I have a question to consult you, doctor. Today, during the spa massage with essential oil, the masseuse was masturbating herself with one hand while she was giving me a hand job. She then placed my hand on her vagina and asked me to touch her clitoris. She also asked me to insert my finger into her vagina for fingering. She had three consecutive orgasms, and a lot of vaginal secretions flowed out and down my arm. Also, when she was giving me a hand job, she spat some saliva on my urethral opening, saying it was for lubrication. After I found out, I immediately rinsed the glans with water but did not use soap. She continued to serve me, licking my nipples and scrotum. I ejaculated afterwards and washed up. I have had neurodermatitis on my skin recently, which is very itchy and I often scratch it. I don't know if there are any skin breaks. Also, I have hemorrhoids on my anus and I don't know if there are any breaks. If her vaginal fluid touched or flowed to these areas, is there a risk of contracting syphilis or HIV? Also, if she gave me a hand job with her self-masturbated hand, is there a risk of contracting syphilis or HIV from these actions? Should I go to the hospital for a test?

Welcome to our Forum and thanks for your questions.  I’ll be glad to comment.  All of the activities you describe fall under the broad category of masturbation and there is no risk of HIV, syphilis or other STIs from receipt of masturbation.  This is true even if a partner’s genital secretions or saliva get on you during the encounter and even if you have skin rashes or breaks.  This is agreed upon by virtually all experts, the WHO, and the CDC.  There have been millions of such encounters and yet there are no proven cases of HIV that have been proven.---

Thank you, Doctor. I'm relieved to hear you say that. Otherwise, I was thinking of taking a blocking drug. I'm in China. Before, I consulted many doctors online in China, but most of them were vague in their responses, and it seemed like they didn't want to take responsibility. After much thought, I decided to consult an authoritative doctor for peace of mind. Also, does that mean there's no risk of infection if there's no unprotected sexual intercourse? And for other activities like oral sex, do I not need to consider the risk of infection?

Doctor, there's another question I forgot to ask earlier. When the lady was giving me a hand job, her mouth was open facing my penis, as if she wanted my semen to go into her mouth. She even licked the urethral opening a few times with her tongue, but I stopped her. This position with her mouth open facing my penis lasted until the end of the hand job. I'm wondering if there was a lot of saliva that got onto the urethral opening and entered through it, although I didn't see it. This is my guess and a question I'd like to ask the doctor. Thank you!

I’m glad that the information I’ve provided is helpful. I see no reason to take preventative medication.  Other than with direct contact to infectious lesions (I.e. syphilis), if there is no contact there is no meaningful risk if there is no penetration ( and even then, infection is so rare as to not be a concern).  With receipt of oral sex, the risk is generally quite low- there is no known risk for HIV and the risk of other STIs is low.  The most common infection following receipt of oral sex is gonorrhea.---