Herpes from Oral and Hand job

[losingsleep80]

Dr,

I know there are many people asking the same question, but after reading a lot of them i need confirmation on my own. A few days ago I visited a massage parlor and received a massage, oral, and a hand job. The oral was protected with a condom. I can't sleep and I am aching all over (probably due to stress from thinking about this). My friend commented on the girl having some red spots on her leg that she was scratching. They were visible to him while she was dressed. He said there were like 4. He says that it could have been mosquito bites, but he is unsure. I didn't notice them, and her face didn't have anything on it. She was wearing shorts so the red marks were about half way down her thigh.

She also bit my nipples and licked my back and scrotum. I had a few cuts (mosquito bites that i scratched and bled a day ago).

We did not have intercourse, and during the hand job i did not ejaculate. I just wanted to get out of there.

1. Could herpes be present anywhere other than the private region?
2. What are the chances I could have contracted Herpes?

Thank you.

[Edward W Hook, MD]

If here lesions are on here legs, licking your genitals is irrelevant.  EWH

[losingsleep80]

Dr Hook,

Thank you for the quick response. I feel a bit less anxious, but I'll wait until 10 days are up before I can relax.

Just one final follow up question: Let's assume she has HSV and licked the area around the scrotum, and the scrotum. The skin doesn't have any cuts. Could Herpes be transmitted by merely licking the area around the gentials?

Thank you very much.

[Edward W Hook, MD]

Welcome to the Forum. I read your earlier post of the STD Community site as well.  Before I address your specific questions, let me provide some more general information. While HSV-2, the major cause of genital herpes is relatively common, the chances that you got HSV or, for that matter, any other STD, including HIV from this exposure are miniscule.  Your oral sex was condom protected and therefore essentially no risk and STDs, including HSV are not spread by hand to genital contact. Finally, while it is unlikely that the red marks on this persons were HSV (wrong place, usually not itchy, etc), that fact of the matter is, even if they were, most exposures to infected partners do not result in herpes transmission.  Your risk of herpes are close to zero and I would not recommend concern or testing.  As for your specific questions:

1.  Yes, herpes can occur at any site where the infection is inoculated.  We do see herpes lesions on people's buttocks, thighs and lower abdomen from time-to-time.  Usually they are single lesions or closely grouped.  They do not itch.  To be honest, to assume that the lesions on her legs were HSV is probably wrong.
2.  Very, very low.  Lesions probably weren't herpes, if they were, chances of transmission to you are miniscule.  If you do not develop lesions in 4-10 days following this exposure at the sites of contact, then forget about it.  I do not advice testing in this situation.

Hope this helps.  EWH