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?