[Question #12657] STI from Body-to-Body Massage

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6 months ago
On January 1, I had a body-to-body massage in which the masseuse and I were both completely naked (no condom). She put oil on my body and rubbed the top half of her body all over my body, including my penis and penis head, probably for about 10 minutes. My penis head rubbed on her nipples, breasts, abdomen, and chest. I do not believe my penis came in contact with her vagina, but it contacted other parts of her body. I am worried about the mucus membranes on my penis/penis head/urethral meatus being infected through contact with her nipples and body. I have noticed some very slight redness at my urethral opening.

Did I put myself at risk for any of the STIs that transmit through skin contact such as syphilis? If I tested negative 10 days after exposure, should I have any confidence in that result? Thanks. 
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H. Hunter Handsfield, MD
6 months ago
Welcome back, but I don't really understand the reason. Terri didn't go into detail in your two recent threads about risk of STIs other than herpes, but she did indicate there was little or no risk. 

Certain infections are called "sexually tranmitted" for good reason: sex itself is required for them to be transmitted, and body rubbbing without penetration doesn't count. STIs are not symply genital area infections that can be transmitted by any genital contact. It really does require sex itself. You were not at risk at all and you did not need testing for anything. You can trust your negative test results, whatever they were. If you have a regular partner, you can safely continue your usual sexual practices without putting that person at risk for anything.

FYI, it is against forum policy for users to have multiple accounts. In the future, stick with the one you used for your two previous discussions.

Best wishes and stay safe--  HHH, MD
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6 months ago
Thanks for your response Dr. Handsfield -- I submitted another question because I wanted to ask specifically about non-herpes STIs. I am concerned about the possibility of "skin contact STIs" like syphilis (and herpes) shedding virus from other parts of the masseuse's body, like her abdomen, thighs, and nipples, where my penis/penis head/urethral opening touched. 

I've read online that STIs like syphilis and herpes can in fact transmit without sex itself. Why would other sources state that there is a possibility of transmission without penetration if "body rubbing without penetration doesn't count"? I keep reading elsewhere that the virus could shed from other parts of the body.
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6 months ago
Apologies, I’m just checking back on this to make sure you saw my new questions. Hopefully this doesn’t count as the second of my two responses. I also wanted to highlight my concern about the slight redness at my urethral opening, it looks like a red indentation right at the opening — I’m wondering if this is a potential presentation of a syphilis chancre. Thanks again.
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H. Hunter Handsfield, MD
6 months ago
Sorry for the delayed reply.

That some STIs are transmitted primarily by skin contact does not mean ANY skin contact. It's genital-to-genital contact only, and almost always with penetration. There is no STI/HIV risk from the skin surfaces you mention.

"I've read online that STIs like syphilis and herpes can in fact transmit without sex itself." First, nonprofessional online resources are notoriously unreliable, especialy sites by and for people wiht a particular problem or afraid of it. Like reddit, for example. Second, probably such cases have occurred; if so, they are exceedingly rare. This group of infections is called "sexually transmitted" for good reason:  sex itself (typically meaning penile penetration) is required for them to be passed from person to person. The exceptions are rare enough to be ignored.

And no, redness of the meatus (urethral opening) doesn't suggest a chancre. From this description, I am confident the appearnce of your meatus isn't abnormal anyway.
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