I’m worried about an encounter I had two weeks ago. I went for a massage that included a happy ending (hand to genital) during the happy ending, the massage girl started to lick/ kiss the base of my penis, where it meets my scrotum. I’m 99% sure this is the only area she touched with her mouth and I am very certain her mouth did not touch the head of my penis/ nor did I penetrate her mouth. I asked her to stop, this must have lasted for no more than 15-20 seconds. About 3 days after I had a slight cold feeing on my urethra. Then for the next three days I had pain in my lower abdomen and now for a week I have felt discomfort in my urethra. Not pain, it feels like there’s urine stuck in my urethra. I have had no discharge. I keep reading that the most likely risk is gonorrhea, should I get tested? I have no other reason why I would be feeling these symptoms apart from what happened during the massage. I also wonder if her saliva was carried up to my gland by her hand and may have infected me that way. Do you think I should test? Are there any other possibilities for what I have been feeling?

There was no risk at all from these events. Hand-genital contact has never been known to transmit any STD, including HIV, even if genital fluids are used for lubrication. That's not to say it cannot occur, but if it does, it is exceedingly rare and this can be ignored as a risk. Mouth contact with skin anywhere on the body also is little or no risk for any STD. Even true oral sex, i.e. taking the pnis inside the mouth, is low risk compared with vaginal or anal sex. The skin of the penile shaft, groin, etc is no more susceptible than skin anywhere else on the body. In addition, statistically it is unlikely your massage partner had any active, transmissible oral STD.

As for your symptoms, they are not suggestive of any STD; and as I think you might already realize, most if not all these symptoms are consistent with anxiety/worry inflating minor symptoms or even normal body sensations that otherwise you would blow off or perhaps not even notice. In other words, I agree entirely that the symptoms are directly related to the sexual events described, but the connection is almost certainly psychological. (That does not mean the symptoms are only "in your head". They are physiologic and real. But that doesn't exclude a psychological origin, any more than tension headaches are real pain but with emotional/psychological origins.)

I do not recommend testing for anything on account of these events or your symptoms, and if you have a regular partner, you can safely continue your usually sexual practices without worry. That's what I would do with my wife, if somehow I were in your situation.

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

HHH, MD

Yes, this is soemthing seen frequently in busy STD clinics, and it comes up at least weekly on this forum. In my 5 decades in the STD business I've cared for innumerable patients with symptoms the same or similar to yours following sexual experiences they regret or are worried about. In all those years and among all those patients, I can't think of a single one who turned out to have an STD that was responsible. That also has been the 100% consistent experience on this forum for almost 20 years.