[Question #9872] Chlamydia or Gonorrhea from Hand job

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28 months ago
I (25m) frequently engage in mutual masturbation (hand jobs) with other men. I try to be careful to make sure no fluids are exchanged, but I’m not always certain. I also have 1 partner that I engage in sex with. Recently she has had 
- a yeast infection 
- rash/small bumps on her hands and arms 

Is there anyway I could have contracted an std like chlamydia and gonorrhea and passed it on to her? I have been worried sick googling so many mixed answers. 
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Edward W. Hook M.D.
28 months ago
Welcome to the forum and thanks For your question.  I'll be glad to comment.  I think you are worrying to much about an aspect of your life which you have not shared with your female partner.  Here's the bottom line- Mutual masturbation is safe sex and without penetration there is no risk of transmission of common STIs.  OTOH, all too often, in this situation, persons start to focus all too much on partners' symptoms or problems and wonder if they might be due to STIs.  Almost always, the answer is NO!.  

 Google is not your friend here.  While some of what is said there is correct, all too much is wrong, either because data have been misinterpreted, taken out of context or are out of date.  Further, in some instances, what's said there is just plain wrong.  Please stay off the internet related to your concerns.  EWH
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28 months ago
Thanks so much for your reply doctor! That provides me with some reassurance. A  lingering question:
- what if some of the other guys fluids were on his hand when he touch me? Would this make a difference in your assessment.

I also did some reading on dissiminated gonorrhea (DGI) and it says one of the symptoms is rash, which she has (she doesn’t have any joint pain). Could I have possible passed gonorrhea to my partner resulting in her getting DGI? 
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Edward W. Hook M.D.
28 months ago
Gonorrhea is not passed from person to person on someone’s hands.  This is not a concern.

Nothing you have described suggests any risk for Gonorrhea thus there’s no way you could have given your partner Gonorrhea, disseminated or otherwise.  The internet is leading you astray.  EWH 
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28 months ago
Thank you! One last general question for my knowledge. I read that Suprax is an alternative treatment for gonorrhea if you can’t come in for the injection. However, I have also read that there is a high failure rate. Can you share your thoughts on how effective Suprax 800mg will be if I decide I want to inform my partner and get her treated just in case? 
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Edward W. Hook M.D.
28 months ago
Before I answer your question, let me suggest against "just in case" treatment.  You are not at risk and neither is she but if you,  or she take unnecessary antibiotics you open yourself to other side effects.  For her in particular, antibiotics, including Suprax, puts her at risk for yeast infections, GI upset and allergic reactions.  I urge you not to try to assuage your guilt by treating her.  If you (or she if you disclose) wish to assure yourselves, get tested.

Suprax is currently effective for most gonorrhea seen in North America.  In some parts of the world resistance rates have increased but even there, the effectiveness of Suprax should be greater than 90%

As you note, this completes this thread which will now be closed.  EWH
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