Can a Digital Rectal Exam Lead to STIs? What You Need to Know - Urology

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Can a digital rectal exam transmit sexually transmitted infections (STIs)?


Doctor, I had a digital rectal examination on November 10th, and I am concerned about the possibility of contracting a sexually transmitted infection during the procedure.
Do I need to get tested for STIs?

474747, 10~19 year old female. Ask Date: 2023/11/10

Dr. Du Shixi reply Urology


Hello: The doctor is wearing gloves, so there's no need to worry.
Wishing you good health.

Reply Date: 2023/11/10

More Info


A digital rectal exam (DRE) is a common medical procedure used to assess the health of the rectum and surrounding tissues, often performed to check for abnormalities such as tumors, enlarged prostate, or other issues. While the procedure itself is generally safe and performed by trained healthcare professionals, it is understandable to have concerns about the potential for sexually transmitted infections (STIs) during such examinations.

Firstly, it is important to note that the risk of contracting an STI from a digital rectal exam is extremely low, provided that standard hygiene practices are followed. Healthcare providers are trained to use gloves and maintain a sterile environment during examinations to minimize any risk of infection. If the provider uses a new, sterile glove for each patient and follows proper hand hygiene protocols, the likelihood of transmitting an infection is significantly reduced.

However, if the healthcare provider has not adhered to these hygiene practices, or if there are any visible signs of infection (such as sores or lesions) on the provider's hands, the risk could theoretically increase. It is also worth mentioning that if you have any existing STIs, there is a possibility of spreading the infection to other areas of your body or to the healthcare provider, but this is not a common occurrence during a DRE.

If you are feeling anxious about potential exposure to STIs during your DRE, it may be beneficial to discuss your concerns with your healthcare provider. They can provide reassurance and clarify the measures they take to ensure patient safety. If you are experiencing symptoms such as unusual discharge, itching, or pain, or if you have had unprotected sexual contact, it may be prudent to get tested for STIs regardless of the DRE.

In summary, while the risk of contracting an STI from a digital rectal exam is very low when proper hygiene practices are followed, it is always wise to communicate openly with your healthcare provider about any concerns you may have. If you feel it is necessary, getting tested for STIs can provide peace of mind and ensure your overall health and well-being.

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