Risk of Gonorrhea from Hand and Breast Sex: What You Need to Know - Urology

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The possibility of contracting gonorrhea through manual stimulation and oral sex?


Hello, doctor.
Last Thursday (07/07), I went to a massage parlor where the services involved only hand stimulation with essential oils and body rubbing.
The provider was wearing a mask and underwear, so I did not come into contact with their saliva or bodily fluids.
I also completed the three doses of the HPV vaccine about two years ago.
Considering these factors, I am less concerned about HIV, syphilis, and HPV, but I am more worried about gonorrhea and chlamydia.
I have been quite anxious, which has affected my sleep over the past few days, and I regret my decision.
I would like to ask the doctor, in this situation, what is the likelihood of contracting gonorrhea? Is it high or close to zero?

Niming, 20~29 year old female. Ask Date: 2022/07/10

Dr. Du Shixi reply Urology


Hello: Based on the criteria you provided, the behaviors you described would be classified as low-risk in terms of sexual behavior risk levels.
No-risk activities include masturbation, hugging, and touching areas other than the genitals.
Low-risk activities include mutual masturbation, light kissing, mutual rubbing, and sexual intercourse with condom use.
Moderate-risk activities involve deep kissing, oral sex, and withdrawal before ejaculation.
High-risk activities include unprotected intercourse and intercourse that results in cuts or bleeding.

Reply Date: 2022/07/10

More Info


When considering the risk of gonorrhea and other sexually transmitted infections (STIs) from the activities you've described, it's important to understand the transmission routes and the specific circumstances of your encounter.

Gonorrhea is primarily transmitted through sexual contact involving mucous membranes, which are found in the genital area, rectum, and throat. The bacteria that cause gonorrhea, Neisseria gonorrhoeae, are typically spread through direct contact with infected bodily fluids, such as vaginal secretions or semen. In your case, since the activities involved were limited to hand and breast stimulation, and there was no direct contact with the genital area or bodily fluids, the risk of contracting gonorrhea is significantly reduced.

1. Hand Contact: If your hands did not come into contact with any infected bodily fluids, the risk of transmission is very low. Even if there was some minor contact with the genital area, the likelihood of transmission through hand contact alone is minimal, especially if there were no visible cuts or abrasions on your hands.

2. Breast Contact: Engaging in breast stimulation (or "乳交") does not typically pose a risk for gonorrhea transmission, as the bacteria are not present in breast tissue. The primary concern would be if there were any transfer of infected fluids from the genital area to your hands and then to your mucous membranes, but given your description, this seems unlikely.

3. Use of Protection: The fact that the service provider was wearing underwear and you did not have direct contact with any bodily fluids further lowers the risk. Additionally, wearing a mask does not impact the risk of gonorrhea transmission, as the bacteria are not transmitted through respiratory droplets.

4. Vaccination: You mentioned receiving the HPV vaccine, which is beneficial for preventing certain strains of human papillomavirus but does not provide protection against gonorrhea or other STIs. However, being vaccinated against HPV is still an important aspect of sexual health.

5. Symptoms and Testing: If you experience any symptoms such as unusual discharge, burning during urination, or pelvic pain, it is advisable to seek medical attention and get tested for STIs, including gonorrhea. Testing is the only way to confirm your status, especially if you have concerns.

In summary, based on the activities you described, the risk of contracting gonorrhea is very low, approaching zero, particularly if there was no direct contact with infected fluids. However, if you are feeling anxious or if symptoms arise, it is always a good idea to consult with a healthcare provider for reassurance and possible testing. Regular STI screenings are a responsible practice for anyone who is sexually active, especially after new or high-risk encounters.

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