[Question #1304] STI risk from massage
96 months ago
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Hello Doctor
I have visited massage parlours about 5-7 times in the last
2 years upto March,2016 and did receive
handjobs. On few of these occasions, I did touch the massuer’s breasts with
bare hands but there was no other form of sexual/physical contact. I had
undergone a STD test (HIV-1 &2 & P24,VDRL,TPHA ,HSV 1&2 &
Chalmydia), tested negative for all of them in June,2016. I had again gone for
a massage in Aug,2016 but this time it was a regular massage, there was no
sexual contact or handjob. I however saw some small red spots one morning, after
30 days from the Aug Massage, when I woke up under the foreskin of my penis. I
ignored the spots for a few days but then since they were not improving and it
seemed to give off an unpleasant smell on 1-2 occasion, I decided to get tested
for STDs again. This second STD test happened after about 38 days from the
Massage in August. All tests came out to be negative (Except for Chalmydia
Trachomatis which came Equivocal). I am taking anti fungal treatment now and
red spots have reduced but not completely gone. I do not have any other
symptoms, burning or itching in penis. My question is
1) Basis Above only, am I at risk for any STIs. Is it possible to get a false negative on the HSV 1 & 2 (IgG & IgM) test despite having symptoms in case one really has Herpes, given that testing happened only after 38 days from potential exposure. Thanks
Edward W. Hook M.D.
96 months ago
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Welcome to the Forum. If you had asked me about whether you need STI testing or not, I would have said no, informing you that STIs are not transmitted by the sorts of touching you have received, including receipt of masturbation. I have never seen or heard of an STI, INCLUDING HERPES, which was acquired through receipt of masturbation- you are not going to be the first. Thus I am not at all surprised to hear that your test results.
The red spots you describe, under your foreskin could have many other causes. One common cause of rashes under the foreskin of uncircumcised men is yeast (Candida) infections which result from the yeast that is normally on a person's skin growing, perhaps promoted because of moisture when is present under the foreskin.
False negative tests for herpes blood tests do occur from time to time, particularly the blood test for HSV-1. That said, I URGE you not to do blood test for herpes. In this situation they are unreliable an, despite your result, still more likely to give a falsely positive result than a true positive. Nothing you have describes would put you at risk for herpes nor does your problem sound like herpes. EWH
96 months ago
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Edward W. Hook M.D.
96 months ago
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96 months ago
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