[Question #12525] Hand Jobs

7 months ago

Hi Doctor, after my previous experience I have limited my CSW encounters to hand jobs only/massages.

On 30/11 I had two massages with different CSW’s by appointment, both with handjobs performed with oil and some touching of the breasts.

Two days later I came down with a Flu, and this subsequently turned into a chest infection. My GP gave me Penicillin - two 250mg tablets four times a day, two days later I was worse so the doctor switched me to Claryhtromycin 500mg twice per day for 7days. I was pretty sure it was flu/infection as plenty going around and my wife got it shortly after me.

My worry is around Xmas, I noticed a small tiny bump on my penis, it’s not exactly located near a hair but very close / the hair is not in the centre of it. I thought nothing of it and thought it would resolve. In the last couple days that tiny bump which previously had no distinct colour has got worse and now is red, raised and feels more like a bump/lump / like a pimple on face. I don’t think it’s painful but am now becoming more focussed on it. I have never had anything like this before and have not recently shaved there either.

Though I wasn’t worrying about hand jobs before, now that I have this I am starting to feel worried/anxious.

Could this be syphilis ? Would my antibiotic doses of sufficiently mitigated this risk shortly after my exposure? Does it sound like syphillis.? Its doesn’t look like an open sore (yet) , though is changing in appearance.

Could it be HSV or HPV? There is no itching or any other notable spots or rashes elsewhere. Or could there be a non STI explanation here ?

H. Hunter Handsfield, MD

7 months ago

Welcome back. Thank you for your continued confidence in the forum. Some questions can be answered based only on the information provided in the title of the question. In this case, before even reading the question itself, I'll say that hand jobs never are a risk for HIV or any STI.

You are overreacting to symptoms that mean absolutely nothing in terms of STIs. First, you were not at risk; no STIs are transmitted by hand-genital contact, even if genital fluids are used as lubrication. And certainly not contact with breasts or nipples.

Having had influenza (or covid or other viral respiratory infection) had nothing to do with the sexual events, except for the possibility you could have caught it (nonsexually) from one the CSWs two days earlier. The genital area bumps sound like typical folliculitis (hair follicle inflammation or infection), unrelated to your CSW experiences. No, it cannot be syphilis: not only were you not at risk, but the symptoms aren't right and the antibiotics (especially penicillin two days after exposure) would have aborted syphilis before it got started. And for sure not either herpes or HPV.

In short, your own implied conclusion undoubtedly is correct: definitely no STI of any kind. Don't worry about it.

I hope this response is helpful; let me know if anything isn't clear.

HHH, MD

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7 months ago

Thanks Doctor for your re-assurances -

I’ve monitored over last couple days and the single spot was red/inflamed, with a bump underneath and has caused me some mild discomfort /pain. I have applied natural cream that supports healing but it appears to be changing in appearance but not really showing signs of resolving . There are no other symptoms or signs of spots/rashes.

Does any of this concern you from a HPV/HSV/Syphillis perspective ?

7 months ago

Sorry just to add to my follow up, the massage venue only offers hand jobs and body to body only so I was concerned with the level of exposure to hands they may have as that is the only form of contact they have.

H. Hunter Handsfield, MD

7 months ago

The additional information doesn't change my assessment, i.e. I continue to be confident the bump isn't an STD. To answer your specific question, I'm sure it isn't herpes, HPV or syphilis (HPV can't show up sooner than several weeks, and for syphilis it takes at least 10 days., Conceivably it's traumatic -- or a pimple or folliculitis. At this point it is time to stop speculating and worrying. You should see a doctor for in-person examination. A urologist would be a good choice. Please note that our threads are closed after two follow-up comments and replies so you have one more coming. I suggest holding off on further discussion here until you have been evaluated, assuming you would like to return then to let me know the outcome of that visit. Good luck in the meantime, and don't worry: this isn't going to turn out to be anything serious.---