[Question #5264] STD/STI Risks

23 months ago

Here are my questions. I will try to be brief!

1. I have visited massage parlors about a dozen times where the masseuse masturbated me with her hands; i.e., I received unprotected handjobs in which the masseuse fondled both my penis and testicles. I understand that such encounters are virtually risk-free and STD/STI testing is not recommended based on such encounters. Am I correct in my thinking here?

2. I recently had sexual relations with a female sex worker on two occasions.  On the first occasion, I received a nude lapdance and then protected oral sex from her while I masturbated her with my bare hands. I definitely got a lot of her genital secretions on my hands and I probably touched myself somewhere before washing up. I also had trouble getting the condom on for the oral (I don't have much experience putting on condoms, so it got stretched out a bit), but was not aware of any ripping or tearing. 
On the second occasion, we engaged in mutual masturbation. My hands also strayed to or near her anus where I felt a bump. My immediate thought was that the bump could be a wart, so I quickly stopped touching her in that area. Again, I probably touched myself somewhere before washing.  Do either of these encounters warrant any sort of STD/STI testing? Is testing ever recommended after just touching or fingering another person's naked body and private parts (vagina/anus) with one's bare hands?  Is testing ever recommended after receiving protected oral sex?

3. Based on these sort of encounters, is it safe to engage in unprotected sexual activity with my partner without getting tested?

Thank you for your time and this amazing service! 

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
23 months ago
Welcome to the forum. Thanks for your question and your kind words. Thanks as well for doing some prior research on your question. Directly to your questions.

1. Correct. STDs are transmitted exceedingly rarely, if ever, by hand-genitall contact. In theory there could be some risk if the maseuse used her own vaginal fluid for lubrication, but in my 40+ years in the STD business, I have never seen such a patient.

2. STD risk always is very low if there is no unprotected vaginal, anal or oral penetration. Whether there might be small risk from genital fluids being smeared around really isn't known, but is generally considreed to be extremely low in absence of penetration. But nobody can say it is zero risk.

3. So there is no need for STD/HIV testing in this circumstance. OTOH, you might find it reassuring to be tested for gonorrhea, chlamydia, syphilis and HIV from time to time (maybe once a year?) as long as your sexual lifestyle continues as it is. Even with excceedingly low risk, it isn't possible to be 100% certain for anyone who has non-monogamous sex (or near-sex). You might find the negative results more reassuring than advice based on science and probabilities, no matter how expert the source. That said, I don't think you need hold off on sex with your regular partner. The chance something will show up is very low.

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