[Question #12711] HIV/STI from naked massage, hand job & towel

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6 months ago
Hi Drs/Team. Apologies as I'm a little bit embarrassed about this question as suspect I know the answer. Just seeking clarity (peace of mind) from professional/experts in this field regarding my risks of HIV/STI from receipt of a massage, hand job from a CSW and then wiping my genitalia with the used towel. In Brief. I have had several full body massages (of a non-sexual nature) in the past which is of no concern. However, in this instance I participated in a full body massage where masseuse offered an extra service. I was offered a hand job only whilst she was naked. I accepted, they performed service, once completed I then proceeded to wipe my ejaculate from penis with the towel used during massage. I suspect that this is a no risk situation however given my new experience this has caused me some angst thus seeking clarity on my concerns. My queries are: 1. Have I put my health at risk for a HIV/STIs from this event.ie receipt of hand job and wiping ejaculate of penis with towel 2. Do I need to test for HIV/STIs from this event. 3 Is it safe to continue normal sexual practices with my regular partner. PS. No sexual penetration vaginal/anal), no oral sex, nor my hand or other parts of my body made contact with her genital area. Thanks for your assistance and look forward to hearing from you soon. Regards JB

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H. Hunter Handsfield, MD
5 months ago
Welcome to the forum.

Some questions can be answered pretty accurately from only the information in the title the user chooses. Before I read anything else, I can say that massage, hand-genital contact, and towels are not significant sources of STI/HIV transmission, so most likely you were not at risk.

Now I have read the rest. Guess what? I'm glad to see you probably know what I'm going to say. Indeed there is nothing in your detailed description of your recent and past encounters that suggests any risk. To your numbered questions:

1. "Have I put my health at risk...?" No, you have not.

2. "Do I need to test...?" From a medical/risk perspective, no. However, many anxious persons are more reassured by negative test results than by professional opinion, no matter how expert. (We don't take it personally!) If you will lose less sleep in worry, feel free to be tested, e.g. urine for gonorrhea/chlamydia, blood tests for HIV and syphilis. This does NOT imply I believe you are at risk; to be considered strictly for reassurance and I wouldn't do it myself if somehow I were in your situation.

3. "Is it safe to continue normal sexual practices with my regular partner?" That's what I would do if it were me.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD
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5 months ago
Hi Dr. Great news. As I expected. Appreciated your time to review this matter and address my concerns. It's odd how your mind works at times. Thanks for your helpful comments, reassurance and clarity. I do not want to spend or waste much more time unnecessarily worrying/thinking about this event thus plan on moving on after my follow up question. From an educational perspective. Would It be correct to state that this is considered a safe sex activity thus continuing to participate in this type of experience in future/ongoing basis is not a HIV/STI risk and will generally be responded by experts like yourself as below. Look forward to hearing from you soon. Regards JB
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H. Hunter Handsfield, MD
5 months ago
Yes:  I would describe such exposures as hyper safe (to coin a term) and most experts would agree. But are they truly zero risk for all STIs? Maybe not -- but I'd say under one chance in many millions, and that you could have such exposures daily for life without catching anything or requiring testing. But some experts have different attitudes, and might say something like "Yes there is some risk and you shoudl be tested." ---
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5 months ago
Hi Dr. Thanks for your reply and valued opinion. Again what I was expecting to read. No surprises. For some reason my concern was more around the HIV risk. Not sure why, as logic, including information available here and based on the advice provided by you (which is similar with other experts)in this field HIV was not a risk or something I need worry about from this incident. Hopefully my questions and your responses will reduce repetition and provide assurance to many others via this forum who find themselves in a similar position as I was. Again thank you for taking the time to address my concerns and resolving that little doubt in my head.Your and colleagues works with this site is greatly appreciated. All the best. JB.
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H. Hunter Handsfield, MD
5 months ago
In closing, I'll add what might add additional reassurance:  In the 20 years of this and our preceding forum, with thousands of questions from persons worried about HIV after a potentially risky exposure, nobody has yet tested positive -- no matter how concerned or frightened the questioner was. You will not be the first. If and when it finally happens, surely it will be from a genuine exposure (think unprotected anal between two men) and not one that has never been known to transmit the virus.

That concludes this thread. Best wishes and stay safe. Thanks for the thanks.
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