[Question #9553] Risk Assessment & Advise
31 months ago
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Hi Dr's...hope you can help.
I read and reread many of your responses to similar questions but am still seeking guidence.
Please could you asses the below incident.
Having visited a massage parlour, following a 40 min massage, I received a handjob (5 mins) and engaged in open mouthed kissing (no more than 5-10) seconds. The masseuse was fully clothed so no genital-genital or genital-mo7th contact took place.
Based on this exposure:
1. Are there any potential risks for each of these activities.
2. Would you recommend any testing
3. Should I abstain from sex with my regular partner.
Thanks for your guidance.
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H. Hunter Handsfield, MD
31 months ago
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Welcome to the forum. Thank you for your confidence in our services and for reviewing our replies to questions similar to your own.
From the previous discussions you read, probably you have predicted my replies. Kissing and hand-genital are very low risk for all STDs and zero risk for some, even when genital fluids are used for lubrication. If these could transmit infection with any significant frequency, the STDs would be ten times as common as they are and would not even be classified as sexual transmission. There are some investigators (primarily in Australia) have published data suggesting fairly gonorrhea transmission more frequently than previously believed, but only among men having sex with men, in some of whom kissing may be more frequent, prolonged and vigorous than in sex between men and women. I have never seen oral gonorrhea in a straight male patient. Hand-genital contact is entirely risk free as well. In theory, herpes and syphilis could be acquired, bet here too the busiest STD clinics essentially never see infected patients in whom hand-genital contact or fingering were the only possible exposures.
So the answer to question 1 is that the risk was zero for all practical purposes. And that predicts the replies to 2 and 3: I do not recommend testing and there is no reason to not continue unprotected sex with your regular partner.
I hope these comments relieve your worries. Let me know if anything isn't clear.
HHH, MD
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31 months ago
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It does indeed, and thanks for your prompt reply.
Your answer did, indeed, confirm what I already believed.
I guess the reason I reached out is because of a "symptom" that has started 2 days after the event. Basically, I feel a constant sensation to urinate and have been to the bathroom more than usual. No pain, burning or discharge...so I assume this is due to anxiety. The physical sensation feels incredibly real.
I'm guessing this doesn't change your original guidance in any way?
Thanks again.
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H. Hunter Handsfield, MD
31 months ago
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That sort of symptom usually is anxiety related, just as you suspect. The physical sensation indeed is real and not just "in your head" -- just like tension headaches cause real pain. The mechanism of genitally focused anxiety is the same: increased muscle tension, in the genital and bladder area rather than neck and scalp muscles. In any case, urinary frequency and similar sensations are not STD symptoms. The ones that matter would be discharge from the penis, overtly painful urination (in the penis/urethra, not bladder area), or skin sores on the penis.---
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