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STDs  (Expert Forum)
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Concerned after Kissing a Health Spa Worker
Answered by
University of Washington Seattle - WA
Welcome to the STD Forum, which is intended only for questions and support pertaining to sexually transmitted diseases other than HIV/AIDS, including chlamydia, gonorrhea, syphilis, human papillomavirus, genital warts, trichomonas, other vaginal infections, nongonoccal urethritis (NGU), cervicitis, molluscum contagiosum, chancroid, and pelvic inflammatory disease (PID). All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.

Concerned after Kissing a Health Spa Worker

by flyer80, May 05, 2009 11:49AM
I went to a "health spa" two days ago and got a hand job. I had a good repour with the person and she started french kissing me (which was unexpected) and I was caught in the moment and we kissed for a good five minutes or more. There was no oral sex or genital sex. She had no obvious sores on her lips. I got nervous afterwards and began to surf the web. I noticed that it is possible (albeit remote) to get syphillis and chlamidya from deep kissing. Obviously, I am aware about the chance of oral herpes, but she had no visible sores. I also noticed that there was one confirmed case of HIV transmission and I do sometimes bite the inside of my cheeks because of the allignment of my back molars and my gums bleed when I floss (not usually when I brush). I used listerine right after which I thought might help for anything bacterial. I can be a bit prone to anxiety (especially on health stuff) and I am freeking out a bit. I thought about going for a penicillen shot as a preventative for syphilis and chlamydia. Do I have any serious risk of getting any of these things? Thank you for any insight you might be able to give!

P.S. The backdrop is that my wife and I have had some sex and romance issues (she isn't the most physical person), but I have never cheated until this and I am now terrified to kiss her or my kids (who I love more than anything). I do love her and it made me realize that I might just have to deal with a terrible sex life rather than deal with this guilt and fear, but if I am at any risk of spreading anything to her I want to address it.

by H. Hunter Handsfield, M.D., May 05, 2009 12:33PM
Welcome to the forum.

Responding only to the title of your question, before reading anything else:  kissing does not transmit STDs.  It doesn't matter how high risk your spa contact might be in terms of his or her sexual behavior.  There is no risk, you do not need testing for anything, and you can safely continue sex with your regular partner(s). Unless there is a big surprise as I read the actual question, this opinion and advice will not change.

Now I have read it. Guess what?  There is nothing to add to what I already said.  In addition, hand-genital contact isn't a risk.  As for oral herpes, in this context it doesn't count as an STD.  I cannot say there was zero risk for it (from the kiss, not the hand job), but it is low enough that you can and should completely disregard it.  By far the main health risk from kissing is catching a cold.  From a health perspective, there is nothing in this event that requires it be mentioned to your wife.

Regards-- HHH, MD
Member Comments (5)

by flyer80, May 05, 2009 12:36PM
To: Dr. Handsfield
Thank you!!!!

by flyer80, May 06, 2009 07:14PM
To: Dr. Handfield
I apologize for bugging you again, but in my initial post I mentioned that I sometimes bite the inside of my cheek. Today I noticed a few scabs and white bite marks on my cheek. Given that I was at the "health spa" less than 72 hrs. ago I doubt it is any sort of herpes or syphilis. My concern, however, is that given the scabbing the cuts may have been open when the kissing in my original post occured. Does this change your answer or put me at risk for other STD's, HIV etc...? Could it be some sort of std sore rather than just my biting my cheek. I realize it is possible that I bit the cheek since then and it wasn't even there on Monday, but I am not sure. I am not so neurotic that I would keep bothering you, but when I noticed the raised and marked feeling in my cheek today I got nervous and when I saw that there had been several possibly open cuts from my biting the inside of my cheek that have since scabbed I almost had a heart attack thinking they may have been open at that time.

by H. Hunter Handsfield, M.D., May 06, 2009 10:13PM
Still no risk.  Please use a little common sense.  At any point in time, millions and millions of people have various sores in their mouth.  They kiss other people. Still no STDs are transmitted by kissing.

Accept the reassurance you have been given and move on.  That's all for this thread.

by flyer80, May 06, 2009 10:17PM
To: Dr. Handsfield
Thank you again, and for your patience. I will definitely take your advice and move on. Thanks again!
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