I am a 43 married heterosexual male.  11 days ago I went to massage parlor and received a table shower where the masseuse played with my anus some and then my penis.

We then went back to the massage table where she gave me a happy ending.  I touched her bare breasts and fingered her some until I climaxed.  I did not touch my penis after touching her vagina.  There was no other sexual contact besides hand to genital.

I understand that hand to genital is low to no risk for STDs but I am having some weird sensations.

My anus has felt uncomfortable since the massage. Not pain, not tinging either, but like pressure.  It comes and goes throughout the day.   I can feel no lesions or anything like that and I obviously cannot see the area.

I also feel a sensation at the tip of my penis that is not what I would consider pain, but it does seem a lot more intense than discomfort.  I also have seen no lesions or discharge.  This sensation started a few days after the massage.  There is also no pain when urinating.

I guess I wanted to hear your thoughts to see if I needed any sort of testing and to be given the clear to resume sex with my wife.

Thank you

Thanks as well for apparently reading other questions with questions similar to your own. You are correct that hand-genital contact is risk free. So is any and all contact with women's breasts. Perhaps equally important, no infection can begin to cause symptoms at the time of exposure or in less than 2-3 days; so if "since the massage" means immediately, your anal discomfort cannot be due to any infection from the event. And the sort of penile discomfort you describe doesn't fit with any known STI. Absence of discharge, painful urination or lesions also is reassuring.

Your symptoms fit best with genitally (and anally) focused anxiety; as that term implies, it's a common reaction to an anxiety-causing sexual exposure and/or the decision to participate in that activity. At this point I would only advise sitting tight (no pun intended!) for a few days. Assuming no other symptoms, I would not recommend testing for anything. I am confident you can safely continue unprotected sex with your wife without putting her at risk.

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

HHH, MD