[Question #10455] Risk from massage
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22 months ago
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I’m a male and got a massage from a male. I have been tested before not from this massage and all negative but hsv1 fever blisters from childhood. The gentleman giving massage used his tongue to lick my butt crack and anus he didn’t stick his tongue in my anus but licked over it. When I rolled over he licked my scrotum and put my left testicle in his mouth. No oral of any kind on penis just what’s described. Finished with a hand job. What’s my risk of getting any kind of sti from this massage. My nerves are getting the best of me. Thanks for your help.
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H. Hunter Handsfield, MD
22 months ago
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Welcome to the forum. Thanks for your confidence in our services.
We receive many questions like this -- massage events and the potential risk for HIV or other STIs. Our replies are pretty much the same. There is no transmission risk at all: STIs are not transmitted by hand contact, even when the massager is infected with any STI you might think of. As for oral contact, STIs rarely are a risk at all except by direct genital exposure, meaning penis in mouth or direct oral contact with the vaginal area; there is no risk at all by oral contact with intact skin. The skin of the scrotum is no more likely to be infected than the arm or back. Kissing can rarely transmit herpes due to HSV1 and very rarely syphilis or gonorrhea -- but I stress very rare. Analingus -- tongue contact with anus -- carries little risk, anti sounds like there was no actual contact. Finally, no STIs are transmitted by hand-genital contact (i.e. your hand job). If monkeypox were as frequent as it was a year ago, that would be a concern, but not at the present time. That you have oral herpes due to HSV1 makes no difference in the chance of infection during this event.
So all is well -- you are not at risk for anything (except common cold, covid, etc -- as with any person to person contact). No testing is needed. I have the feeling you have some anxiety about the sexual nature of the massage itself. Don't let that influence your understanding of STI/HIV risks, which were zero for all practical purposes.
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
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22 months ago
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Thanks for your answer. I have a follow up. Several years ago I had an encounter and was tested for all sti and herpes. My tailbone hurt to sit down still does from time to time even now. All my test came back negative. I had convinced myself that I had herpes2 . I even got the western blot from Washington state and it was negative. Can you have herpes and not test positive for it? I have hsv1 due to fever blisters. Could I have gotten reinfected with this at another site after already having it? My wife even stated that her tailbone hurt during this time.
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H. Hunter Handsfield, MD
22 months ago
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Such a symptom doesn't suggest herpes at all, in absence of skin blisters/sores, and the negative Western blood is conclusive. There is no possibility you have HSV 2 or that herpes explains the tailbone pain. It also isn't HSV1: you are immune to a new HSV1 infection anywhere on your body and cannot acquire a second HSV1 infection or self-infect an area other than your oral infection. No worries!---
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22 months ago
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Ok so after I have read almost every post on this site about being rimmed and licking scrotum. I’m still concerned about possible exposure. Being no risk at all, low risk, possible risk. I did shave my scrotum the morning this happened no sign of razor cuts could that make a difference. All the guy did was lick my butt crack and over my anus nothing about penetration and on the flip side licked my scrotum and thighs and put my right testicle in his mouth. No mouth on penis so no oral sex. I feel all the anxiety of itch, burning and all the crazy symptoms, this is on my scrotum and feel it sometimes in my butt hole. I look and there’s nothing there. Should I be concerned? Do I need testing? I can tell everyone that reads this it’s not worth the little feeling that we all get from the massage with happy ending. The amount of worrying and time this consumes me is not with it at all. I hope I can never let this happen again. Thank you for all your replies thank you for this site it helps all of us. Sick of feeling like this.
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H. Hunter Handsfield, MD
22 months ago
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The symptoms you describe sound entirely psychological. As you apparently understand intellectually, but not emotionally, that the exposures mentioned carry no significant risk of HIV or other STIs. And you seem to recognize that your symptoms have psychological origins (you "feel all the anxiety" of the symptoms you mention).
"Should I be concerned?" No.
"Do I need testing?" No, certainly not -- at least from a true risk or medical standpoint. Would you benefit from testing to help prove to yourself that you were not infected? Maybe you would -- in which case feel free to be tested for whatever you wish. It's your decision, not my recommendation.
Thanks for the thanks. I'm glad to have helped at least somewhat. Best wishes and stay safe.
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