Am I at Risk for STDs After a Recent Massage Parlor Visit? - Urology

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Is it possible to contract a sexually transmitted infection (STI)?


Hello, doctor.
About two weeks ago, I received a hand job at a massage parlor (without a condom).
Is there a risk of contracting a sexually transmitted infection (such as HPV)? I would appreciate your clarification.
Thank you.

Jerry777, 20~29 year old female. Ask Date: 2018/11/28

Dr. Chen Jiansheng reply Urology


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Reply Date: 2018/11/28

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When it comes to assessing the risk of sexually transmitted diseases (STDs) after a visit to a massage parlor, it's essential to consider several factors, including the nature of the sexual activity, the presence of bodily fluids, and the health status of both parties involved.

In your case, you mentioned engaging in a hand job without the use of a condom. While this activity is generally considered lower risk compared to penetrative sex, it is not without risk. The transmission of STDs can occur through direct contact with infected bodily fluids, including semen, vaginal secretions, or blood. If the person providing the service had an STD, there is a possibility of transmission, especially if there were any cuts or abrasions on your hands or if you had any open wounds.

Regarding specific STDs like gonorrhea, chlamydia, or syphilis (often referred to colloquially as "菜花" or "cauliflower"), the risk of transmission through manual stimulation is lower than through unprotected penetrative sex. However, it is still possible, particularly if there was any exchange of bodily fluids. For example, if the provider had any infections that could be transmitted through skin-to-skin contact or if there was any transfer of fluids to your genital area, the risk increases.

In terms of symptoms, many STDs can be asymptomatic, meaning you might not show any signs of infection even if you have contracted one. Common symptoms of STDs can include unusual discharge, burning during urination, sores, or rashes. However, some infections may not present symptoms for weeks or even months, which is why regular testing is crucial if you are sexually active, especially with multiple partners.

Given that you had a recent encounter with a potential risk of exposure, it is advisable to get tested for STDs. The Centers for Disease Control and Prevention (CDC) recommends that sexually active individuals get tested regularly, especially if they have new or multiple partners. For your situation, it would be prudent to wait at least two weeks after the encounter to get an initial test, as some infections may take time to become detectable. However, for certain STDs, such as HIV, it is recommended to wait at least three months for a conclusive result.

Additionally, if you experience any symptoms or have concerns about your health, it is essential to consult a healthcare provider. They can offer guidance on testing, treatment options, and preventive measures, such as pre-exposure prophylaxis (PrEP) for HIV if you are at ongoing risk.

In summary, while the risk of contracting an STD from a hand job is lower than from penetrative sex, it is not zero. It is crucial to be proactive about your sexual health by getting tested and discussing any concerns with a healthcare professional. Regular testing and open communication with partners about sexual health can significantly reduce the risk of STDs and promote overall well-being.

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