Can Syphilis or STDs Be Transmitted Through Indirect Contact? - Internal Medicine

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Syphilis or sexually transmitted infection (STI)


I would like to ask the doctor if it is possible to contract genital warts or syphilis in this situation.
I purchased a contouring scissor online, and it was left for three days before I used it.
When I opened it, it appeared to have signs of previous use, with what seemed to be dust or paper on it.
I grabbed the packaging with my left hand and held the scissors with my right hand to inspect them.
Later, I put them back down, and only my right hand was cleaned with water and alcohol, while I forgot if my left hand was rinsed with water, but I am sure it did not have alcohol on it.
After that, I felt discomfort in my stomach and urgently needed to use the restroom.
I grabbed a tissue with my left hand and then used my right hand to wipe after finishing.
I want to ask the doctor if there is a possibility of indirect transmission of genital warts or syphilis since I have had anal fissures with blood in my stool a few days ago, although there was none today.
I feel that the wound may not be completely healed.
Could there be a risk if my left hand came into contact with genital warts or syphilis? Or am I overthinking this?

e, 30~39 year old female. Ask Date: 2021/12/11

Dr. Hong Yuanbin reply Internal Medicine


Hello, the cauliflower or syphilis you mentioned is primarily transmitted through sexual intercourse.
The speculation you referred to about transmission through contact is unlikely.
I suggest not to worry excessively.
Thank you for your question.

Reply Date: 2021/12/11

More Info


When it comes to the transmission of sexually transmitted diseases (STDs) such as syphilis and genital warts (caused by the human papillomavirus, HPV), the risk of indirect transmission through surfaces or objects is generally considered to be very low. STDs are primarily transmitted through direct sexual contact, which includes skin-to-skin contact, exchange of bodily fluids, and intimate activities.

In your scenario, you mentioned using a pair of contouring scissors that you suspected might have been previously used, and you were concerned about the potential for indirect transmission of STDs. It's important to clarify that while some pathogens can survive on surfaces for a limited time, the likelihood of contracting an STD through indirect contact is extremely rare. Most sexually transmitted infections require direct contact with an infected area or bodily fluids to be transmitted effectively.

For instance, syphilis is caused by the bacterium Treponema pallidum, which does not survive long outside the human body. Similarly, HPV, which can cause genital warts, is primarily transmitted through direct skin-to-skin contact during sexual activity. The virus does not typically remain viable on inanimate objects like scissors or other surfaces for an extended period. Therefore, the risk of contracting syphilis or HPV from touching a potentially contaminated object and then using it is minimal.

Regarding your concern about having anal fissures and the potential for infection, it is crucial to understand that while having an open wound can increase susceptibility to infections, the specific transmission of STDs through indirect contact remains highly unlikely. If your left hand had any contact with a contaminated surface, and then you used it to wipe after using the restroom, the risk of transmitting an STD through this route is still very low, especially if you did not have direct contact with an infected person or their bodily fluids.

However, it is always wise to practice good hygiene and take precautions to minimize any potential risks. If you are concerned about your health, particularly with the presence of anal fissures and any symptoms you may be experiencing, it is advisable to consult with a healthcare professional. They can provide you with appropriate testing and guidance based on your specific situation.

In summary, while it is understandable to have concerns about potential exposure to STDs, the likelihood of transmission through indirect contact, especially in the scenario you described, is very low. Maintaining good hygiene practices, being aware of your health, and seeking medical advice when needed are the best approaches to ensure your well-being. If you have any further questions or symptoms, do not hesitate to reach out to a healthcare provider for personalized advice and support.

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