[Question #2804] STI risk

43 months ago
Hey there. 

I'll preface this with saying that I'm a borderline hypochondriac that tends to think that the worst thing that can happen will happen, and i tend to be suspicious of people and their intentions. I'm working on it.  I also don't usually partake in these kinds of activities n

I went to a "massage parlor" and ended up having sex with the masseuse.  I was pretty drunk. She was doing a nude body rub.  Throughout she was giving me an unprotected handjob  off and on with some kind of oil, which moved into a protected (condom) blowjob and sex. The oral and sex were both brief, but protected.  Throughout the massage before sex, when she was asking me what I wanted, she mentioned things like "if you want to finger me, I'll need to get a condom"... so she seemed like she was somewhat clean. After we were done she mentioned how she gets tested all the time and how you can never be too safe etc, but my mind is racing and wondering if that's just an act. She seems like she was especially fastidious with protection, but it's not like you or I would be able to determine if that was actually true...  As I said I was drunk, but I remember her putting the condom on me, doing a little bit of oral on me, then having sex and ejaculating in the condom, inside her,  and her  removing it and disposing of it. I don't think it broke or anything; if it did, she probably would of said something? My mind is wondering what if?

Anyway, what's my risk for something like hpv, chlamydia, gonnorhea, herpes, hiv, etc, assuming there condom didn't break or leak? Is there a risk of syphilis  due to the skin on skin contact that wasn't protected by the condom? Could the oil or oil residue on my penis have interacted with the condom and weakened its effectiveness, especially since I don't remember exactly what kind of oil it was? Should I get a hiv test just in case the condom broke or had a hole? I'm probably being super dramatic and over thinking this all. Thanks for any guidance here. 
Edward W. Hook M.D.
Edward W. Hook M.D.
43 months ago
Welcome to our Forum.  Thanks for your acknowledgement of your paranoid tendencies, it provides a useful context for your suspicions.  This was a very low, virtually no risk exposure.  Neither receipt of masturbation, nor penetrative condom protected sex carries any risk for HIV, Gonorrhea, or Chlamydia.  Similarly, there is no risk for infection at all from receipt of masturbation.  There is a mostly theoretical risk for HPV, herpes or Syphilis from exposure of skin which was not covered by the condom but that risk is very, very low (in the same way, there is a very, very low risk that you will be struck by lightening today) and there is no need to worry and no need for testing.  I urge you to put these events behind you and to move forward without concern.  EWH---
43 months ago
Ok. Thank you very much. I have a question though - does this apply still, even with the massage oil that was used on my penis beforehand? Or even if there was some residue left of the oils? I know you shouldn't use certain oils with latex condoms because they could break. And I don't know for sure what type of oil was used. 
Edward W. Hook M.D.
Edward W. Hook M.D.
43 months ago
The use of massage oil does not change my assessment.  There is nothing to suggest that HIV or other STIs are or have even been transmitted in creams or oils used in sexual activities.  The potential problem with oils is that the weaken latex condoms and increase the chance of breakage.  If the condoms do not break, they have worked so the problem is one or risk for breakage only.  EWH
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43 months ago
Ok thank you for your help. I found out that the oil they used was mineral oil. I was just unsure how the oil and latex interact and how quickly they effect the integrity of the condom.  That said, to my recollection it didn't break; if it did and there was some leakage, she most certainly would of said something, I think. Again, thanks for your assistance in the matter!
Edward W. Hook M.D.
Edward W. Hook M.D.
43 months ago
When condoms fail they do not "leak" but typically break wide open leaving no doubt that they have failed.  The problem with oils and petroleum bases products is not that they make most condoms break but that they do increase the risk of breaking from 1-2% of the time to more like 5-10% of the time and that no one wants condoms to ever break.  EWH
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