[Question #13550] Gay Massage Center

1 months ago

Greetings,

First of all, i would like to thank everyone who is handling this amazing forum. I have been following it since it was on Medhelp as i had unbelievable anxiety few years back regarding HIV and this anxiety was crushing my happiness everytime. I will go straight to my questions. I went to massage center and the workers are gays, my encounter was on two days. The first day, i had a massage and the guy did body to body as i was laying on my back and he was on top of me. The risk here was due to his penis was grinding my penis and he was inserting my penis between his thighs back and forth like having intercourse but between his thighs until i cum (I don’t remember if my penis touched his anus). All the above activities were unprotected. The second day, i went to the same center and the risk here was the guy kissed my penis from the bottom and it was one very quick light kiss, then he performed oral (sucking) my penis but i made sure the condom was intact the whole time and i was holding the bottom of the condom to make sure it doesn’t slip away. Then, took condom off and ejaculated near his mouth but my penis didn’t touch his mouth. Also, i am 90% sure that the condom didn’t torn off. Right now, i am planning to wait few days before i get tested for STIs so i can have sex with my wife safely. So what are the risks of all the above activities in regards to STIs and whether i should worry about it? Also, what is the risk of getting fingered?

Thank you in advance.

Edward W. Hook M.D.

1 months ago

Welcome to our Forum. Thanks for your confidence in our service, as well as following our interactions with other clients on the Forum. From your reading of other threads, I am confident that have already anticipated that I am going to do my best to assure you that the interactions you describe were no risk events. Both receipt of masturbation through frottag (body-to-body reubbing) and condom protected receipt of oral sex are virtually no risk events which do not require testing to rule out possible STIs. IN the first encounter you describe, if your penis touched your partner's anus without penetration, it would still be a no risk event. You can be confident as well that there was no penetration- had there been penetration, you would have known it.

As for the receipt of condom protected oral, again, be confident that the condom did it's job. When condoms fail, they break wide open leaving no doubt that they failed.

"fingering" is another form of masturbation and like other forms of masturbation carries no risk for STIs- there is general agreement by the WHO, the CDC and experts in the field including us, that participating in mutual masturbation is a no risk activity for STIs.

I see no need for testing. You can participate in unprotected sex with your wife without concern that you might have acquired an STI from the encounters you have described. I am aware however that some clients, despite our assurances, desire that added comfort of negative tests. If that is the case for you, you can conclusively test for gonorrhea and chlamydia any time more than 3-5 days after your last encounter and can test for syphilis and HIV with a blood test at 6 weeks or more. Should you choose to test, I am confident that the tests will show that you were not infected. EWH

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1 months ago

Thank you Dr Hook for your quick response and assurance.

I know that there are many misleading information across the internet, but what about skin to skin STIs infections? Is there any possibility for my encounters to be the case here?

All in all, as you said testing is not needed, even for other STIs such as chlamydia , gonorrhea, herpes, Syphilis ….. etc?

Edward W. Hook M.D.

1 months ago

Good question. While skin-to-skin contact is theoretically possible, in fact we virtually never see transmission of lesion STIs unless there is direct contact with an active infectious lesion (which presumably would be apparent to your partner and addressed if present, after all, that would be bad for his business) and even then transmission is prevented by intact skin which prevents the infection from getting into a partner's body. Our skin is probably one of our single most important barriers to infection. Unless you develop an obvious lesion (not just sense abnormal sensations which might reflect heightened awareness of normal sensations), I would have no concerns whatsoever. As I said above, virtually all authorities agree that participation in mutual masturbation of the sort you describe is a no risk event.

My thoughts on testing are outlined above. Testing is always a personal decision but from a scientific perspective is unnecessary. EWH

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1 months ago

Thank you again Dr Hook.

One last thing, if i am not planning for testing, should i keep observing for any visible symptoms to make sure there’s no infections? If so, how soon for any symptom to show up?

Also, should i be worried regarding HPV?

Edward W. Hook M.D.

1 months ago

Being on the lookout for symptoms is a two edged sword. We not uncommonly find clients who are vigorously examining themselves in a fashion, which is more aggressive and more intensive than normal and as a result, come to mistake normal variations, secretions, and skin changes for symptoms of STI’s. If symptoms occur, they should be obvious.

HPV is simply not a concern. Virtually all sexually active persons who have not been vaccinated will have HPV and HPV is not readily transmitted through masturbation and is rare with oral sex.

As you know, we provide up to three responses to each clients questions. This is my final response and the thread will now be closed. There really should be no reason to return with further questions. EWH.

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