Am I at Risk for STDs After a Massage Experience? - Urology

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Doctor, is it possible for me to contract a sexually transmitted infection (STI) under these circumstances?


Hello doctor, due to recent work stress, I went to a personal massage parlor.
During the session, the attendant kissed my nipples and stimulated my genitals until ejaculation.
I was concerned about sexually transmitted infections (STIs), so there was no oral sex or intercourse involved; it was just the attendant on top of me.
My genitals made contact with the groove of the attendant's buttocks (I was not wearing a condom).
Is it possible for me to contract an STI in this situation?

Xiao Zhong, 30~39 year old female. Ask Date: 2017/11/11

Dr. Du Shixi reply Urology


Hello: If there is no exposure to bodily fluids, the risk of contracting a sexually transmitted infection (STI) is low.
However, it is still advisable to exercise caution.
Wishing you good health.

Reply Date: 2017/11/11

More Info


When evaluating the risk of sexually transmitted diseases (STDs) after a massage experience, it's essential to consider several factors, including the nature of the contact, the presence of bodily fluids, and the overall context of the encounter.

In your case, you mentioned that the massage involved intimate contact, including the massager kissing your nipple and stimulating your genitals until ejaculation. While you did not engage in oral or penetrative sex, there are still potential risks associated with the activities you described.

1. Kissing and Skin-to-Skin Contact: Kissing, especially if there are any cuts or sores on the skin, can potentially transmit infections like herpes. However, the risk of transmitting HIV through kissing is extremely low unless there are open wounds or bleeding involved. In your situation, if there were no visible sores or blood, the risk remains minimal.

2. Genital Stimulation: The stimulation of your genitals by the massager can pose a risk if there are any bodily fluids involved. If the massager had any infections, there is a possibility of transmission through skin contact, especially if there were micro-abrasions on your skin. However, the risk of HIV transmission through external genital contact is significantly lower compared to penetrative sex or sharing needles.

3. Contact with the Buttocks: You mentioned that your genitals made contact with the massager's buttocks. This type of contact is generally considered low risk for HIV transmission, especially if there was no exchange of bodily fluids. However, other STDs, such as gonorrhea or chlamydia, could potentially be transmitted through skin-to-skin contact if the massager were infected.

4. Ejaculation: The fact that you ejaculated during the massage is a factor to consider. If there was any contact with the massager's bodily fluids (e.g., if she touched your genitals after touching her own), there could be a risk of transmission of STDs. However, without direct sexual intercourse or oral sex, the risk remains lower.

5. Testing and Monitoring: Given your concerns, it is advisable to get tested for STDs, including HIV, especially if you experience any symptoms such as unusual discharge, sores, or flu-like symptoms in the weeks following the encounter. Most STDs can be asymptomatic, so testing is crucial for your peace of mind and health. It is recommended to wait at least two weeks after the encounter for initial testing, with follow-up tests at three months to ensure accurate results.

In summary, while there is some risk associated with the activities you described, the likelihood of contracting HIV specifically from this encounter is relatively low. However, other STDs could still be a concern. It is always best to practice safe sex and use protection to minimize risks in the future. If you have any symptoms or concerns, consulting a healthcare provider for testing and advice is the best course of action.

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