Can You Get STDs from Hand Jobs? Risks and Safety - Urology

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Hello, Doctor.
Last Saturday, I went to a massage parlor and had a hand job that led to ejaculation without a condom.
However, I was very scared, so I asked the lady to use a transparent bag (the kind used for clean, new massage clothes) on her hand to help me.
I would like to know if this could lead to a sexually transmitted infection.
I'm really worried.
Please help me, thank you.

Danxin Ren, 20~29 year old female. Ask Date: 2010/10/27

Dr. Xu Weikai reply Urology


Concerned Person: Hello, if there is no skin-to-skin contact throughout the entire process, theoretically, there should be no risk of sexually transmitted infection (STI).
Note: However, if there are pathogens on the hands and one accidentally touches the inside of the plastic bag while opening it, and then touches the penis, there is a possibility of infection.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
This response is from Dr.
Hsu Wei-kai, Director of the Urology Department, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2010/10/27

More Info


When it comes to the transmission of sexually transmitted diseases (STDs), understanding the risks associated with different sexual activities is crucial for maintaining sexual health. In your case, you are concerned about the possibility of contracting an STD from a hand job, especially since it was performed with a barrier (a clean plastic bag).

Firstly, it is important to note that STDs are primarily transmitted through direct contact with infected bodily fluids, such as blood, semen, vaginal fluids, and sometimes through skin-to-skin contact. The risk of contracting STDs from a hand job is generally considered to be low, especially when a barrier is used. Here’s a breakdown of the risks involved:
1. Transmission through Hand Jobs: The likelihood of contracting STDs from a hand job is significantly lower compared to penetrative sexual activities. However, if the person performing the hand job has cuts, sores, or abrasions on their hands, or if they have bodily fluids on their hands (for example, if they had recently touched their own genitals or an infected area), there is a potential risk.

2. Use of Barriers: In your situation, using a clean plastic bag as a barrier adds an extra layer of protection. While it is not the most conventional method (as condoms are specifically designed for such purposes), it does reduce the risk of direct contact with bodily fluids. However, it is essential to ensure that the barrier is intact and does not have any holes or tears.

3. Types of STDs: Common STDs include chlamydia, gonorrhea, syphilis, herpes, and HIV. The transmission routes vary; for instance, HIV is primarily transmitted through blood and sexual fluids, while herpes can be transmitted through skin-to-skin contact even when no visible sores are present. The risk of transmission through hand jobs is generally low for most STDs, but it is not zero.

4. Symptoms and Testing: If you are experiencing any unusual symptoms (such as sores, unusual discharge, or pain), it is advisable to seek medical attention and get tested for STDs. Many STDs can be asymptomatic, so regular testing is recommended if you are sexually active, especially with new partners.

5. Preventive Measures: To further reduce the risk of STDs in the future, consider the following:
- Always use condoms or dental dams during sexual activities.

- Ensure that both you and your partner are aware of each other's sexual health status.

- Get regular STD screenings, especially if you have multiple partners or engage in high-risk activities.

In conclusion, while the risk of contracting an STD from a hand job is low, it is not entirely absent. The use of a barrier like a plastic bag can help reduce this risk. If you have any concerns or experience symptoms, it is best to consult a healthcare professional for advice and testing. Regular communication with partners about sexual health and safe practices is key to preventing STDs.

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