Pre-Ejaculate and Infection Risks in Urology

Concern about infection?

Hello doctor, I would like to ask about something.
Sometimes when I see exciting images, I get an erection, but before it is fully erect, I notice some secretion that feels sticky.
Is that prostate fluid? Is it normal to have this happen when I'm slightly aroused but not fully erect? Sometimes in the morning when I wake up with morning wood, there is also sticky fluid on my underwear, but it doesn't seem like a wet dream.
Is that also prostate fluid? Is this normal?
Additionally, I would like to ask if using toilet paper from the company restroom to wipe the glans could potentially lead to an infection from a sexually transmitted disease or warts.
If I have never engaged in sexual activity, am I still at risk for STDs or warts? I have seen reports that people can contract warts without having sexual intercourse, which makes me very worried.
I'm concerned that using the company toilet paper on my penis could lead to an infection.
Also, if I wash my hands before using the restroom and then turn off the faucet, touch the doorknob, and then touch my penis, could that also lead to an infection?

Niming, 20~29 year old female. Ask Date: 2019/05/09

Dr. Du Mingyi reply Urology

Prostatic fluid is unlikely to become infected; typically, infections are transmitted through bodily fluids.

Reply Date: 2019/05/09

More Info

Understanding pre-ejaculate and its relation to infection risks is an important topic in urology, especially for individuals who may have concerns about sexual health and hygiene.
Firstly, the fluid you are describing that is released during arousal before full erection is known as pre-ejaculate or pre-cum. This fluid is produced by the Cowper's glands (bulbourethral glands) and serves several purposes: it helps to lubricate the urethra, neutralizes any acidity in the urethra from urine, and can also provide a small amount of sperm. It is normal for this fluid to be released during sexual arousal, even if you do not achieve a full erection. Morning erections, often referred to as "morning wood," can also lead to the release of pre-ejaculate, which is completely normal and a sign of healthy erectile function.

Regarding your concerns about potential infections from using public restroom facilities, it is important to understand how sexually transmitted infections (STIs) are transmitted. Most STIs, including human papillomavirus (HPV), which can cause genital warts (often referred to as "菜花" in Mandarin), are primarily spread through direct skin-to-skin contact during sexual activities. The risk of contracting an STI from surfaces such as toilet seats or using public restroom supplies like toilet paper is extremely low. Bacteria and viruses do not survive long on surfaces outside the human body, and the likelihood of transmission through indirect contact is minimal.

However, maintaining good hygiene practices is crucial. Washing your hands before and after using the restroom is a good habit that can help prevent the spread of infections. If you touch surfaces in a public restroom and then touch your genitals without washing your hands, there is a slight risk of transferring bacteria, but this is not typically associated with STIs.
If you have never engaged in sexual activity, your risk of contracting an STI is significantly lower. However, it is still possible to contract certain infections through non-sexual means, such as sharing personal items (like razors) or through close skin contact with an infected person.
To further alleviate your concerns, consider the following preventive measures:
1. Practice Good Hygiene: Always wash your hands thoroughly after using the restroom and before touching your genitals.

2. Avoid Sharing Personal Items: Do not share towels, razors, or other personal items that may come into contact with bodily fluids.

3. Regular Health Check-ups: If you have concerns about your sexual health or potential exposure to STIs, consult a healthcare professional for testing and advice.

4. Educate Yourself: Understanding how STIs are transmitted can help reduce anxiety. Reliable sources of information include healthcare providers and sexual health organizations.

In summary, the fluid you are experiencing is normal, and the risk of contracting STIs from public restroom facilities is very low. Maintaining good hygiene and being informed about sexual health can help you feel more secure. If you have ongoing concerns or symptoms, it is advisable to consult a healthcare professional for personalized advice and testing.

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