erotic massage

[robbstark]

Drs.
Thanks for having these forums for people to get answers. i did post something in the free forum however i did want the opinion of a MD.  
i had a moment of poor judgement when i was intoxicated and fighting with my significant other. i visited a massage parlor and received an erotic massage from a naked girl. there was no sex performed either oral or vaginal/anal. there was a lot of grinding in which there was genital to genital contact with baby oil. zero penetration. hand release and that is all. 2 to 3 weeks later i am having some sore and slight swollen testicles more right than left. no burning urination and no discharge as far as i can tell. i do have a history of varicocelectomy on the right.however after figuring it wasn't over with my significant other we had sex 3 days later she is complaining vaginal irritation with redness no burning urination just a sore discomfort that she is chalking up to yeast or trauma. she hasn't had yeast problem since hysterectomy 16 months ago
questions :
can any std be transmitted in the way described ? i have read that there needs to be penetration for inoculation just want clarification
as i was told by vance in the free forum no discharge means no infection from the agents that would cause testicular discomfort clarification on this please
lastly in your opinion should i get tested ?  anything you can add to anything is much appreciated

thanks ahead of time for your prompt answering and thanks again

[H. Hunter Handsfield, M.D.]

Welcome to the forum.  I'll try to help.

Questions about non-penetrating sex in massage parlors are very common on this and the HIV prevention forum.  With rare exception, the answer is always the same:  little or no risk for STDs of any kind.  So based only on the title of your question, it is unlikely you are at risk.

Now I have read the question.  I would put your exposure in the zero risk category for most STDs, including chlamydia, gonorrhea, nongonococcal urethritis (NGU), trichomonas, HIV, and viral hepatitis.  There was theoretical, very small risk for herpes, human papillomavirus (HPV), and syphilis.  However, your symptoms don't match any of these, nor your wife's genital symptoms.  Yeast is indeed the most common explanation for vaginal irritation like your wife's.

So I see no need for you to be worried or to be examined.  It's more important that your wife get checked out if her symptoms don't clear up quickly.  However, some men decide to be examined despite absence of medical risk, simply because a negative exam and STD testing is more reassuring than the opinion of a distant advisor, no matter how expert.  On that basis, it's up to you -- but I stress it isn't necessary from a strictly medical perspective.

I hope this helps. Best wishes--  HHH, MD

[PSS9999]

A related discussion, erotic massage was started.

[H. Hunter Handsfield, M.D.]

Fingering or other hand-genital contact carries little or no risk of any STD transmission.  Assuming your diagnosis of epididymitis is accurate (I have my doubts about "minor" epididymitis), it is unrelated to the massage events you have described.  The only STD-related causes of epididymits are gonorrhea and chlamydia, and the tests for these are extremely accurate and reliable; and they could not be acquired during your massage.

[robbstark]

doctor,
i think i know the answer to this, but i thought i would ask....would it matter if their was penetration with fingers...the proverbial unsealing of the vault...im guessing no as previous posts i read state deep inoculation..which their wasn't  .i ask because i recently been diagnosed with epiditimytis, albeit minor, and  a hernia . urine was clear of wbc etc i am a little confused because my doc prescribed cipro and then diagnosed epididimytis/hernia and said clear urine/no discharge and small to zero risk to possible ( see above) exposure means no chlamydia etc..do you agree with this ? opinions on epiditimytis ?
thanks in advance   this will be my last post on this

[robbstark]

very informative and definitive answer. the answer you provided was exactly what i thought based on reading other posts, but one always thinks their is something just a little bit different about their own experience. thank you i hope my posts can reassure someone else that made a poor decision also.