Risk of STIs After Handjob: What You Need to Know - Urology

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Risk of sexually transmitted infections (STIs) transmission?


Hello, Dr.
Du.
I previously went to a massage parlor where I received manual stimulation.
At that time, my scrotum may have had some minor abrasions that were red but did not bleed.
Afterward, I rinsed the area and checked the attendant's hands for any visible blood, and there was none.
I did not engage in any sexual intercourse afterward.
However, for safety's sake, I would like to ask the doctor if this could lead to sexually transmitted infections (such as HIV, syphilis, gonorrhea, or HPV)?

Mr. Wang, 20~29 year old female. Ask Date: 2017/10/09

Dr. Du Shixi reply Urology


Hello: The chances are slim, but since you have a wound and the massage therapist does not have any wounds on her hands (did she thoroughly clean her hands after serving other clients?), it's better to be cautious.
Wishing you good health.
Cauliflower is relatively more dangerous.

Reply Date: 2017/10/09

More Info


When it comes to the risk of sexually transmitted infections (STIs) after receiving a handjob, it's important to understand the transmission routes of various STIs and the specific circumstances of your encounter.
In your case, you mentioned that there was a potential minor abrasion on your scrotum, but no bleeding occurred. Generally, STIs are transmitted through direct contact with infected bodily fluids, such as blood, semen, vaginal secretions, or through mucous membranes. The risk of transmission can vary depending on the type of sexual activity and the presence of any open wounds or abrasions.

1. HIV (Human Immunodeficiency Virus): The risk of contracting HIV through a handjob is considered very low. HIV is primarily transmitted through unprotected anal or vaginal intercourse, sharing needles, or from mother to child during childbirth or breastfeeding. In your case, since there was no direct contact with the partner's bodily fluids and no penetrative sexual activity, the risk remains minimal. However, if there was significant bleeding or if the person giving the handjob had open sores or wounds, the risk could increase.

2. Gonorrhea and Chlamydia: These bacterial infections are primarily transmitted through sexual intercourse. While transmission through hand-to-genital contact is theoretically possible, it is also considered low risk. If the person had these infections and there was contact with infected fluids, there could be a risk, but again, this is less likely without direct sexual activity.

3. Syphilis: This infection can be transmitted through direct contact with syphilis sores, which can occur on the genitals, anus, or mouth. If the person giving the handjob had visible sores or lesions, there could be a risk of transmission, especially if there was any direct contact with those sores.

4. Herpes: Similar to syphilis, herpes can be transmitted through skin-to-skin contact with an infected area. If the person had an active herpes outbreak, there is a risk of transmission through contact with the infected area.

5. HPV (Human Papillomavirus): HPV can be transmitted through skin-to-skin contact, and while the risk through a handjob is lower compared to penetrative sex, it is still possible. Certain strains of HPV can lead to genital warts or increase the risk of certain cancers.

Given your situation, the fact that you did not engage in penetrative sexual activity and that there was no visible blood from the person giving the handjob significantly reduces your risk of contracting STIs. However, if you have concerns about potential exposure, it is always a good idea to consult with a healthcare provider. They may recommend testing for STIs based on your history and any symptoms you may experience.

In summary, while the risk of contracting STIs from a handjob is generally low, it is not entirely absent, especially if there are factors such as open wounds or the presence of sores on the partner. If you are feeling anxious about this encounter, consider discussing your concerns with a healthcare professional who can provide personalized advice and, if necessary, testing options. Regular STI screenings are a responsible practice for sexually active individuals, especially if you have multiple partners or engage in activities that may increase your risk.

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