encounter with a csw

[Falcao]

Hello doctors,

I need your help please, I'm very anxious. Today I saw a cheap prostitute. She didn't seem too clean so I got paranoid. We did not have sex however, she touched her vagina and then touched my penis, I also touched her vagina and then my penis...I don't know if I touched my urethra...I didn't see any lesions or sores and also she wasn't too wet...almost dry but I'm afraid I may get herpes or gonorreah, what should I do? Abstain sex? Test? Please help me!!

Thanks doctor.

[Edward W Hook, MD]

It has just pointed out that this is at least your 4th question (and 65th post) in the past two months.  We ask clients not to post more than two questions in any six month period in order to allow others the opportunity to get their questions answerd.  I will address your continuuing concerns and then end this thread.  Please no further posts until September 2014.  

As I said above, most STIs are transmitted only by direct, penetrative sex.  A few are transmitted by skin to skin contact.  Transmission through mutual masturbation or transfer of genital secretions from person to person on someone's hands does not occur.  The events you describe did not put you at risk for any STI.  No testing is needed

You need to forget these concerns and move forward.

This will end this thread  No further questions for six months please.  EWH

[Falcao]

What is the worst case scenario?

[Falcao]

Assuming that she indeed had an still, forgot to add.

[Falcao]

Thank you for your answer, it is always relieving to here from you. When you mean direct contact is it the same as to skin to skin contact? Because if so I read in other sites that transmission could occur, also if I had her lubrication fluids and touched my penis, no gonorreah or clamidya could be transmitted? She was almost dry if that helps a little. If so, could I forget about this and be confident I won't get any std?

Thanks

[Edward W Hook, MD]

Welcome to the Forum.  From what you say, you should not worry.  The fact that your partner touched her vagina and then you penis does not put you at any known risk for any STI.  STIs are transmitted only by direct contact and are not transmitted from person to person through transfer of genital secretions on hands or on inanimate objects.  

I would also point out that although your partner was a "cheap" commercial sex worker, most CSWs do not have STIs.

You have nothing to worry about related to the encounter you describe.  There is no reason for concern, no reason to test for STIs, and no reason to abstain from unprotected sex with your regular partner.  EWH