[Question #5177] Worried about massage

25 months ago
Hi Drs.
I visited a massage parlor in inebriated state and committed a big mistake of receiving a handjob. She massaged my testicles and penis for 2-3 minutes and also kissed my bare chest few times. I am about to get married in couple of months and am really worried about this misstep. She was completely clothed the whole time.

1. What are the chances of getting any STD, particularly skin-skin like hpv, hsv, from the handjob?
2. When I came back I realized I had an open folliculitis on my chest. Could her kissing have led to transmission of any STD through her mouth? 
3. Have you seen such cases which led to STDs due to similar exposures in your vast experience as STD experts ?

Thanks.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
25 months ago
Welcome to the forum. Thnaks for your confidence in our services.

Some questions can be pretty accurately answered based entirely on the title chosen by the user. I'm going to give it a try here. STDs are not transmitted by massage, assuming it doesn't involve actual sex (meaning intercourse or at least unprotected oral sex). Hand-skin contact, body rubbing, and hand-genital contact (e.g. "happy ending") all are zero risk, even if the massage worker has an active STD, and even if genital fluids are used for lubrication.

Now I have read your question. Guess what? I'll start by adding that no STDs ever can be transmitted through clothing, even if the clothing becomes moist, e.g. with pre-ejaculate fluid, semen, or vaginal fluids. To your specific questions:

1. No risk at all. It is easy to misuderstand advice that some STDs are transmitted by skin-to-skin conact. That does not mean that ANY skin contact is risky. The contact must be from an infected to an uninfected surface; and all STDs transmittted this way (primariily HSV, HPV, and syphilis) generally must be massaged into the tissues. Brief or casual contact, even with infected lesions, carries little or no risk.

2. No STDs are known to be acquired by contact of infected fluids with folliculitis or other skin rashes. And oral contact always is low risk. STDs are rarely if ever transmitted by saliva.

3. Nope. I've never seen or even heard of an STD acquired from exposure like yours.

So no worries, no need for testing. Your future wife is not at any risk at all from this event.

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

HHH, MD
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25 months ago
Dr. HHH

Thanks for the prompt and detailed response. You read my mind about my worry for my future wife.
I just wanted to clarify that when she gave me the 'handjob', my penis was bare. It was her who was fully clothed. I apologize if you had already understood it that way.

I also have some balanitis on my penis head, and cyst in the pilonidal area. Do these conditions change your assessment ? I did have a quick look at her hands after the massage and couldnt see any lesions etc. Thank you so much for your help.  


H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
25 months ago
Of course I knew the hand-genital contact was unclothed. Neither that nor the presence of balanitis changes my evaluation and advice. Still no risk, still no worries.---
24 months ago
Hi Dr. HHH
Few symptoms have me worried.  2 weeks after the massage, I saw a very small pimple like bump near the area where the penis meets the scrotum, it was gone in a couple of days. I think some pus or blood came out of it, but it was too small to be able to accurately say, I couldnt show it to a doctor since it was not present after couple of days. Also, now I have three bumps on my left upper thigh, They are spaced by around 1.5 cms, present at the corners of an L. When they started, they were like small bumps with some pus type material in them. I thought it's folliculitis since I could see hair coming out of couple of them. But it's been 5 days and I can see white scab forming over one of them. It hurts when I press them, and itches once in a while for a few seconds. Normally folliculitis doesn't take this long to heal for me, and I haven't had this kind of white scabbing. Does this sound like hsv ? I am going to see dermatologist for normal visit on Mon, so I will discuss with her, but might not have something to show to her by then. 
24 months ago
Sorry Dr., just one more detail. I have also felt some kind of pain in urethra and itching in foreskin only for few seconds for 4-5 times in last week or so. Also had some pain in left foot.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
24 months ago
No, this does not sound like herpes. You have some sort of superficial infection or inflammation. These are pimples or folliculitis. (It isn't always possible to observe a hair in folliculitis lesions.) And STD symptoms in the urethra, or anywhere else, do not come and go. As discussed above, no STD of any kind is possible from the non-exposure events described above. Therefore, no symptoms of any kind can be due to STD from that event. And no STD causes symptoms like these anyway. These things have absolutely nothing to do with your massage parlor adventure 3 weeks ago. Keep the area clean and dry for a few days; if that doesnt' clear it up, see a doctor. But in the meantime, don't worry about herpes or other STDs.

That concludes the two follow-up comments and replies included with each question and so ends this thread. I hope the discussion has beeh helpful.
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