I would like to know the probability of contracting this disease?
Hello, doctor.
Thank you for answering my questions.
I am a patient with anxiety disorder, and I have been troubled by the following issues for a long time, which have even caused me anxiety and difficulty sleeping.
I would like to ask for your assistance in answering them.
Thank you very much.
Q1: A few days ago, while using a squat toilet, I accidentally got splashed by toilet water on the vaginal area.
I couldn't clean myself immediately because I was in a hurry to catch a bus.
I only dried myself ten minutes later and used soap to clean the area two and a half hours later.
I would like to know if this could lead to a sexually transmitted infection (mainly concerned about HPV, as I have only received the bivalent vaccine and am planning to get the nine-valent vaccine).
Thank you, doctor.
Q2: Today, while using the toilet at home, I placed toilet paper on the toilet seat.
However, during the process, my groin accidentally touched the toilet paper on the seat.
I would like to know if this poses any risk.
Q3: Continuing from the previous question, I found that infections require an open wound, so I specifically wore gloves to clean my private area before showering.
However, while rinsing, some soap bubbles accidentally splashed onto my lips.
I rinsed with water first, then cleaned with soap twice, and finally wiped with alcohol once.
I would like to know if there is any risk of infection in my mouth (I found that HPV can survive in the oral cavity and has a latency period).
Should I also be cautious about contact with my boyfriend (such as avoiding kissing, etc.)? Thank you for your response, doctor.
I am really anxious about these issues and am afraid to make an appointment to ask in person.
Thank you again!
V, 20~29 year old female. Ask Date: 2022/03/14
Dr. Du Shixi reply Urology
Hello: Regarding your question, the chance of infection is almost negligible.
Sexually transmitted infections are primarily transmitted through sexual intercourse, so there is no need for concern.
Wishing you good health, you can refer to the following risk assessment based on the level of danger associated with sexual activities.
No risk activities include masturbation, hugging, and touching areas other than the genitals.
Low-risk activities include mutual masturbation, light kissing, mutual rubbing, and sexual intercourse with condom use.
Moderate-risk activities include deep kissing, oral sex, and withdrawal before ejaculation.
High-risk activities involve unprotected intercourse and any sexual activity that causes wounds or bleeding.
Reply Date: 2022/03/14
More Info
Understanding STD Risks: Common Concerns and Expert Answers
Thank you for reaching out with your concerns regarding STD risks. It's completely understandable to feel anxious about these issues, especially if you have a history of anxiety. Let's address your questions one by one, providing clarity and reassurance.
Q1: Concerns about toilet water exposure to the vaginal area.
Firstly, the risk of contracting an STD, particularly HPV, from toilet water is extremely low. HPV is primarily transmitted through direct skin-to-skin contact during sexual activity, not through water. While HPV can survive on surfaces for a limited time, the conditions in a public restroom, including the presence of urine and other contaminants, significantly reduce the likelihood of transmission. Since you mentioned that you have received the two-dose HPV vaccine and are planning to get the nine-valent vaccine, you are taking proactive steps to protect yourself against the most common strains of HPV associated with cervical cancer and genital warts.
In summary, the exposure you described does not pose a significant risk for STD transmission, including HPV.
Q2: Contact with toilet seat and sanitary paper.
In this scenario, the risk remains very low. The sanitary paper itself is designed to be absorbent and is not a medium for transmitting STDs. The primary concern with toilet seats is the potential for bacteria, but STDs are not typically transmitted this way. As long as there are no open wounds or cuts in the groin area, the likelihood of transmission is negligible.
Q3: Risk of STD transmission from cleaning with gloves and contact with soap bubbles.
Regarding your concern about soap bubbles coming into contact with your lips, the risk of STD transmission through this route is also extremely low. Most STDs, including HPV, require direct contact with infected bodily fluids or skin. While HPV can exist in the oral cavity, transmission typically occurs through sexual contact, not incidental exposure to soap or water.
If you are worried about potential exposure to HPV or other STDs, it’s important to remember that the virus does not survive long outside the human body, and the cleaning methods you used (rinsing with water and using soap) would further reduce any potential risk.
As for your interactions with your boyfriend, unless there is a known exposure or active infection, there is no need to avoid kissing or other forms of contact. However, if you have ongoing concerns, it may be beneficial to discuss them with a healthcare provider who can offer personalized advice and possibly recommend testing for peace of mind.
General Advice:
It's important to manage anxiety surrounding health concerns. If you find that these worries are affecting your daily life, consider speaking with a mental health professional who can help you develop coping strategies. Additionally, regular check-ups and open communication with your healthcare provider can help alleviate fears and ensure you stay informed about your sexual health.
In conclusion, your described scenarios do not present significant risks for STD transmission. However, staying informed and proactive about your health is always a good approach. If you have further questions or if your anxiety persists, please consider reaching out to a healthcare professional for personalized advice and support.
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