[Question #6197] STD STI HIV risk Oral Sex

16 months ago
Hi Dr. Handsfield,

I have been a regular at massage places, where I get handjob and protected oral sex (licking of balls uncovered sometimes) and kissing. I have browsed through your other answers and understand that protected oral and mild saliva exchanged kissing is not a risk for HIV or other STD/STIs. But my latest encounter with an asian massage girl involved her giving me a blow job, she used a thin small plastic bag, before putting it on my penis she applied lots of oil on my penis and than she put that plastic bag on my penis. I was holding my penis' base with my hand and on top of that she had her hand, so I am quite sure that entire lengh of my penis did not enter her mouth. After ejeculating I took out that bag carefully and checked of there was any leakage by filling it with water. It was intact. Also I did not see my penis's base covered in her saliva or my semen. She looked clean and was not interested in kissing at all, so I take that she is clean and takes care of her health. 
But my question is am I at risk of any STD, STI or HIV that can harm me or my wife? Should I not indulge in unprotected oral or vaginal sex with my wife. Should I be taking any tests. Many thanks. It was extremely stupid on my part to do this. But I am losing my sleep. 
16 months ago
Just to add one more point here, I have Jock's itch around my thighs and testicles, is it a cause of concern if a massage girl or escort licks it with her tongue for any STI/STD/HIV?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
16 months ago
Welcome back to the forum.

This question is pretty similar to the one you asked 2 1/2 years ago. As we discussed then, massage, body contact, and hand-genital contact carry little or no risk for any STD. And oral sex is quite safe, even without a condom or similar protection -- not entirely risk free, but with a lot lower chance of STD than unprotected vaginal or anal sex. And with a condom, the risk is zero for all practical purposes -- and that should be the same for plastic wrap or a plastic bag. Perhaps you're concerned about use of a possible oil based lubricant? Even then, I wouldn't worry:  oil can weaken latex condoms, resulting in higher risk of breakage, but has no such effect with polyurethane or similar plastics. And contact of a partner's lips with the base of the penis (or intact skin anywhere on the body) carries little or no risk.

So I see no cause for worry or any need to alter your sexual practices with your wife. If somehow I were in your situation, I would not be tested and would continue unprotected sex with my wife without worry.

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

HHH, MD
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16 months ago
Thanks a  lot Dr H. I really appreciate your quick response. I was concerned that the thin plastic bag does not have a condom like round shaped upper part that stops the possible entry or exit of any secretions. Though I checked that the thin bag was not leaking, but what if some saliva of the massage girl came in contact of my penis? AM I still not at any risk of any STD/STI or HIV.  Should I still consider this as a zero or no risk event? Thanks.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
16 months ago
Saliva doesn't transmit HIV or STDs. I don't see how saliva could come into contact with your skin anyway. You definitely should consider this a no risk event.---