contact but no penetration

[Regretful1]

I mistakenly posted this is the general forum, so there will be a double post.  My apologies...

After reading several of the other threads, I'm guessing you'll think I'm worrying about nothing but the certainty of an expert's opinion is always very helpful.

Six weeks ago I was at a strip club and received a private dance.  During the dance my penis (unprotected) slipped several times between the dancers legs.  We were standing up so there may have been some contact with the outside of her vagina and butt, but there was definitely no penetration.  I haven't had any symptoms since the contact but the last week or so I've noticed some discomfort and itching on my scrotum, and now and then a quick stab of pain.  I've looked for any visible sores or lesions and can't see any.  There is also no pain when I urinate.  I've checked for discharge and don't think I have any.  I'm hedging from being categorical because I had a couple of drops this morning after I urinated, but I'm pretty sure it was just urine.  So here are my questions:

1. Are there any STD that I could be at risk from with this kind of limited contact?
2. Of those types would symptoms have shown up before six weeks?
3. Again, of those types would any discharge clearly be something that I wouldn't easily mistake for pee?

Thanks very much.

[Edward W Hook, MD]

As sometimes happens, Dr. Handsfield and I started answering your questions at the same time.  Thus you get the same answer using different words twice.  You are not at risk.

The exposure that you describe is extraordinarily low risk and your chances of getting an STD from it are close to zero, if not zero.  I suppose that here may be some theoretical risk for acquisition of herpes or syphilis is she had a lesion and your penis contacted it but that sort of transmission has never been reported so, despite the theoretical concern, I am confident that you are not at risk.  

In answer to your other questions, if you had gotten an STD any symptoms that you might develop would be expected to appear long before six weeks had passed.

Finally, in answer to your last question, there is no form or urethral discharge due to STD that would be confused with urine.

Bottom line, you are not at risk and do not need testing.  Time for you to move on beyond this experience.

Hope this helps you do so.  EWH

[H. Hunter Handsfield, M.D.]

You have been asking anxiety-generated questions about low to zero risk HIV/STD exposures for a couple of years -- I count 4 previous threads in this or the HIV prevention forum plus 10-12 more in the various community forums.  In every instance, you were clearly informed that you were at little or no risk of infection.  You are free to keep spending your money to ask questions on these forums (a maximum of twice every 6 months, per MedHelp policy) to be given the same answers once again.  But it would be better to learn to accept the common, universally undertood fact that if you don't have unprotected insertive sex (penis into vagina, rectum, or mouth), there is no risk of sexual transmission of HIV an little if any measurable risk of other STDs.  Beyond that, you can return to your GUM clinic for periodic testing.

By the way, your penis "slipped" between the dancer's legs?  By accident??  Ha!

1,2) No measurable risk for anything, even though many STDs occur without symptoms.

3) Abnormal penile discharge is very obviously different then urine.  There is no mistaking the two.

Please do think about your apparently off-the-map anxieties about STDs and HIV.  You should consider stopping all exposures and/or getting counseling about these issues.  I suggest it out of compassion, not criticism.

HHH, MD