[Question #9945] Handjob and Monkeypox

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27 months ago
I’m a man who went outside of his marriage to mutually masturbate with another man. I rubbed his penis, he rubbed mine and then I masturbated myself with my other hand. At no point did I come into contact with his fluids. I know this is low risk but I have been concerned about herpes and monkey pox. The day after, I got a pimple on the lower end of my butt cheek, which is not uncommon. I popped it and it behaved much like a pimple. On Day 12, I got a small red mark (maybe bug bite) on the back side of my wrist. Today, Day 15, there is sort of a red pore-sized mark on my thigh. Also today my girlfriend came down with respiratory symptoms, which I see is associated with MPX. Thoughts?
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Edward W. Hook M.D.
27 months ago
Welcome to our form. Thanks for your questions. I’ll be glad to comment. Let’s start with your risk of acquiring herpes through the interactions you described. There are none. The lesions you describe an in no way suggestive of genital herpes, and the contact you describe what is a virtually no risk exposure. Please put your concerns about genital herpes aside.

Mpox is more challenging. We are still learning much about this infection. If you live in North America, the good news is that Mpox infections have become very uncommon. On the other hand, this infection can present in a variety of ways and transmission is still not fully understood. The sequence of events and lesions you described, as you already know are not suggestive of Mpox infection. However, if you have concerned the right thing to do is to go to your health department and have an experienced clinician look at if appropriate test.  Testing for Mpox is now widely available and in public health clinics is usually free; testing is also available through private laboratories, but in this situation, you may have to pay for the test. The likelihood that this is impacts is very low and the likelihood that you transmitted infection to your girlfriend is lower still.   EWH 
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