Fingering and rubbing - STD risk

[Tom1811]

Hi Doctor,

Although I have read a lot of information on this forum , I still have doubts and concerns on the level of risk for the following exposure:
A couple of days ago went to a stripclub and had a lapdance with a couple of dancers. One of them took my hand and my fingers touched her vagina for a minute or so. Then with the same hand I use my index finger and fingered her in the an..s for a couple of minutes.  
In addition, the other dancer rubbed her genitals against mine while I was on my underwear, but do not remember if my penis was exposed for a few seconds during the rubbing (pretty sure there was no penetration at all).
* Is there any risk of herpes, syphilis, or any other STD in relation with this exposure (both the fingering and the rubbing)?
* In case there is, what would be the chances of catching anything (assuming the worst-case scenario - she had genital herpes, syphilis or any other STD at that time)? (i.e. 1 in 10, 1 in 100, 1 in 1000??)

Thank you for your patience on this kind of issues and response. I am a Family man, very worried of this event.

[Edward W Hook, MD]

The "worse case" scenario is fully hypothetical. I have never heard of such an instance.  Further, if there were no lesions present on her breast the risk is further reduced.  The odds of transmission are too low to measure.  EWH

[Tom1118]

Thank you Dr. Hook.
Finally, I am a little worried on the fact that I also licked and sucked the dancers' nipples for a few minutes (which I supposed were sucked by too many guys before me).
My concern is that I have read on this forum that herpes may be transferred from the mouth to the nipples, under certain conditions.
Under this worst-case scenario, if the dancers did have herpes on their nipples, what would be the odds of transmission to my mouth (I am sure I do not have HSV 1 nor HSV 2 as evidenced on prior blood tests - igg & igm).
Thanks a lot.

[Edward W Hook, MD]

The estimate I made was based on the assumption that the dancer had an STD.  As I indicated, there are no precise estimates becuase the risk is SO low. EWH

[Tom1118]

Thank you for your prompt response.
Follow-up question: You say that "the risk is far lower than 1 in 1000" for such exposures. Are these numbers based on the assumption that the STD status of the dancers is unknown, or assuming that the dancers had an STD (like syphilis or HSV) at the time of the exposure?

In case of the latter, assuming the dancers did have an STD (syphilis, HSV, HPV, etc) at the time of the exposure in their genitals (or an..s), I would truly appreciate your opinion on what would be odds for transmission for such exposures: i) fingering (from their genitals/an.s to my finger;  ii) rubbing (from their genitals to my skin around the penis).

Thanks again. I truly appreciate your response.

[Edward W Hook, MD]

Welcome to our Forum.  STDs, including HIV are transmitted by penetrative sexual contact.  Transmission to the hands during masturbation is not at all a risk for STDs like gonorrhea, NGU, Chlamydia, etc.  There is a theoretical risk or transmission of STDs which cause lesions (primarily syphilis and HSV) through hand/genital contact or rubbing but these occur so very really that each time it occurs it is an "oh wow!!" kind of observation.  Thus the sorts of exposures you describe are incredibly rare events.  In the situations you describe the risk is far lower than 1 in 1000.  

Hope this helps. These exposures are really not something to worry about and no testing is needed. EWH