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Avatar universal

Am I at risk? Need some help here ...

Dear Doctors!

Last Friday, I visited a prostitue. I wanted to do something safe, so I only ask for a hand job.
We have been touching each other naked on the bed when she was masturbating me and I want touching her vagina.
After touching her with my hand, I immediately used my hand to masturbate myself... which happened a several times during the encounter.
The lady was very wet and I am sure my hand had a lot of her fluid when I was masturbating myself.
I read from here that you said small amount of vaginal fluid will not cause infection. But what about case like mine, while there was a lot of fluid on my hand and I masturbated myself with her fluid. (assuming she has std)
I visited a doctor (not an expert in STD) on Tuesday he said I was exposed to some risk. He said there is a chance for me to acquire chlamydia, gu, other ngu and herpes. He gave me some antibiotics (Levofloxacin 250mg x 2 for 7 days) to take care of any potential UTI and told me to monitor my penis in the coming time (didn't say for how long) for any herpes symptoms.
I was kind of relieved after seeing your posts here. But since I have been told I am at risk it will be nice to get a second opinion from an expert. (someone really understand STD and know what is safe or not)
I will be seeing my wife again on Saturday .. I wonder if I can carry on to have unprotected sex with her (my antibiotics will finish on Monday) cause she will definately question why I try not to have sex with her after not seeing her for a few months. I really have some concern that I might give something bad to her .... shall I get tested?
Thank you for your time doc....




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Avatar universal
Understood, thank you very much doc!!
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
You apparently did not understand my reply.  I doubt you caught any STD and therefore you have nothing you could transmit to your wife.  But if in some weird way you indeed were infected, the levofloxacin probably would prevent transmission after 4 days.  However, this has never been carefully researched and the standard advice is to wait a week after starting treatment before having sex.

As discussed above, UTIs are not an STD and are not transmitted to sex partners at all.
Helpful - 0
Avatar universal
Thank you Dr!

Just one more question, I heard before that bacteria will lost the power to infect within one or two days since the patient starts to take antibiotics. Is it true?
Say even if I had a UTI (which you have already pointed out that my risk is practically zero), I took levofloxacin for 4 days (out of 7days), will it still be able to infect my wife?
thank you very much again.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the STD forum.

MedHelp's moderators are asked to avoid disagreeing overtly with patients' own doctors.  But if you are correctly reporting what your doctor said, he is mistaken.  STDs are not transmitted by hand-genital contact, even when there is exposure to large amounts of vaginal fluids.  In theory it might happen for some STDs, such as herpes or HPV, but this just doesn't happen with gonorrhea, chlamydia, HIV, etc. For example, in STD clinics, every case of STD is diagnosed only in people who have had vaginal, anal, or oral sex, usually unprotected.  If a significant number could get infected by hand-genital contact, obviously there would be at least an occasional case.

Had you come to my clinic, we would not have treated you with any antibiotics.  But in the off chance you were infected with chlamydia or NGU, the lefofloxacin would have cleared it up.  Probably gonorrhea as well, but not quite as reliably.

As for sex with your regular partner, no distant online expert can guarantee someone isn't infected, and I take no responsibilty if the unusual should happen.  But if I were in your situation, knowing what I know, I would not hesitate to have unprotected sex with my wife without fear for her health.

I hope this helps.  Best wishes--  HHH, MD
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