[Question #4223] Rubbing Shaft of Penis outside of Vagina only

31 months ago
Hi,

Long story short, I visited a parlor and got a massage. There was no penetration but there was no protection either. what is the risk of the following:

  • (Primary Concern) - she rubbed the underside of the shaft of my penis (not head) on her outer vagina lips for a maximum of 5 secs, unprotected. there was no visible blood, no visible wetness or no cum at this time. There definitely was no penetration but I am still concerned about any STIs and should I get tested from this encounter alone. These include the skin to skin transmitted STIs such as syphilis, herpes and HPV.  I checked my penis afterwards and it was slightly red, most likely from the rubbing but no visible cuts or bleeding. 
  • Rubbing and finishing on breasts
  • handjob
  • Just a random question, i have heard of people putting purell on their penis to prevent STDs and STIs after an encounter, does this have any impact at all?
Thanks so much.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
31 months ago
Welcome to the forum.

The risk of any STD from genital apposition -- i.e. contact without penetration -- is essentially zero for most STDs but may carry slight risk for those infections transmitted skin to skin, like herpes, HPV, and syphilis. But even these are sufficiently low risk that I would never recommend STD testing after a single encounter of this sort. Contact with breasts, whether with genitals or any other body part, is entirely risk free for sure. Same for hand-genital contact:  no risk at all.

Alcohol on the skin, whether via Purell or others, actually might slightly increase the risk of HIV transmission, according to a study in Africa several years ago. I'm not sure I believe that research, however, and I doubt Purell is either harmful or reduces risk very much.

I hope this information is helpful. Let me know if anything isn't clear.

HHH, MD

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31 months ago
Thanks so much Dr Handsfield. Just some followup questions:

  • at what point would it be a cause of concern and testing  from genital apposition for STIs (Herpes, HPV and syphilis). IE, penis rubbing on vagina for 5 minutes without penetration? Just wondering if that act at all carries increased risk due to increased duration. 
  • Any issues if the encounter is with a person that might have an increased chance of already having an STI (Herpes, HPV and syphilis) simply due to being a "worker"?
  • Based on you response, it seems it would be safe to have unprotected sex with my partner (at least from an STD/STI perspective)? This was a one time encounter that wont happen again. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
31 months ago
Such contact for several minutes probably would raise the risk of herpes, HPV, and possibly syphillis. But not to a point that i would recommend testing, unless you a) learn for sure your partner is infected with one of these STDs or b) you develop symptoms. HPV warts don't show up for weeks or months, and there's nothing to do about it anyway (and everybody gets HPV anyway). If no symptoms of herpes or syphilis, you can safely assume you didn't catch either one.

I cannot guarantee you didn't catch anything or than you could not transmit one of these infections to your regular partner. But the risk is very low. If somehow I were in your situation, I would continue sex with my wife without worry.
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