Hi. I am a 25 years old circumcised male. I went to an erotic massage place in Europe around 10-15 times. 

• In some of the sessions, there was some genital contact. When she was lying down on me to give the body to body massage, she stopped for a while, in a hug-like position and our genitals were in contact in that position for less than a minute (We didn't intentionally rub them). Same things happened when we hugged in the shower. 
• In two of the sessions, the lady slided her finger very quickly on my butt crack after massaging my genitals (almost like what we do when we wipe but faster). This contact was very brief, a matter of seconds. 
• A month later I realised that something I had in the openning of my anus for a long time is not normal and I need to see a doctor. It turned out to be haemorrhoid. But before going to the doctor, a couple of times in the toilet I inspected it carefully with my fingers to see what it is and where it comes from. The problem is, before that I have touched my genitals in the toilet and I might not have washed my hands.

There was mention in the forum that anal HPV is not rare in heterosexual men, and the route of transmission MIGHT be auto inoculation using hands. Also that anal cancer is 20 times more likely in MSM than in general population and male body is less likely to clear the virus. I am assuming haemorrhoid has a very sensitive skin, maybe more susceptible to HPV. 

Here are my questions:

1. How high is the probability of getting a high risk HPV type from these events? 
2. Am I in a high risk of anal cancer in future due to these events? Is it comparable to men who have receptive anal sex? I am really afraid of getting anal cancer out of this. 
3. Is it reasonable to do PAP + HRA or something else to screen for anal cancer for me? Is it affordable & accessible in Europe? Without these, how can I make sure I'll know about the cancer early?
4. Do I need to tell future partners about these? 
   

The fear of cancer has consumed my life for a month now

Welcome to our Forum and thanks for your questions.  I’ll be glad to comment.  Let me first try to encourage you to not worry so much about your risk for anal or rectal cancer.  While rates are increasing among men who have other men as sex partners, most are NOT going to get it, it is a slow (years) process, and detection is easy and improving.  This is not something that should cause great concern in a 25 year old.---

Thank you very much Dr Hook. Very reassuring.

The virus is transmitted through mucosal, not skin contact.  No one has ever been proven to have acquired HIV from the sort exposure you describe.---

Sorry. Just one last thing…  In your last comment when you wrote hiv, did you mean hpv? 

I apologize for the typographical error. I meant HPV, not HIV. EWH---

Also is the fold of skin covering the opening of vagina (labia minora I think) muscosal? If my penis was in contact with that area, in the situation I described (she laying down on me), will it have any effect on your judgement?

Just from looking at it I think even for that skin it’s the inside of the skin and the more inner areas that might transmit something, not the outside. Am I correct?

In the first message when I said hug like position, it was body to body with me on the bed and she lying down on me with my hands around her, and I was feeling the genitals being next to one another for a while. Maybe in touch with the opening of vagina.  Is it still the case that there has been no proved case acquired this way? Isn’t it mucosal contact?

Final responses:---