[Question #6931] Risk from nude massage?

11 months ago
Hello, can you help with some advice? I'm in the UK. 
  • About 8 weeks ago, i had a thai body to body massage. Earlier that day i had shaved my genitals/groin, and had a nick. While facedown, she rubbed her body over my back, then continued when i turned over. Her genitals only briefly touched my scrotum. She masturbated me using her hand and breast. 
  • There was no intercourse or oral. At one point i touched her abdomen, and felt an odd rash. 
  • Afterwards i felt immediately guilty and washed my hands with hand sanitizer gel which i then stupidly rubbed all over my inner thighs, groin and scrotum. After showering I was given a towel which felt damp, dirty and oily to dry with. When i got home, i stupidly washed my groin with antibacterial handwash.
  • About 18 days later, i had thigh pains (like nerve pains both sides) and noticed spots on my left thigh. then started feeling hypersensitive skin in the groin area, and sort of brownish skin. i also noticed lots of tiny white bumps on the skin, like tiny pimples but no redness.  my skin was burning, prickly, but rarely itchy. 
  • rang Doc, he sent Daktarin for fungal infection. Applied this for 2 weeks, and the hairs started to get tiny red dots where they go into the skin, and seemed to spread. theres still white pimples appearing in between. noticed
  • my penis also started to feel dry/prickly and red skin on the external shaft/foreskin.
  • at this point im worried sick, have been reading the internet every day/night, and checking my skin a lot, thinking its signs of herpes.  Sometimes burning/prickly feelings subside, then sometimes come back. the intensity is variable. 
  • I was then given 1 week antibiotics for folliculitis, but it didnt really change. I also noticed a tiny set of bumps on my penis (external foreskin near the top, visible if foreskin stretched.
  • doc invited me in and examined - said thigh skin could be dermatitis (use dermol), and the penis rash could be molluscum or just fordyce spots
  • what was the risk of STI from this?
Edward W. Hook M.D.
Edward W. Hook M.D.
11 months ago

Welcome to the Forum and thanks for your question.  Even immediately following shaving, the body-to-body contact that you describe does not put you at risk for any STI.  On the other hand, following shaving, the hair follicles (the place where body hairs emerge from the skin) are likely to become inflamed, a process called "folliculitis".  Folliculitis often does not respond well to antibiotics but will respond over time to measures to keep the pores on your skin open.  This can be accomplished by using a wash cloth or a loofah sponge when you bathe.  The gentle abrasion provided by the washcloth or loofah helps to open and keep pores open. 

The penile lesions you describe do not sound like molluscum which is a rare process in adults (molluscum is primarily a childhood illness)

I see no reason for concern reading STIs in this situation.  No need for testing either.

I hope that this information is helpful to you.  If not, please use your up to two follow-up questions for clarification.  EWH

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11 months ago
Thank you for your quick reply. 

This makes complete sense. Can I please ask a couple of follow up points?

  • Re the penile lesions: i keep getting a low level 'stinging' sensation that sometimes gets worse. theres been no 'blisters' but theres a definite part of the skin that is uncomfortable, and the external foreskin is irritated. i've noticed that one or two of these look different, redder less flesh coloured. Does this change your thought?
  • although this sounds unlikely - could it be possible i transferred her rash to my thighs with my hands while rubbing the sanitiser around? or would those tiny white pimples be normal skin/healing etc etc
  • my testicles are also itchy and the skin quite red - having inspected, again theres lots of little white bumps (not the usual sebacious spots), and some harder really bright white spots. Could it be possible the brief contact passed warts? (these bright spots are not cauliflower shaped - although i do have paler skin bumps in a row - but with all this worry i cant for the life of me remember if they were there before or not)
  • re folliculitis - the doc said it didnt look like folliculitis (no pimples with heads there), which again made me concerned for other explanations. i stupidly shaved again 2 weeks after which probably made it worse. 
  • re molluscum - can you expand a bit on your statement? having scoured the internet (reddit STD forum - mistake) - i have a couple of spots now in my pubic area that look tiny and domed. Could the towel have passed it?
  • thanks again


Edward W. Hook M.D.
Edward W. Hook M.D.
11 months ago

In Response:

  • Re the penile lesions: i keep getting a low level 'stinging' sensation that sometimes gets worse. theres been no 'blisters' but theres a definite part of the skin that is uncomfortable, and the external foreskin is irritated. i've noticed that one or two of these look different, redder less flesh coloured. Does this change your thought?
  • No change in my assessment.  This is still not suggestive os an STI and your exposure remains a no risk event.

  • although this sounds unlikely - could it be possible i transferred her rash to my thighs with my hands while rubbing the sanitiser around? or would those tiny white pimples be normal skin/healing etc etc
  • The sanitizer itself is likely to contain alcohol and possibly other irritants which might be spread on your hands. the "tiny pimples" you describe sound like folliculitis although obviously, I cannot make a diagnosis over the internet.  You need to work on this with your own doctors.

  • my testicles are also itchy and the skin quite red - having inspected, again theres lots of little white bumps (not the usual sebacious spots), and some harder really bright white spots. Could it be possible the brief contact passed warts? (these bright spots are not cauliflower shaped - although i do have paler skin bumps in a row - but with all this worry i cant for the life of me remember if they were there before or not)
  • No, this is too soon for warts to appear and what you describe does not sound like HPV. 

  • re folliculitis - the doc said it didnt look like folliculitis (no pimples with heads there), which again made me concerned for other explanations. i stupidly shaved again 2 weeks after which probably made it worse. 
  • I agree that shaving was a bad idea.  Shaving can certainly be irritating in its own right and can spread infections around when present.

  • re molluscum - can you expand a bit on your statement? having scoured the internet (reddit STD forum - mistake) - i have a couple of spots now in my pubic area that look tiny and domed. Could the towel have passed it?
  • Molluscum is transmitted through direct contact and a previously used towel would be unlikely to transmit molluscum which, as I mentioned is rare in adults. 
  • EWH
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    11 months ago
    Thanks Edward. 

    My final follow up question is how rare is molluscum in adults? How often do you see this in your clinics? Does the likelihood increase in these type of massage establishments? If reddit is to be believed every other STD question/reply is molluscum.

    I’d also just like to thank you for your replies and advice - this has helped give me some mental relief, and can now put this one off incident behind me. 

    It’s reassuring to hear facts from an expert - instead of my doctor (who told me I could have potentially got warts from the towel too), and the internet (endless websites with descriptions that fit the symptoms I had). It’s easy to see how poor information can make you think the worst has happened. Thank you 





    Edward W. Hook M.D.
    Edward W. Hook M.D.
    11 months ago

    I cannot tell you precisely how commonly I see molluscum in my clinic.  Certainly no more than once or twice a month.  Again, while there are no data on this, there are no suggestions that massage places persons at risk for molluscum (or other STIs).

    Please remember, the internet is not your friend here.  What is said there is all too commonly incorrect and there isno good way to tell what is true and what is not. 

    Thanks for your thanks.  I'm glad my comments have been helpful.  As you know, this thread will be closed shortly without further replies.  Take care. Please don't worry.  EWH

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