STD Risks After a Massage: Your Concerns Addressed - Urology

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Sexually transmitted infections (STIs) issues?


Hello, doctor: Some time ago, I impulsively went to a personal studio, but she took me to a privately operated spa massage parlor.
In the end, she helped me ejaculate with her hand, and I also took a shower there using their towels.
My questions are: 1.
Since there was no sexual intercourse, what is the likelihood of contracting HPV, syphilis, or gonorrhea from the hand stimulation? 2.
What is the risk of contracting HPV from using their towels (the towels were dry)?

Niming, 20~29 year old female. Ask Date: 2018/09/07

Dr. Du Shixi reply Urology


Hello: Many sexually transmitted infections are transmitted through sexual contact and the exchange of bodily fluids, which include blood, semen, and vaginal secretions.
Therefore, sexual activities that do not involve the exchange of bodily fluids are considered safe.
The descriptions of risky behaviors are as follows:
- No risk: Masturbation
- Low risk: Mutual masturbation, light kissing, mutual rubbing, sexual activity with condom use
- Moderate risk: Deep kissing, oral sex, withdrawal method
- High risk: Unprotected sexual activity, resulting in cuts or bleeding
You can assess your own risk and pay attention to any redness, swelling, bumps, or blisters in the genital area.
If there are any issues, seek medical attention.
Wishing you good health.

Reply Date: 2018/09/07

More Info


When it comes to understanding the risks of sexually transmitted diseases (STDs) after a massage, especially in a setting where sexual services may be implied, it is essential to consider several factors. Your concerns about potential exposure to infections such as human papillomavirus (HPV, which can cause genital warts or "cauliflower"), syphilis, and gonorrhea are valid, and I will address them based on the information provided.

1. Risk of STD Transmission from Manual Stimulation:
The risk of contracting STDs from manual stimulation (i.e., the use of hands to induce ejaculation) is generally lower than that associated with penetrative sexual intercourse. However, it is not zero. If the person providing the service had any open sores, cuts, or infections on their hands, or if they had bodily fluids (such as semen or vaginal secretions) on their hands, there is a potential risk for transmission of STDs. For example, HPV can be transmitted through skin-to-skin contact, and if the person had HPV on their hands, there is a possibility of transmission. Similarly, other STDs like syphilis and gonorrhea can be transmitted through contact with infected bodily fluids.
2. Use of Bath Towels:
Regarding the use of towels provided by the spa, the risk of contracting STDs like HPV from a dry towel is extremely low. Most STDs require direct contact with infected bodily fluids or skin. If the towel was dry and had not been in contact with any infected bodily fluids, the likelihood of transmission is negligible. However, if the towel had been used by someone with an active infection and was still wet with bodily fluids, there could be a risk, albeit still low.


Additional Considerations:
- Hygiene Practices: If you washed yourself thoroughly after the massage, this further reduces the risk of any potential transmission. Good hygiene practices, such as washing hands and body with soap and water, can help mitigate risks.


- Symptoms and Testing: If you experience any unusual symptoms such as sores, discharge, or discomfort, it is crucial to seek medical attention and get tested for STDs. Many STDs can be asymptomatic, so regular screening is recommended if you have had potential exposure.

- Consulting a Healthcare Provider: It is advisable to discuss your concerns with a healthcare provider who can offer personalized advice and testing options. They can provide information on what tests to consider based on your specific situation and risk factors.

- Preventive Measures: In the future, consider using barriers such as condoms during any sexual activity, even if it is not penetrative, to reduce the risk of STD transmission.
In summary, while the risk of contracting STDs from the scenario you described is relatively low, it is not entirely absent. Monitoring your health and seeking medical advice if you have concerns is the best course of action. Regular check-ups and open discussions about sexual health with healthcare providers can help ensure your well-being.

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