[Question #3604] STD/STI From handjob at massage place?

35 months ago
A little over a month ago I was at a massage place and I allowed the woman to proceed with the handjob briefly. I did not finish. It may be all in my head but I feel like i have to urinate more often and after I do it feels like there is urine still in my urethra. When I push it out, just a bit comes out. There is no pain/burning when I urinate and I have also been tested negative for gonorrhea & chlamydia. Note: I have been having anxiety since the encounter as I am dealing with quitting a porn addiction which i've admitted to my girlfriend but she doesn't know about the visit yet. 

1. Can you get herpes or HIV from oil handjob not to completion? 
2. What could be causing this feeling of urine leftover in urethra? 
3. Could my anxiety be causing physical symptoms and frequent urination?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
35 months ago
Welcome to the forum. Thanks for your question.

We get quite a number of questions about the risk of STDs from hand-genital contact. Just two hours ago I wrote the following in another thread:

STDs are rarely if ever transmitted by hand-genital contact, even if partners' genital fluids are used for lubrication. In theory it could occur, but even the busiest STD clinics don't see patients with infections when the only contact was hand-genital, i.e. mutual masturbation, fingering, etc. The STD bacteria and viruses evolved to require contact with large amounts of them, in contact with specific kinds of cells, for infection to take hold. The sort of contact you describe undoubtedly just doesn't involve enough contact with enough of the organisms to allow transmission, at least not with detectable frequency. 

To your specific questions:

1) Despite my comment above, I suspect HPV may be an occasional exception, especially if manual contact is vigorous, massaging the virus into the skin. Still, it's very rare. Although a few persons with HPV deny intercourse but have had hand-genital exposures, these are the very infrequent exception. It would seem herpes could also be an exception, but in 40+ years in the STD business, I've never seen or heard of a patient with genital herpes who had not had penetrating sexual contact.

2,3) No STD causes urinary urgency, frequency, or a sense of incomplete bladder emptying. For sure HPV and herpes do not do so. You're probably on the right track in asking about anxiety. Indeed this is the usual cause of symptoms like yours. It's not so much that anxiety creates symptoms all by itself. However, just as tension headaches (which cause real pain) result from increased muscle tension in the scalp and neck, so genitally focused anxiety can cause increased tension in pelvic and bladder muscles, producing symptoms like yours. Other anxiety related symptoms typically are magnified minor symptoms or normal body sensations that otherwise would be ignored or not noticed.

So you really needn't worry about any STD and I recommend against testing. If you have a regular sex partner, you can safely continue your normal sexual relationship.

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

HHH, MD

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35 months ago
Doctor, thank you for your reply. It is a relief to read this as it has been quite daunting. 

Related to the feeling of urine inside of the urethra, would you consider that something normal at this point that has been amplified by my worries or would I need to get a cystoscopy or prostate exam done to be sure nothing else is going on? It just feels like there is a little urine either toward the top or mid to lower part of the shaft then it'll go away. There have been times where trying to force out the last drop would give a little sting as it comes out but that isn't often. That's part of the reason I was concerned.

Follow up
1. Do you recommend cystoscopy or prostate exam?
2. Is it normal to feel a little sting every now and then when the little amount is being pushed out?

Thanks again for your help!


H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
35 months ago
1) Based on your description of your symptoms -- not being your doctor and not able to examine you in person -- I definitely would not recommend cystoscopy. I doubt a prostate exam would be helpful either.

2) "Normal" is hard to define. It is common for persons with anxieties such as yours to have such symptoms with no infection or any other apparent physical cause.

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35 months ago
Thank you for your reply. One more follow up. I guess my worry is that she had sores on her hand. Now I have a bump on the upper right side of my scrotum. I tried to pop but it didn't, it looks like it could be an ingrown hair but because of the timing and this anxiety it has me very concerned. Been putting tea tree as well as hydrocortisone which has reduced the size of the bump. Is there anything I should be worried about based on this bump?

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
35 months ago
"Sores" on her hands make no difference. No STD is an unlikely cause of open sores on the skin, and even if she has HIV, conract of open sores by an HIV infeced person with intact skin anywhere on the body, including penis, has never been known to transmit HIV. As for the skin "bump", neither HIV nor any other STD could do this. However, I strongly suggest you stop self treatment with steroids, tea tree ointment, or anyhhing else. That's a great way to make it 10 times more difficult to accurately diagnose if visit a doctor about it.

That completes the two follow-up comments and replies included with each thread and so concludes this discussion. See a doctor if you remain concerned. But first I would suggest you carefully read all my replies, which were intended to be reassuring.

HHH, MD
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