Risk of Infection from Mutual Masturbation: HPV and Warts - Urology

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I would like to ask the doctor about an incident that occurred a few days ago where I engaged in mutual masturbation with a stranger.
During that time, the other person was rubbing their own genitals, but afterward, I noticed that they had what appeared to be early-stage genital warts (condyloma) located along the coronal sulcus.
I would like to know if there is a risk of infection if they touched their own lesions and then touched my genitals.
We only used our hands to help each other and did not engage in any other forms of contact, including rubbing.
I am really worried about the possibility of infection.
Could you please clarify this for me, doctor?

Mr. A, 20~29 year old female. Ask Date: 2020/08/09

Dr. Cai Zhuorong reply Urology


If someone has touched their own genital lesions and then touches you, is there a risk of infection? A: Although it is not direct contact, there is still a risk of transmission.

Reply Date: 2020/08/09

More Info


The concern regarding the risk of HPV (Human Papillomavirus) infection through mutual masturbation, especially when one partner has visible lesions such as warts, is valid and important to address. HPV is primarily transmitted through direct skin-to-skin contact, particularly during sexual activities, including oral, vaginal, and anal sex. However, it can also be transmitted through other forms of intimate contact, including mutual masturbation.

In your case, if the other person had visible lesions on their genital area, there is a potential risk of HPV transmission if their hands came into contact with those lesions and then touched your genital area. While the risk may be lower compared to penetrative sexual intercourse, it is not negligible. HPV can survive on skin and may be transmitted through indirect contact if the virus is present on the skin or lesions.

To further understand the risks and preventive measures, here are some key points:
1. Understanding HPV Transmission: HPV is highly contagious, and certain strains are associated with genital warts and various cancers. The strains that cause warts (low-risk HPV types) can be transmitted through skin-to-skin contact, which includes mutual masturbation. If the other person had active lesions, there is a possibility that the virus could have been transferred to you.

2. Symptoms of HPV Infection: Many people with HPV do not exhibit symptoms, and the virus can remain dormant for years. However, if you were to develop symptoms, they might include genital warts, which appear as small bumps or groups of bumps in the genital area. If you notice any unusual growths or changes, it is essential to consult a healthcare professional.

3. Preventive Measures: To reduce the risk of HPV transmission in the future, consider the following:
- Vaccination: The HPV vaccine is highly effective in preventing the most common and high-risk strains of HPV. It is recommended for both males and females, ideally before becoming sexually active.

- Barrier Methods: While condoms do not provide complete protection against HPV, they can significantly reduce the risk of transmission. Using condoms during any sexual activity, including mutual masturbation, can help minimize skin-to-skin contact.

- Regular Screening: For sexually active individuals, regular screenings for HPV and other sexually transmitted infections (STIs) are crucial. Women should have Pap smears and HPV tests as recommended by their healthcare provider.

4. Follow-Up: If you are concerned about potential exposure to HPV, it may be wise to schedule an appointment with a healthcare provider. They can discuss your risk factors, perform any necessary tests, and provide guidance on monitoring for symptoms or further preventive measures.

5. Mental Health Considerations: It's natural to feel anxious after a potential exposure to an STI. Consider discussing your concerns with a healthcare provider or a mental health professional to help manage any anxiety or stress related to this situation.

In summary, while the risk of HPV transmission through mutual masturbation is lower than through penetrative sex, it is still possible, especially if lesions are involved. Taking preventive measures, getting vaccinated, and maintaining regular health check-ups are essential steps in managing your sexual health. If you have any symptoms or concerns, do not hesitate to seek medical advice.

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