Dear Dr. Handsfield, thank you so much for this amazingly fast response. Your answers are profound and do help a lot. I feel even stupid now for having asked them but do well understand that my fears are completely irrational.
A very thankful Fenimore
(no reply expected)
Welcome to the forum.
By definition, anxiety is not rational, and it rarely goes away simply by knowing the facts. I'll answer your questions briefly, but if you are typical, the replies will not resolve your irrational fear of syphilis and herpes in this situation. But here you go.
First, syphilis and herpes are never transmitted by hand-jobs. Nobody ever caught these or any other STD in a massage parlor unless they had unprotected vaginal, anal, or oral sex while there. You're not going to be the first exception. Second, syphilis is very rare in persons like your massage worker. Only about 20,000 new cases occur each year in the entire US (with even lower rates in most other industrialized countries) and two thirds of those occur in gay men, the rest in a few especially high risk populations -- not including most sex workers. In 70% of US counties, there is no syphilis at all. To the specific qeustions:
1) Unknown; probably very scan amounts would be sufficient. But this doesn't change the facts above -- no syphilis risk.
2) Syphilis lesions on dry skin typically are not infectious. Even if your partner had it, you were not at risk.
3) Hand-genital herpes transmission doesn't occur. The chance your partner had an infectious whitlow at the time of your exposure is microscopic.
4) You do not need testing for anything.
5) You do not need to worry about transmitting anything to your wife. From an STD risk standpoint, you do not need to inform her of this event. However, you're the only one who can decide whether it would be a good idea to tell her from a relationship perspective or to help get you beyond your fears.
6) Yes, for sure you should "ust forget this episode and move on".
I hope these replies help settle your irrational fears -- and they are definitely irrational. But as implied above, most likely your anxieties will continue. If so, professional counseling should be the next step. I suggest it from compassion, not criticism.
Regards-- HHH, MD