[Question #14023] Nuru massage and paid protected sex risks

1 months ago

Hi , I have concerns about STDs from a Nuru massage and protected sex from about 4 days ago. Happened in Asian country done by chinese lady. I was lying for 10mins where her vagina was doused with lubricant rubbing on my buttocks. she held my penis with her barehands that could have her fluids while putting on a condom for me. She gave me protected oral and sex (no licking of balls)in which I came inside her. After pulling out, I saw that the condom was intact. No fishy odour from her, and didnt see any chancres/sores on her mouth and vagina as the room was dim. I bathed after with soap and warm water..

Here are my questions

STDs to test for (from commonly mentioned STDs such as Chlamydia, syphilis, HSV, HPV, HIV). Do I have to test for less common STDs such as Trichomoniasis, mycoplasma, Hep A/B/C? Is STD testing warranted?

No pain urinating or itch so far, on both my penis and anus. However, I do feel slight irritation on my penis, not sure if my foreskin had been moving with very little lubrication as I felt some tingling upon penetrating. (unsure if its anxiety and hope not caused by STDs) What are the chances that her fluids could have caused me an STD around the butt or her fluids seep into my anus?

H. Hunter Handsfield, MD

1 months ago

Welcome to the forum. Thank you for your confidence in our services.

As has been discussed innumerable times on this forum, there has never been a case of HIV, and few if any other STIs, transmitted by massage or other body-to-body contact with actual sex, i.e. penile penetration into a partner's vagina or rectum. Even oral sex is risk free for HIV.

"STDs to test for...?" and "Is STD testing warranted?" None that I would recommend, including any of the ones you mention. And certainly not for trichomonas, mycplasmas, or the hepatitis viruses. The answer to the second question is no.

"slight irritation on my penis...." and "tingling": I would guess these feels are anxiety driven, not indicating any infection of any kind.

"What are the chances...[etc]?" Zero in my professional opinion.

Of course risk alone isn't the only reason to test for STDs. If you remain nervous despite this advice, testing strictly for reassurance is something you could consider. Truly, not because of risk -- only because you might be reassured and stop worrying if you get tested with negative results. If so, feel free to have a urine test for gonorrhea and chlamydia (valid any time 4-5 days or more after exposure); and blood tests for HIV and syphillis after ~6 weeks. Honestly, if somehow I were in your situation, I would not be tested. But the choice is yours.

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

HHH, MD

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1 months ago

Thanks for the info, here are some followup questions: Do i wait for 4-6 weeks before sex with my girlfriend again? In long term, if i continue using paid protected sex, am i at high risk of any STD eventually, will it affect my fertility for children in future?i asked about less common stds like tricho/mycoplasma was due to a protected oral experience and a dr tested for these, does it meant that he was trying to earn a quick buck?

H. Hunter Handsfield, MD

1 months ago

If somehow I were in your situation, I would continue unprotected sex with my wife with no worry about infecting her.

"If I continue using paid protected sex, am I at high risk of any STD...?" Yes, of course you are. Condoms are not perfect, and some STDs (HPV for example) are equally common in regular condom users versus nonusers. And because of potential condom failure, you could catch an STD that would impair fertility, like gonorrhea or chalmydia. However, these are very rare causes of infertility in males -- really nothing to worry about. But if you go forward with such a lifestyle, you should be tested from time to time for the major STDs, i.e. gonorrhea, chlamydia, syphilis and HIV.

Your doctor probably was just being especially safe -- it's normal to test for all STIs, including trichomonas and mycoplasmas. I doubt s/he was in it for the money.

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1 months ago

Thanks for the reply doctor

Why is there no risk of hiv spreading if the vaginal juices enter my anus ?
You said in your POV, u wouldnt be tested. However, if there was an underlying STI that was asymptomatic, will this cause health damage in future that only shows later in life?

H. Hunter Handsfield, MD

1 months ago

"Why is there no risk...?" Probably it's because for infection to take hold, it takes lots of HIV that must have contact with certain cells that typically are deep inside the body. If an HIV infected person ejaculated in your rectum, with billions of viruses, your risk of becoming infected is under 1% (one chance in a hundred). The amount of virus that could possibly enter your rectum in the circumstance you describe would not be enough. However, I would advise simply ignoring the possible biological reasons. The fact is that nobody in the world has been known to become HIV infected after the short of exposure you had. You're not going to be the first!

I would not be tested in this circumstance because there would be no chance of infection -- either asymptomatic or otherwise.

As discussed above, you are free to be tested for reassurance if you wish: re-read the part of my opening reply starting with "Of course risk alone...."

That completes the two follow-up comments and replies included with each question and so ends this thread. I hope the discussion has been helpful. Best wishes and stay safe.

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