1. Handjob was used with lubricant or massage oil. I did not see that the girl touched herself during the handjob but if some reason she did could there be a transmission of syphillis/HIV considering that 

2. Like I said above I did not check her hands, could it be possible that I got Syphillis or HIV if massager had previous client that had a sore on his penis and massager did not washed her hands between giving the handjob to me. 

3. or that the semen from previous customer was infected and massager did not wash her hands before me. 

4. Does my Irration (where btw doctor prescribded steroid cream) increase the possibility of getting Syph/HIV

Tests took (after expouser): 25 day's ghonnorea and chlamydia negative, 27  day syphillis negative, 29 day's HIV negative

I know some of the concern is guilt and my anxiety is this strong because I am in a perfect relationship currently and made a mistake.

Please advise, also I think I need to re-test on week six to be conclusive is that so even though my healthcare provider say's 3 months. I guess the HIV test is Ag/Ab and Syphilis is CLIA (TrpaAB)

You start by saying you're confused, which implies you have seen conflicting information about HIV and STI risks from the sorts of exposure you describe. You did not see any such confusing or conflicting statements on this forum, however. For the 20 years of this and our preceding forum, with thousands of questions, we have always advised that hand-genital contact is free of risk, even if genital fluids or saliva are used for lubrication. If you think you have found statements to the contrary among our replies, I suggest you re-read them -- and if you think you find we have not been consistent on this, please point it out. (It was fine to "not check the massage girls hands"; no matter what they looked like, there would be no HIV/STI risk.)

Those comments pretty well answer your numbered questions, but to assure no misunderstanding:

1. There would be no HIV/STI risk even if she "touched herself during the handjob", including her vaginal area.

2. Syphilis lesions on the hands cannot transmit the infection. 

3. HIV and STI bacteria and viruses could not survive long enough to persist from another client's semen. Nearly all massage workers undoubtedly wash their hands between clients, but it would not matter if she forgot to do so.

4. This would not increase the risk, because not enough bacteria or viruses could be present in this situation.

You did not need testing for anything after this event. But having done so, the negative gonorrhea and chlamydia results are conclusive. The syphilis and HIV tests were around 95% conclusive, but since you were not exposed anyway you can consider them proof you were not infected. Your healthcare provider is being too conservative:  if she understood the details of the event, I am confident she would agree you do not need testing at 6 weeks, 3 months, or any other time.

If and when you have intercourse with a "massage girl" or other sex worker -- i.e. unprotected vagina, anal or oral sex -- you will be at some risk for HIV and other STIs. But not until then. Try not to be so worried about such events!

I hope this information is helpful. Let me know if anything isn't clear.

HHH, MD

 Sorry about I did not clarify the why I am confused. Some of the answers for mutual masturbations in this forum, there was told that in theory Syphilis might transfer via hands. That is why I wanted to ask the questions  2 and 3. Also at some question there was stated that if the massager has a sore or a lesion on hand syphilis might be able to transfer but rarely. I have been reading this forum alot so I can't remember the posts anymore. 

Other one that made me confused is that CDC states following about touching: "The only possible risk would be if body fluids from a person with HIV touch the mucous membranes or damaged tissue of someone without HIV. Mucous membranes are found inside the rectum, vagina, opening of the penis, and mouth. Damaged tissue could include cuts, sores, or open wounds." 

But I still have to suspect you have misunderstood something you saw on the forum. Don't misinterpret statements about theoretical possibilities versus actual known risks. All of our replies need to be interpreted in the context of the exact question asked; every reply is individualized! In the case you cite, there is really no such thing as an open sore of syphilis on the hands; I've never seen or heard of it, and the dry skin lesions of syphilis rash are not infectious. The CDC statement about "touching" does not mean any touching, no matter how brief. Syphilis bacteria must be massaged into tissue for infection to take hold. This is why the chancre of primary syphilis -- the initial lesion of all infections -- occurs mostly at sites of friction during sex, like the head of the penis, the vaginal or anal opening, etc.

The bottom line is that you really were not at risk for any STI from the events you have described. Believe it!

 Just confirming, so my stupid mind don't create anymore assumptions that don't exists. Fureture more, tanks for your replies, I'll try to move on now. It has been Hell of a 5 weeks. 

Thanks again for the thanks. Indeed you can move on; and I hope this information has convinced you there was no basis for this having "been Hell of a 5 weeks"! Best wishes and stay safe (as you have been, at least as reflected in this exposure).