I made a regretful mistake that I hope never to repeat again.

Visited a massage parlor and at the end of the massage session was offered oral sex. The masseuse rubbed a wet napkin with sanitizer around my pubic area and then placed a condom on me.

Here is what scares me, I did not provide the condom and she did not open it in my presence. Rather, she had a napkin in her hand opened it, pulled it out and the proceeded to place it on me. From my vantage point, it was rolled up as it would normally appear and then she unrolled it on my penis.

She then wiped the condom with a napkin while it was on me saying that it was oily before proceeding with the oral act. 

This is all that occurred.

My (maybe paranoid) fear is that she re-used a condom from another John prior to me and that there could have been semen from prior still in it. My questions are:

1. Can being administered oral sex with me being the receptive party via a previously used condom transmit HIV? (I can’t justify why she would use an old one but the mind is scary.

2. Even if it was a clean condom, would I have noticed if there was a tiny hole in it allowing for the masseuse to pass me HIV from her?

3. Should I be worried about anything in the slightest?

My mind just keeps replaying the potential of a masseuse just deciding to reuse a condom tainted with someone’s semen. 

It seems you have an inflated view of STD risks from oral sex. Even without a condom, oral sex should be viewed as safe sex, with low risk for all STDs and zero risk for some. Second, a condom is a condom is a condom:  why would it make a difference whether you observed the massage worker open the packaging? As for possible re-use after a previous client, you answer that yourself with "I can't justify why she would use an old one...." Why would anyone do that? Condoms are not all that valuable or expensive.  The important fact is that the condom was in place during the oral sex exposure, and therefore you were 100% protected from any and all STDs.

Those comments pretty well cover your specific questions, but to be explicit:

1. Oral sex doesn't transmit HIV even with no condom. CDC calculates the risk as one chance in 20,000, if the oral partner has HIV. That's the same as getting BJs by infected partners every day for 55 years before transmission of the virus might be likely. The same would apply even if a condom had previously been used on an HIV infected person.

2. That's an urban myth. There is no such ting as "tiny holes" in condoms that permit STD transmission. And certainly not HIV, for the reason just discussed.

3. No, you should not be at all worried about HIV or any other STD. If this is your only potential risk, you should not be tested for anything.

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

HHH, MD