Std inqs

[Bddy1]

Hi Dr
I wish you to judge my risk level for stds from the following episode. I went to a strip club last weekend for a boys nite out. I was getting a lap dance and everything was fine. And let me preface this bc I hate strip clubs bc I am std-a-phobe. Anyway the lady unbuttoned my shorts and being under the influence of alcohol I didn't stop her which ticks me off. She was naked and while she unbuttoned my shorts proceeded to pull them down a little where only the base of the penis was showing. She then started giving me an intense lap dance but at no time did the big guy make an appearance as only the base and maybe an inch up the shaft were showing. So definitely no penetration. But I did have an old pimple on my bar and shaft from trimming the day before. My question is if any vaginal fluid came in contact with this pimple or if she opened the pimple a bit from grinding on me or even if I had a small cut from trimming the day before could I get any std- HIV, hep B or C, herpes, ghonarrea, syphillis etc. I especially nervous bc I think I had one of those small cuts from trimming the day before that I just didn't notice. And if I did would that have healed enough from the previous day of trimming so that fluid could not go inside or infect me with anything?I'm nervous bc I'm a good guy that doesn't cheat on my girlfriend and I want to make sure that there is zero risk that I got any of the above std's and I want to make sure I can continue my dynamite sex life w my wonderful girlfriend. Can u tell me if this is a zero risk event or what if anything I should be worried about. This stupid event is playin w my mind and I would like an expert like yourselves to put my mind at ease. Thank u and I look forward to ur analysis.

[Edward W Hook, MD]

This will need to be my final answer. Clearly my efforts to convince you that the events you describe did not put you at ANY meaningful risk for STI have not been successful and may even be fueling your anxiety.  You need to stop trying to attribute every pimple and blemish you find in your anxiety-driven self examinations to STIs transmitted by a lap dance that you wish you had not received.  There is virtually no chance that the pimple you have now noted on your chin is an STI transmitted through the lap dance you have described.  If you cannot accept this advice, then I suggest you  have a doctor take a look- when they tell you there is no chance that this is herpes, syphilis or nay other STI, then you need to move on. If you cannot do that, then you need tos eek counseling.  

I will have no further comments.  EWH

[Bddy1]

Just an FYI this incident happened last sat or early sun morn if that helps u in ur advice. But the main thing again is I'm worried bout the ting inking feeling in my chin and if that is related to my incident?

[Bddy1]

Oh I forgot to mention that i actually developed a small zit in the area above my mouth in the corner but that could be from shaving but it did come soon after the incident. Any link to std??

[Bddy1]

Dr.
For the last day or two I have had some tingling on my chin. Almost feeling like a pimple or a zit is trying to break thru. If this were to develop into a sore of big pimple like formation would this be indicative of syphilis? I was reading that syphilis soars develop on or near the mouth and was wondering if syphilis soars develop on the the chin too? I've got a wedding this weekend and am kinda freaked out. Wouldn't syphilis or herpes if they were to occur happen on my genitals since that was where contact was? Also one last question- as I mentioned this was an aggressive lap dance where the lady was in close contact with her face to mine but NO kissing involved whatsoever but I did and still do have a few zits that were present before j went to the club. So could she have spread syphilis to me if her skin accidentally rubbed that area. Or herpes for that matter?

[Edward W Hook, MD]

Your are playing "what if" games.  I have already told you there is a theoretical chance of infection, and there is.  The risk however is tinyand there is nothing in your statements to suggest that you have herpes, syphilis or any other STI.  EWH

[Bddy1]

And Doctor just to clarify that herpes and syphilis or any std for that matter can only be spread if an infected person has an open wound or fluids of an infected person get into an open wound or directly in the penis hole and not just by touching or rubbing of intact skin of a non infected person?  Is that correct that even though fluids or a open wound rubbing of an infected person against intact skin if a non infected person does not transfer the viruses?

[Edward W Hook, MD]

The single piumple that you describe is not suggestive of herpes. EWH

[Bddy1]

Thank you Dr. Hook-
These words of wisdom have alleviated much of the anxiety if this experience. Lastly, which is a spin off of ur last reply- I can be assured that the very very small pimple that I did not even notice until I checked myself is not herpes or syphillis since I wouldn't have to check to find them and that they would be clearly visible? And would they be painful and would there be multiple pimples, blisters and legions for them to be considered herpes or syphilis? Meaning would there only be one small one that can barely be seen multiple? Sorry if I'm a pain.

[Edward W Hook, MD]

It would need to be direct contact but you are worryng needlessly. As i said, the risk is virtually non-existant.  The lesions would appear and be noticable and would not appear until at least several days after contact.  

Finally, syphilis is curable.  EWH

[Bddy1]

And is syphillis curable? Sorry but I'm just thinkin about questions that I should have asked in my first post. Sorry

[Bddy1]

Again. I wanted to include this in my last question. Would herpes or syphilis come up as one very small abrasion or would there be several and would they hurt or be painful and at least have some uncomfortable feeling? Just so I would know if I did get it? What would the signs be?

[Bddy1]

Oh I forgot to ask one last question?  Would it have to be direct contact for me to acquire herpes or syphillis- meaning if just the vaginal fluid just seeped down to an open cut would that be enough to get infected or would it have to be skin to skin? Bc I wonder if fluid just dripped down to a cut would the exposure to surface of the penis and/or air kill the viruses before they could contaminate?

[Bddy1]

Thank you Doctor-

Does that realistic risk mean zero risk sir?

And, if my skin was intact would and she did have sores present or got vaginal fluid on my penis would that take that small risk of herpes or syphilis down to a zero risk event? Meaning could I get infected if there was no cut or abrasion present? And when would I begin to see symptoms if something did happen?  And if you were in my position would this be something that would worry you at or prevent you from continuing your sex life w ur partner?

[Edward W Hook, MD]

Welcome to the Forum. From the description you provide, without penetration there is no realistic risk for gonorrhea, chlamydia, HIV or hepatitis.  In theory if she had sores of syphilis (statistically VERY unlikely) or herpes present while grinding on you there is a very small, mostly theoretical risk of infection but that risk is tiny and not something I would worry about.  Unless you develop symptoms of some sort, I would have no concerns and would see no reason to abstain from sex with your regular partner. EWH