What could this be

[Indyguy14]

I am a 42 year old male and I had an experience about 5 weeks ago with a massage  therapist that included protected anal sex and she did perform oral on me included some rimming. And I did have a chafed rectum from anal itching. About 3 weeks ago I started getting a couple boils on finger, thigh, and inner groin area. Have what I believe is some jock itch now as well. And some warm feeling in leg. Scared and nervous.

[Edward W Hook, MD]

Glad I could help.  EWH

[Indyguy14]

Thank u doctor. Appreciate the advice and counsel.

[Edward W Hook, MD]

Welcome to our Forum.  I'll try to help.  The exposure that you describe was rather low risk for STIs of any sort.  Most persons, including most commercial sex workers, do not have STIs and even when they do, most single exposures do not lead to infection.  Condom protected sex is safe sex with no meaningful risk for STI as long as the condom was worn throughout the encounter and did not break (and if your condom appeared intact, it was- when condoms break there is no doubt- they break wide open).  Thus your only real risk was from receipt of oral sex (including your rectum.  Fortunately, oral sex is an inefficient way to transmit STDs.  Even among persons with many sex partners, oral infections are uncommon and for a number of biological factors too complex to go into here, the efficiency of transmission of infections through oral sex is lower than for penetrative genital-vaginal or –anal sex.  Of the bacterial STDs only gonorrhea and nongonococcal urethritis (NGU) are transmitted through oral sex; for all practical purposes, chlamydia is not and without an obvious sore or lesion on your partner’s mouth, the chances of syphilis and herpes is likewise tiny.  If you had gotten gonorrhea or NGU you would have most likely developed symptoms of urethritis (penile infection) such as a penile discharge or burring on urination.  If anything, the risk for receipt of rimming is lower than for receipt of penile-oral sex.  Even if your partner had an STD (any STD and it is likely she did not), most exposures do not lead to infection.  In your case, your exposure was brief; I would urge you not to worry. If you wish, you could go to your local STD clinic or health care provider to be tested at this time.  

The boils you are experiencing are most probably coincidental to the exposure you describe and unrelated.  EWH