[Question #8098] Massage Risks
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48 months ago
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Thank you for providing this forum. Briefly, I went to a massage parlour. The therapist was a Thai female. During the massage, she was naked from the waist up. At the end of the massage she massaged my testicles and penis for some time and finished with a handjob. I also touched her breasts several times. At one point she licked and gently bit my nipples/chest - I have a small pimple there but don't think she broke the skin. I don't think she masturbated herself at any point before the handjob but am not 100% sure. Is there are any risk at all related to these activites for any STDs/HIV that I should be aware of? There was no oral/vaginal/anal penetration at all. Can you kindly confirm whether any testing would be warranted. Thank you.
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Edward W. Hook M.D.
48 months ago
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Welcome to our form and thanks for your question. I’ll be glad to provide information.
The events that you describe no risk in terms of risk for acquisition of any STI, including HIV. Her fondling of your testicles and penis, as well as your receipt of masturbation are no risk events. This is true even if she happened to have genital or other secretions on her hands of the time this was occurring. Similarly, the presence of a small pimple, even if it was open, does not change the fact that this was a no risk event. There is no reason for concern, no reason for testing, and no reason for avoiding unprotected sexual encounters with any regular partner that you might have.
I hope that the information I provided is helpful to you. If there are additional questions or clarification is needed please do not hesitate to use your opted to follow ups for that purpose. Take care. EWH
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48 months ago
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Thank you for the reassuring response. I take your point that there is no medical reason for concern or testing; however, if I decide for psychological reasons to get tested, I believe I would need to wait about a week for bacterial STIs? For viral STIs I believe it is a little more complicated? For example, is it the case there is not much value in a Herpes test if there are no symptoms and the results can be misleading sometimes? I recognise that the tests would come back negative but I may still want to do it to put my mind at rest.
Just one other clarification, is it basically a good rule of thumb that basically anything outside of actual pentrative, unprotected oral/vaginal/anal sex is zero-risk? Or are there any important exceptions to that rule? Thanks again.
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Edward W. Hook M.D.
48 months ago
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Correct regarding testing. The tests for bacterial STIs are quite reliable. Tests for the most common STIs, Gonorrhea and chlamydia, will provide accurate results any time more than 3-4 days following exposure. Blood tests for Syphilis should be delayed until at least a month. On the other hand blood tests for herpes are plagued by false positive and confusing results. In the absence of symptoms, we typically recommend against them.
You are also correct regarding the fact that nearly all STIs are spread primarily through unprotected penetrative sex. Theoretically lesion diseases like Syphilis, herpes and HPV could be acquired through direct contact with lesions without penetration but the fact is that this is very, very rare.
Hope this helps. EWH
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