Massage herpes/hpv

[aziatk]

Doctors

Thanks for providing this avenue for your expertise and congrats on your recent success and awards.

I recently went to a massage parlor for a Bach party. The lady provided me with unprotected mammary stimulation and then protected oral sex. The mammary stimulation was used with some form of lubricant. Afterwards I was cleaned up and still aroused but turned over onto a towel that I am not sure was clean.

I have hsv2 but very infrequent breakouts. Three days later I had my worst breakout ever on the tip of penis right near the urethra opening. I also have a few raised bumps not hsv around the same location. Dermatologist said the raised bumps are not anything but irration.

1. Could the mixture of lubricants and oral sex cause me to get a breakout and these bumps? Could it be from the towel? Do you recommend any cream by dermatologist stated hydro cortisone for the raised non hsv bumps.

2. Can the towel that lay under me that I lay on aroused if dirty cause any STD transmission like hpv?

I am married and ashamed of what I have done and do not want to infect her with hpv, she has hsv. I know this is not the HIV forum but can you also advise if I need HIV testing. Teak has stated no.

[Edward W Hook, MD]

Work with the dermatologist.  I suspect this is coincidence. EWH

[aziatk]

Hi doctor

I went to a dermatologist yesterday and he checked the raised skin around my penis tip and is stating to come back in a month to see if a wart declares itself. I began seeing the raised skin on feb 1st. How long would it take to declare? I am a bit perplexed as I am sure I had a condom on during oral sex.

[Edward W Hook, MD]

We make a concious effort not to get between our clients and their health care providers unless we detect some sort of problem.  Your doctor soounds like he/she is doing the right thing.  You should be asking your dermatologist, who has had a chance to examine you, when he/she would like to re-examine you.  

HIV testing is a waste of time and money.  If you need to get a test for your peace of mind, that's up to you.  A standard HIV antibody test will give you completely reliable results at 8 weeks following exposure.  Being tested with a combined test for p24 antigen and HIV antibody will provide conclusive results at 4 weeks.  EWH

[aziatk]

Thanks Dr. Hook.

When you state you most likely would recommend hydrocortisone, are there any other types of topical agents I can use if in fact these are allergic reactions? Also how long would you say i should wait if the bumps do not clear up  before returning to my dermatologist?

Once again I know this is not the HIV forum but if I would like to get checked what blood test can provide me the quickest and accurate results.

[Edward W Hook, MD]

Welcome to our Forum.  I see you have asked the same questions on the HIV Prevention Community site and agree with the advice that was given, including hoping that your partner did not get HSV from her exposure (it is likely since a condom was used).  The activities you describe do not put you at any risk for STD (including HPV).  The irritation at the tip of your penis makes me wonder if rather than a HSV recurrence whether or not you might have had a reaction to the lubricants or the lubricants made the recurrence you did experience worse.  Hard to know at this time.

With regard to your specific questions:
1.  See above.  I do agree that, along with therapy for your HSV, topical hydrocortisone may help the bumps to heal more quickly. That is most likely what I would have recommended.

2.  No.  There are very, very rare reports of HPV transmission through inanimate objects but they are so rare as to not be a realistic concern.  Further, I would be most surprised if the towel was not clean before you laid on it.  

3.  Hope this helps.  I would not worry about HPV or, for that matter, any other STD related to the activities you describe.  EWH