STD Risks: Can You Contract Infections from Foreplay? - Urology

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Probability of contracting a sexually transmitted infection (STI)


Hello, today I had a sexual encounter where I received a handjob from a woman.
There was no kissing, but I licked her nipples and breasts.
My fingers did penetrate her vagina, but I washed my hands immediately afterward.
I would like to know what the risk is of contracting gonorrhea, HPV, or other sexually transmitted infections in this situation.

123, 20~29 year old female. Ask Date: 2020/07/11

Dr. Du Shixi reply Urology


Hello: You can refer to the following risk levels: Low-risk activities include masturbation and mutual masturbation, light kissing, mutual rubbing, and sexual intercourse with condoms.
Moderate-risk activities include deep kissing, oral sex, and withdrawal method (coitus interruptus).
High-risk activities include unprotected sexual intercourse and activities that cause wounds or bleeding.
Source: CDC https://www.cdc.gov.tw/Category/ListContent/BcwrIdNHhlziwBeJq9UJ7Q?uaid=1TI7GoOkq9v7X-lr2QtYog Wishing you good health.

Reply Date: 2020/07/11

More Info


When it comes to understanding the risks of sexually transmitted diseases (STDs) from foreplay, it is essential to consider various factors, including the type of sexual activity, the presence of any cuts or sores, and the overall health status of both partners.

In your scenario, you mentioned engaging in foreplay that included manual stimulation (hand job) and oral stimulation (licking the breasts and nipples). You also indicated that your fingers penetrated the vagina, although you washed your hands immediately afterward. Let's break down the potential risks involved:
1. Transmission of STDs through Foreplay: Generally, the risk of contracting STDs through foreplay is lower than through penetrative sexual intercourse. However, it is not zero. Certain STDs, such as herpes, syphilis, and human papillomavirus (HPV), can be transmitted through skin-to-skin contact. If the woman has an active infection, there is a possibility of transmission through contact with infected bodily fluids or lesions.

2. Specific STDs:
- Gonorrhea and Chlamydia: These bacterial infections are primarily transmitted through vaginal, anal, or oral sex. While the risk of transmission through manual stimulation is lower, it is still possible if there are infected fluids on your hands or if there are any cuts or abrasions on your fingers.

- HPV: This virus can be transmitted through skin-to-skin contact, including touching the genital area. If the woman has HPV, there is a risk of transmission through contact with her breasts or vagina.

- Herpes: If the woman has an active herpes outbreak, the virus can be transmitted through skin contact, even if there are no visible sores on the breasts or vagina.

3. Washing Hands: Washing your hands immediately after contact can reduce the risk of transmission, but it is essential to ensure that you wash thoroughly with soap and water. If there were any cuts or abrasions on your hands, the risk of infection could increase.

4. Overall Risk Assessment: Given that you did not engage in penetrative intercourse and took precautions by washing your hands, the risk of contracting gonorrhea, chlamydia, or other STDs from this encounter is relatively low. However, it is not entirely absent, especially if the woman had an active infection.

5. Testing and Monitoring: If you are concerned about potential exposure to STDs, it is advisable to get tested. Many STDs can be asymptomatic, so regular testing is crucial for sexually active individuals, especially if you have multiple partners or engage in activities that may increase your risk.

In summary, while the risk of contracting STDs from foreplay is lower than from penetrative sex, it is not negligible. If you have any symptoms or concerns, it is best to consult a healthcare provider for appropriate testing and guidance. Regular check-ups and open communication with sexual partners about health status can help mitigate risks associated with STDs.

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