[Question #5017] Cannot sleep well

24 months ago

Hi doctor, I’m a man and went to a massage parlor two days ago. The Chinese masseuse gave me a normal massage first and ended with (protected?) oral sex. First, she kept a ‘jelly’ (maybe silica gel) in her mouth and used its top part out of her mouth to stimulate my penis without protection. After that, she performed oral sex on me with saran(plastic) wrap covering my penis and I ejaculated in the end. I’m anxious about this. Although there was no direct oral-penile contact, she didn’t use the saran wrap when she had the jelly in her mouth. And the saran wrap is very thin and I’m afraid it may tear during the blowjob. Please help assess my risk about this stuff. I’m super anxious.

 

Questions:

1.      In terms of HIV, whats the risk over my exposure? Is PEP and testing warranted

2.      What’s the risk about other STI?

 

Thanks!

24 months ago
3.During the massage the masseuse was naked and I once gently touched her vulva, without penetrative fingering. After the massage, I didn't wash my hands and picked my nose. Does this has any risk of HIV?

24 months ago
Thanks again!
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
24 months ago
Welcome to the forum. Thanks for your confidence in our services.

1) First and perhaps most important, even unprotected oral sex carries little or no risk for HIV. There has never been a proved case of HIV transmission mouth to penis. Based on stories told by people who thought that's how they were infected, a calculation by CDC indicated the risk of receving a BJ by an HIV infected partner was 1 in 20,000. That's equivalent to receiving BJs by infected partners once daily for 55 years before transmisison might be expected. Second, HIV is rare in even the most sexually active women; it's fair guess that there is under 1 chance in a thousand your maseuse had HIV. On top of all that, plastic wrap is a very effective barrier -- in fact, it's more or less the same as polyurethane condoms, which provide an equally good barrier as latex condoms do. For sure you should not seek PEP after such an exposire, and no doctor should agree to prescribe it even if you ask for it.

2) Oral sex is also low risk for most other STDs. And with the plastic wrap (which obviously did not rupture, since it contained your semen) the risk was even lower. Could there have been some small risk during the part of the unprotected exposure before the plastic? I suppose so, but extremely low. I really woudn't worry about it.

3) HIV and other STDs are harder to transmit than you seem to fear. Such fleeting contact is entirely risk free. The STD bacteria and viruses evolved to require much more intimate contact for transmission, almost always involving insertive sex. No risk at all for HIV or anything else.

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

HHH, MD
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24 months ago
 Thank you, Dr. Handsfield. Your kind words are reassuring.

After the oral sex, the masseuse removed the wrap and I didn't check if it was intact. There was a lot of semen around my penis so I guess the wrap probably worked.

Is any testing warranted? Or could I just move on without any testing and concern?

Thanks.
24 months ago
The masseuse brushed her tooth before and after the massage. This detail may not be important.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
24 months ago
These additoinal bits of information do no change my opinion or advice. No risk, no need for testing for HIV or anything else.---