Could You Have Genital Warts or STDs After a Massage? - Internal Medicine

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A few days ago, I went to a hotel and received a Thai massage from a sex worker.
I lay on the water bed during the session, and after the massage, I had unprotected oral sex, but there was no intercourse.
Since then, I've been experiencing itching in my anal area daily, although it comes and goes.
Is it possible that I could have contracted genital warts or another sexually transmitted infection?

Niming, 20~29 year old female. Ask Date: 2018/06/30

Dr. Lin Wuxuan reply Internal Medicine


Hello: Based on your description, although there was no direct contact between the genital organs, it is still classified as sexual contact.
Since there were no protective measures and there is a possibility of bodily fluid exchange, there is still a risk of contracting a sexually transmitted infection.
It is recommended that you seek further examination and treatment at a medical facility as soon as possible.

Reply Date: 2018/06/30

More Info


When it comes to the concern of developing genital warts or sexually transmitted diseases (STDs) after receiving a massage, especially in a setting that involves intimate contact, it is important to understand the risks involved. Genital warts are caused by certain strains of the human papillomavirus (HPV), which is a sexually transmitted infection. Other STDs can be caused by various pathogens, including bacteria, viruses, and parasites.

In your situation, where there was skin-to-skin contact and intimate activities occurred without protection, there is indeed a potential risk for contracting STDs or HPV. The symptoms you describe, such as anal itching, could be indicative of several conditions, including but not limited to:
1. Genital Warts (HPV): These can appear as small, flesh-colored or gray growths in the genital area. They may not always be itchy, but irritation can occur.

2. Other STDs: Conditions such as herpes, chlamydia, or gonorrhea can also cause itching or discomfort in the genital area. Symptoms can vary widely, and some individuals may be asymptomatic.

3. Fungal or Yeast Infections: These can also cause itching and discomfort, particularly if there was any moisture or irritation during the massage.

4. Skin Irritation: Sometimes, the materials used during a massage (such as oils or lotions) can cause skin irritation or allergic reactions, leading to itching.

Given your symptoms, it is advisable to seek medical attention. A healthcare provider can perform a thorough examination, possibly including tests for STDs, and provide appropriate treatment based on the diagnosis. It is crucial to be open about your recent activities with your healthcare provider to ensure accurate diagnosis and treatment.

In addition, if you are concerned about the risk of STDs, consider the following preventive measures for the future:
- Use Protection: Always use condoms or dental dams during any sexual activity to reduce the risk of STDs.

- Regular Screenings: If you are sexually active, especially with new or multiple partners, regular screenings for STDs are important for early detection and treatment.

- Vaccination: Vaccines are available for certain strains of HPV, which can help prevent genital warts and some cancers associated with the virus.

In conclusion, while it is possible to contract genital warts or other STDs from intimate contact during a massage, the only way to know for sure is to consult with a healthcare professional. They can provide guidance tailored to your specific situation and help address any concerns you may have.

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