[Question #5045] STD Concern

24 months ago
Really hoping you can provide some expert advice here as my head is spinning.  I'm outside the country and a few days ago decide to go get an oil massage at a massage parlor.  This turned into something regretful on my end, and it ended up turning into a hand job, which lasted a few minutes and she also rubbed my penis on her breasts/nipple where I ejaculated.  She also sucked on my nipple (which some pressure), along with kissing my stomach.  Also, during the massage she was very close to my anus when she was massaging me, didn't go in with her fingers, but edged very, very close to the outside.  How concerned should I be with ANY STDs/STIs or anything?  I'm very concerned and haven't been able to sleep and very panicked!  Thank you for your help.
Edward W. Hook M.D.
Edward W. Hook M.D.
24 months ago
Welcome to the Forum and thanks for your confidence in our service.  I hope that the answers I am about to provide you will provide you with peace of mind.  None of the activities you describe put you at meaningful risk for any STIs, including HIV.  Specifically:
1.   STIs are not transmitted by receipt of masturbation
2.  There is no risk in being masturbated by your partners' breasts
3.  There is no risk from having your nipple sucked.
54.  Even if her finger entered you anus, there is no risk of acquiring STIs in this way.  

I see no reason for concern and no need for STI testing of any sort.  

I hope this reply will help you rest better.  EWH
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24 months ago
Thanks for the response, this does ease my stress a bit. This did happen in Bangkok, Thailand and I know this country has a higher rate of STD activity, does this factor in at all? Also, I’ve read a lot about how “skin to skin” can transmit STDs/STIs, how truthful is this, even in a worst case situation?

Finally, I have a weekened immune system because of rheumatoid arthritis (taking humara meds to help, which weakens my system), does this play a role in increasing my chances of catching an STD?
Edward W. Hook M.D.
Edward W. Hook M.D.
24 months ago
Where the encounter occurred has no effect on my assessment since each of the activities were no risk events.

Your immune suppressant medications may influence the likelihood of infection if you were exposed.  That however does not change the fact that your exposures were no risk events.  That you are taking these medications do not change the fact that thee were no risk events.  EWH
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24 months ago
Thanks doc! I’ve just read a lot about how “skin to skin” contact can lead to most notably herpes and other diseases? You’re saying basically zero chance here? I know the chances are low, but I’m so panicked and wasn’t sure if I should get tested, but from what you’re saying that is not necessary?
Edward W. Hook M.D.
Edward W. Hook M.D.
24 months ago
With all due respect, this is a repetitive question.  My assessment will not change.  Still no risk,

This is my 3rd response to your questions.  As per Forum guidelines this thread will be closed shortly without further responses.  Please don't worry.  EWH
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