[Question #8285] Risk from naked body to body massage
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46 months ago
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I recently went to a massage parlour and had body to body naked massage. Both me and the massage girl were naked completely and there was no condom. During the massage may be my penis brushed against the vagina of the girl. The contact was merely for maximum of 10-15 seconds or so in total. There was no penetrations and no oral sex.
Also there was no lip kissing but there was body kissing. Does this pose any threat?
1. Is there any chance of getting any sort of STI from such a scenario?
2. What is the likelihood of getting Hiv in such a scenario?
3. I tested negative for CHLAMYDIA gonnorhea SYPHILIS and Hsv2 at the 45 day mark. Are these tests conclusive after 45 days or require further retesting? I haven't developed any lesions or blisters till now and it's been almost 90 days after the incident.
4. I am having epsiodes of frequent urination on and off for last 2 months and have pus cells in my urine. Are these related to symptoms of any STI?
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Edward W. Hook M.D.
46 months ago
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Welcome to the forum and thanks for your question. Let’s start by remembering that most masseuses and even most commercial sex workers do not have STI’s and that even with unprotected, penetrative sex, most exposures do not result in transmission of infection. Further, the risk of the body to body contact and kissing you describe was close to zero. HIV has never been transmitted without penetration. There are a few STI‘s as described below which, in theory, could be transmitted through this contact but the fact is that even for these STI’s, the likelihood of STI transmission is exceedingly low. To be honest, in the absence of typical symptoms of an STI I see little or no risk for infection and no need for testing. I’ll elaborate a bit glow in my specific responses.
1. The only STI‘s which might even be theoretically transmissible through this sort of exposure or the so-called lesion STI‘s such as HPV, herpes, and Syphilis. HPV is really not a consideration as virtually all sexually active persons already have the infection, transmission rates are low, and when infection is discovered, it is nearly impossible to determine who transmitted the infection to whom. Syphilis is relatively uncommon and I while theoretically transmissible in this way I have never seen such a case. Same for herpes.
2. This was an absolutely zero risk encounter in terms of risk for HIV.
3. These tests are further strong evidence that you were not infected. When the extraordinarily low risk for infection is considered as well, I see no reason for further testing.
4. Urinary frequency is not a sign of STI and the presence of small numbers of white blood cells (pus cells) in the urine is non-specific. While STI’s such as Gonorrhea and Chlamydia are occasionally associated with The presence of WBCs in your, your tests prove conclusively that these infections are not present.
I hope the information I have provided is reassuring. At this point, given your absence of symptoms, your negative tests, and the no risk nature of your exposure I urge you to move forward without continuing concern. There is certainly no need for further testing. EWH
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46 months ago
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Hi doctor, thanks for your detailed response. Just few more follow up queries.
1. I am from India and don't really know what is the condition of masseuse in our country regarding STD. Does that pose me at a greater risk?
2. Also, when you say body to body is safe, is it true even if my penis rubbed against the vagina of the girl, don't really know if there were any vaginal fluids during the time of contact? Does that increase the risk? Am I at risk of trichomoniasis, Chlamydia or gonnorhea from such contact?
Because when you Google things there are numerous sources suggesting mere genital contact can transmit such STDs as well, that really adds to the anxiety.
3. Also, does pus cells increase only in STDs Chlamydia and GONORRHOEAE or are there any other viral STDs that can increase these?
Again certain internet sources suggest to viral STDs too for the presence of pus cells, I believe you'll guide me better on this.
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Edward W. Hook M.D.
46 months ago
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1. No, that you are in India makes no difference. Still no risk.
2. No risk, even if your penis rubbed against Her genitals. Don’t believe google. It is unreliable for this sort of information
3. Taos explained in 4 above, the presence of WBCs is non-specific. It may be a normal finding.
Please don’t worry. EWH
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46 months ago
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Thanks a lot again for your reassurance on this encounter.
1. So, in nut shell no penetration no realistic chance of transmission of most STDs ? Right?
2. Also, frequent urination without any other symptoms ain't related to any STD? Right? And can it be that my anxiety is causing this increased urine frequency.
3. I also had pain around my groin area (more so where the legs meet the abdomen), does that relate to any STD? The pain or discomfort was only when I raised legs or did some particular movements and was not a regular pain. While I used to workout as well and assumed I pulled a muscle or anything but all the mri, ultrasound and xray showed nothing and it took almost 2 months for that groin area to heal.
So, if it can be related to any STD can that pain from STD last this long around the groin?
4. Do you assure that I can continue having unprotected sex with my partner without any risk of infecting them?
Sorry for all these nagging questions, it's just that I have been really anxious and have not been myself for past few weeks and googling things has made the matters worse.
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Edward W. Hook M.D.
46 months ago
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Final responses:
1. Correct.
2. Correct on both counts.
3. The discomfort that you describe sounds musculoskeletal in nature. It is not a typical symptoms of any STI.
4. If I were you,I would have no concern about having unprotected sex with your regular partner.
This is my third response. As you know, we provide up to three responses to each client’s questions. Thus this thread will be close shortly without further responses. Take care. Please don’t worry. EWH
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46 months ago
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Hi doctor.
I just had few more questions.
At the 45 day mark of the incident I tested for hsv1 and hsv2 antibody test.
The hsv1 igg value was 4.74 and hsv2 igg was .07
1. Does the value of hsv1 igg suggest that I contracted it during this encounter or did I have it already in my system even before this massage incident.
2. Could it also be a false positive?
3. Should I be telling my partner about this or it is very common and not that concerning?
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Edward W. Hook M.D.
46 months ago
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The thread was completed but not closed. Therefore responses will be quite brief and then the thread will be closed.
Your results are a great demonstration of specifically why we recommend against blood test for herpes, Particularly following no risk encounters of the sort you have described. These tests not only frequently miss infections, but also give relatively common false positives, and can detect detect previous long-standing infections unrelated to encounters that clients are concerned about. All of these are possibilities in your situation. Further, if you have specific questions related to herpes, I suggest you direct your questions to Terry Warren who is addresses herpes related questions on our forum. Your test results really do not help you and certainly do not suggest you acquired HSV-1 from the exposure you described.
HSV-1 is the virus that causes cold sores and while this virus can occasionally cause genital herpes due to receipt of oral sex, the majority of infections represent oral infections, most often acquired during childhood. In North America over 60% of adults have HSV one although many are unaware of it. And other nations, rates of HSV-1 are even higher. Thus:
1. No, see above
2. This level of HSV-1 antibodies is rather modest.
3. Nothing you have described above or in this follow on suggests any need to discuss this test result with your partner. Placing it in context is very difficult.
EWH
This will in this thread. As I said above, if you have further questions about herpes please direct them to Ms. Warren. EWH
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