Can Sex Toys Transmit STDs? Risks and Safety Measures - Urology

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Can sex toys transmit sexually transmitted infections (STIs)?


Hello Dr.
Hsu, I would like to ask you about purchasing a silicone sex toy sleeve.
If it has been previously used by someone who had a sexually transmitted infection (STI), could bacteria remain on the sleeve? For example, could syphilis or chancroid bacteria still be present if I bought it and didn't use it for over three months, but washed it with "green soap" before using it? I have only had sexual relations with my spouse (since birth) and have never been with another woman.
However, after using the silicone sleeve for the first time with my spouse on May 19, I noticed small rashes near the coronal sulcus while showering on the evening of May 22.
They were slightly painful, and by May 24, they had turned into small sores, about 1 to 1.5 mm in size, with five in total, round in shape, yellow at the base, and slightly red and swollen around the edges.
They do not hurt when not touched, but are painful when pressed, resembling chancroid.
I later visited a clinic where the doctor said it looked like syphilis.
I had blood drawn for testing, and I will know the results on June 8.
Currently, I am receiving injections and medication, and I have seen about a 50% improvement.
I am very afraid of having syphilis, but the test for syphilis takes six weeks to yield results, and I am unsure what to do.
Today, I went to the hospital outpatient department, and the doctor said my sores have dried up and shrunk, which does not seem like syphilis, but I still do not know what kind of condition I have.
The literature states that the hard chancre of syphilis will resolve on its own and then progress to secondary syphilis, which is why I am very fearful right now.
Could you please help clarify this for me? Thank you very much, I sincerely seek your assistance.
Thank you.

Jason, 40~49 year old female. Ask Date: 2005/06/06

Dr. Xu Weikai reply Urology


Jason: Hello, I think sharing intimate products can potentially lead to sexually transmitted infections (STIs) due to contact.
Not only could you be at risk, but your wife could also be at risk.
Regarding syphilis, as of now in Taiwan, there have not been any cases of super-resistant strains, so generally, treatment with antibiotics (typically tetracycline antibiotics or weekly intramuscular injections of long-acting penicillin) for 3-4 weeks can completely cure it, so there is no need to worry too much about that.
As for syphilis serological testing, it does take some time to show results; usually, I recommend getting tested for syphilis and HIV three months after exposure.
If both tests are negative, it should be considered safe.
If exposure occurred on May 19, it may take 3-4 weeks for serological responses to appear, and testing too early will not provide 100% certainty.
Additionally, it is very important to understand that both partners should be tested.
If both are infected, simultaneous treatment is necessary.
Urology Department Chief, Hsu Wei-Kai, responding on behalf of the Taitung Hospital, Ministry of Health and Welfare, cares about you.

Reply Date: 2005/06/06

More Info


When it comes to the transmission of sexually transmitted diseases (STDs) through sex toys, it is essential to understand the risks involved and the necessary safety measures to mitigate these risks.
First and foremost, if a sex toy, such as a silicone dildo, has been previously used by someone who is infected with an STD, there is a potential risk of transmission if the toy is not properly cleaned before use. STDs, including syphilis and chancroid, can be caused by bacteria or viruses that may survive on surfaces for a limited time. However, the survival of these pathogens depends on various factors, including the type of organism, environmental conditions, and the material of the toy.

In the case of silicone sex toys, they are generally non-porous and can be effectively cleaned. If you purchased a second-hand silicone toy, it is crucial to clean it thoroughly before use. Using a mild soap, such as a green antibacterial soap, is a good practice. Additionally, many manufacturers recommend using a specialized toy cleaner that is designed to eliminate bacteria and viruses. It is also advisable to follow the manufacturer's instructions regarding cleaning and care.

Regarding your specific situation, if you purchased a silicone sex toy that had been previously used and then stored it for three months before using it, the likelihood of any pathogens remaining on the toy is low, especially if you cleaned it properly. Most bacteria and viruses do not survive for extended periods outside of a host. However, if the toy was not cleaned before being stored, there could still be a risk, albeit minimal.

Now, concerning the symptoms you described—small sores near the corona of the penis that developed after using the silicone toy—it is understandable to be concerned about the possibility of an STD. The appearance of sores can be indicative of several conditions, including herpes, syphilis, or other infections. It is good that you have sought medical attention and are undergoing testing. The fact that the sores have improved with treatment is a positive sign, but it is essential to wait for the test results to confirm the diagnosis.

As for your concerns about syphilis, it is true that the primary stage of syphilis can present as a painless sore (chancre) that may heal on its own. However, if left untreated, syphilis can progress to secondary and tertiary stages, which can have more severe health implications. Therefore, it is crucial to follow up with your healthcare provider and adhere to the treatment plan prescribed.

In summary, while there is a potential risk of transmitting STDs through sex toys, proper cleaning and care can significantly reduce this risk. If you have concerns about your health or symptoms, it is vital to continue seeking medical advice and testing. Regular check-ups and open communication with your healthcare provider can help ensure your sexual health and well-being. Remember, practicing safe sex, including the use of condoms and proper hygiene with sex toys, is essential in reducing the risk of STDs.

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