Urological Concerns: Risks of STIs from Hand Contact - Urology

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Hello doctor, yesterday I inquired about the following...
In medical terms, what is the likelihood of contracting HPV (cauliflower) or syphilis, or HIV from a situation involving only hand contact and lubricant, without oral or bodily fluid exposure? What is the approximate incidence rate of these infections in cases like this? I am certain that the other person only used their hands, but since it lasted for a long time, I am unsure if there was any skin breakage.
I am feeling very anxious, sometimes experiencing chills and fever, diarrhea, weakness in my limbs, and joint pain in my legs (which sometimes returns to normal).
I have lost 5 kg in the past few days.
The incident occurred on June 19.
How long should I wait to get tested to be more certain that everything is fine?

monbrak, 20~29 year old female. Ask Date: 2019/06/28

Dr. Du Shixi reply Urology


Hello: Without actual data, we can only say the chances are high or low.
You should assess the risks of sexual behavior yourself.
Many sexually transmitted infections (STIs) are transmitted through sexual contact and the exchange of bodily fluids, which include blood, semen, and vaginal secretions.
Therefore, sexual activities that do not involve the exchange of bodily fluids are considered safe.
The descriptions of risky behaviors are as follows:
- No risk: Masturbation
- Low risk: Mutual masturbation, light kissing, mutual rubbing, sexual activity with condom use
- Moderate risk: Deep kissing, oral sex, withdrawal method (pulling out)
- High risk: Unprotected sexual activity, especially if there are wounds or bleeding
1) If you have symptoms, get tested now and again in 3 months.

2) If you are asymptomatic, testing in 3 months is sufficient.

Wishing you good health.

Reply Date: 2019/06/28

More Info


When it comes to understanding the risks of sexually transmitted infections (STIs) from hand contact, it's important to clarify a few key points regarding transmission routes and the likelihood of contracting infections like human papillomavirus (HPV), syphilis, or HIV through non-penetrative sexual activities.

Firstly, STIs are primarily transmitted through direct contact with infected bodily fluids, mucous membranes, or skin-to-skin contact with an infected area. In the case of HPV, which causes genital warts (often referred to as "cauliflower" due to its appearance), the virus can be transmitted through skin-to-skin contact, even if there is no penetration or exchange of bodily fluids. However, the risk of transmission through hand contact alone is significantly lower compared to direct genital contact.

Regarding the specific infections you mentioned:
1. HPV (Genital Warts): HPV can be transmitted through skin-to-skin contact, and while it is possible to contract it through hand contact, the likelihood is much lower than through direct genital contact. The exact statistics on transmission rates through hand contact alone are not well-documented, but it is generally considered a less common route.

2. Syphilis: This infection is primarily transmitted through direct contact with syphilis sores, which are typically found on the genitalia, anus, or mouth. If there were no sores present on the hands or the genital area during contact, the risk of transmission would be low. However, if there were any cuts or abrasions on the skin, the risk could increase slightly.

3. HIV: The transmission of HIV through hand contact is extremely rare. HIV is primarily transmitted through blood, semen, vaginal fluids, and breast milk. The virus does not survive well outside the human body, and the risk of transmission through intact skin is negligible. If there were no blood or open wounds involved, the risk remains very low.

Given your symptoms of feeling cold, diarrhea, weakness, and joint pain, it is understandable to be concerned. These symptoms can be associated with various conditions, including anxiety or stress related to the situation, rather than necessarily indicating an STI.
As for testing, the window period for different STIs varies:
- HIV: Testing is generally recommended at 2-4 weeks after potential exposure, with a follow-up test at 3 months for conclusive results.

- Syphilis: Testing can be done about 3 weeks after exposure, but it is often recommended to test again at 6 weeks and 3 months for accurate results.

- HPV: There is no specific test for HPV in men, but if you develop warts, a healthcare provider can diagnose them. Regular check-ups and monitoring are advisable.

If you are feeling anxious about your symptoms or the potential for STIs, it is crucial to consult a healthcare professional. They can provide appropriate testing, guidance, and support. Remember, early detection and treatment are key to managing any health concerns effectively.

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