months ago
Thank you very much doctor. I do have one final question. I realise this is probably irrational but your opinion would be greatly appreciated. 

Over the past couple of days I’ve developed a new red spot on the palm of my left hand, just under my index finger. It’s slightly raised and at the moment I can’t observe any breaks in the skin but it’s definitely grown in size over the past 48 hours. There’s no head to it so I’m not sure if it’s a spot or not. While I don’t think I actually touched anyone with my left hand (genuinely can’t remember but if I did it would have been very brief) I can’t shake the feeling of the possibility of a syphilitic chancre, especially as it’s now about 2 weeks since the incident.

I have seen some documented cases online of primary syphilis transmitted to fingers and hands. Is there any possibility that’s what this could be? Over the length of your career have you ever encountered or heard of primary syphilis being transferred from a penis to a hand?

If I had in fact had direct contact with a chancre and been unaware of this would this pose any risk? 

Does this even sound like a chancre? Am I correct in thinking that rather than being raised it would always be an open sore with a dent in the middle? How long would it take to go from being a raised spot to a dent? Or do they not develop like this?
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Edward W. Hook M.D.
36 months ago
I appreciate that you are concerned over the no risk exposure that you described. Remember that Syphilis is transmitted only through direct contact and your right hand was used to masturbate your other partners, not your left hand. In addition, the lesion you described sounds nothing like a syphilitic chancre. If this lesion were a chancre typically over the next day or two it would spontaneously ulcerate and form raised edges around the border. I am confident this will not occur.   

If the red spot does not resolve over the next day or two, you can certainly choose to test for Syphilis. If the lesion you describe were syphilis, your blood test would be positive within 2 to 3 days after its initial appearance. I am confident if you choose to test the results will show that you were not infected however I also understand that sometimes the validation provided by a laboratory test is helpful. 

As you know this is my third and therefore final response to this thread. The thread will be closed shortly without further responses. Take care. Please don’t worry. EWH 
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36 months ago
Thank you for the prompt and informative reply. The work you do here is truly appreciated. Many thanks 
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Edward W. Hook M.D.
36 months ago
Thanks for your thanks. I’m glad you found the information I provided helpful. Take care. EWH---