[Question #1052] possible risk? pregnancy? sti?

51 months ago
Hello Doctors,

I hope you are doing fine.

I've been looking over the internet and I think you are by far the source of the best and accurate knowledge.

heres my question. About 6 months ago I went to a massage spa and engaged in the following: Masseuse laying on the table naked. I masturbated myself and ejaculated on her belly, I think a drop or two may have gotten close to her vagina. no other contact but shaking hands and exchange of money.

my concern is the following. would it have been possible that the drop that landed on her vagina could have gotten her pregnant and because I paid with my credit card she could be looking for me as the responsible father? I know this is a far out case and I know you specialize in STIs but ive read your responses and you advise that no penetration no risk. could this be the same case for pregnancy? Do you think pregnancy is possible without penetration?

Thanks for your help.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
51 months ago
Welcome to the forum. Thanks for your kind words about our services.

You are correct that this question is a bit off topic; we are experts in STD, not contraception or pregnency. But I think some medical common sense answers the question. Young people, especially newly sexually active teens, are often advised about pregnancy risks from sex without penetration. Some of that is scaremongering, hoping to keep kids from going "too far". Such pregnancies indeed happen, but my understanding is that they are rare, and generally occur when there is genital apposition without penetration, with ejaculation directly on or near the labia, vaginal opening, etc; or perhaps digital penetration (fingering) in the presence of semen. Even these probably are actually very low risk. I cannot imagine there is any appreciable risk from deposition of semen on the abdomen, even if "a drop or two may have gotten close" to the vagina.

I also cannot imagine that in event of pregnancy, there would be a way for your massage therapist to trace it to you, or that she would try. To do so, she would have to acknowledge an illegal, stigmatizing activity (sex work). Finally, it was 6 months ago. If she had conceived and were interested in dropping this on you, it seems you would have heard by now.

For all those reasons, I see no cause for worry. I hope this has been helpful. Best wishes and stay safe--   HHH, MD

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51 months ago
Hi Doctor HHH

Thanks for answering a question that is a bit out of your field, having said that I need to say that here where I live, Canada, prostitution is legal, would this change your perspective? would it be a good idea to contact the worker or cancel my credit card?

Thanks for your patience on this trivial if not far out matter.

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
51 months ago
I agree with your own characterization ("trivial if not far out") and think you're overreacting to a situation that wouldn't even enter most people's minds. If somehow I were in your circumstance, I wouldn't do anything at all.

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