[Question #5770] Risk of STI Infection from topless massage

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73 months ago
I recently had a massage from a masseuse that gives “a little extra”.  When I described the massage to my doctor, I mentioned that I received a handjob at the end (no oral and absolutely no intercourse), and he assured me (as you or your colleague did 27 months ago) that was not an STD risk.  During the massage she was topless but wore panties (not just a “thong), which never came off. I later realized that when I was lying face down on the table she massaged my legs and back with her knees when she was on all fours, and then she turned around and sat on my butt (basically butt to butt) facing backwards, and then pulled my legs backward to stretch them while she was sitting on my butt.  She had her panties on the whole time, but there must have been some of her “outer” butt skin touching my butt when she was sitting on my butt, but there was no grinding, and it didn’t feel different than a less “erotic” massage when the masseuse has all her clothes on, and basically does the same thing (although I was lying face down, naked). At no time did she wrap her legs around any part of my body that would have had her crotch rub against any part of my body. Which STD’s if any should I be concerned about?  Many thanks
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H. Hunter Handsfield, MD
73 months ago
Welcome back to the forum. Thanks for your continued confidence in our services.

There's really not much to say here. Your doctor is correct, and you have correctly predicted my response as well. Nobody gets STDs from the sorts of exposure events you describe. You needn't worry about any STD and should not be tested for anything. And if you have a regular partner, you can safely continue your normal sexual practices without risk of transmitting anything from this massage.

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

HHH, MD
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73 months ago

Dear Dr Handsfield

Your opinions are a godsend for people whose concerns are driven by fears, guilt and punishment fantasies.  Clearly, I could find other posts that were similar enough to have predicted that the handjob did not place me at risk and the masseuse sitting on my butt with her panties on, was also low to no risk for STD’s.  Even with your clear assurances, when someone has a psychological reason to beat themselves up, even the best logic only goes so far.  At first, all that was relevant was that I had a handjob, and clearly you have shared that does not pose a risk unless there are unique and extraordinary circumstances. And yet, only later, did I realize that a massage where the masseuse just wore panties and sat on my butt seemed fundamentally different than “just” a happy ending.  You have said the butt skin to butt skin contact also poses no risk, and there is nothing more to reveal.  No intercourse no oral.  But when the consequences of failing to protect a partner who then gets infected AND is forced to confront ones infidelity could be so devastating, one still explores “why did I do this” and is THERE ANY POSSIBILITY that your advice somehow doesn’t fit the circumstances (because I failed to disclose some important fact).  In my case, I literally think I have fully described the interaction and your opinion has quelled the bulk of my fears, but night demons can still overwhelm.  Perhaps nothing more can be written than to reaffirm your analysis, but maybe you could share what part of the story would have to change enough for you to change your opinion. Short of that, you have done what you can and I appreciate it. 

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H. Hunter Handsfield, MD
73 months ago
There's not much more for me to say. It is correct that "Perhaps nothing more can be written than to reaffirm your analysis...."

 "What part of the story would have to change...?" If your genitals had come into direct contact, with no intervening clothing or barrier, there would have been some risk. And small risk if there had been oral sex with your penis. As best I can tell from your story, no skin areas likely to carry or transmit STDs came into contact betwen the two of you. The STDs are not mrely genital area infections that can be transmitted by any contact, ie. unlike staph or strep, for example. They call them "sexually transmitted" because the germs that cause them evolved to require sex itself for transmisison. So the risk generally is nil if there is no direct genital-genital (or sometimes oral-genital) conact.

I hope that helps a bit more. But the main thrust of my advice above is unchanged.

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73 months ago
Thank you again for your clear and reassuring response.  Shockingly, I think it is time to close the thread.  My very best to you and your colleagues.
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H. Hunter Handsfield, MD
73 months ago
Thanks for the thanks. Best wishes.---