[Question #10765] HIV fear of uncovered oral sex and fingering

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19 months ago
Doctors
Two weeks ago I had a session with a Thai massage therapist in Bangkok. She did an uncovered blow job on me while I fingered her for approx 1 minute .
After one week of this exposure I started to feel some sore throat (maybe because excess aircon use) but triggered some anxiety about this event since I am married and don’t want to expose my wife in case I am infected. Hope you can bring some peace to my mind after your advices. Thanks 
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Edward W. Hook M.D.
19 months ago
Welcome to the forum. Thank you for your questions. It’s my pleasure to tell you that the activities you describe above are no risk of events. Besides the fact that it is statistically unlikely that your partner had HIV, insertion of your finger into a partners rectum is a form of masturbation, which is a no risk event. Similarly, there is never been a case of HIV proven to have been acquired From receipt of oral sex. It is far more likely that your sore throat is one of the common community acquired respiratory tract infections that most of us get from time to time. 

I see no reason for concern, and no reason for even testing.  I would not hesitate to continue to have unprotected sex with your wife because of the encounter you describe.

I hope this information and perspective is helpful to you. EWH. 
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19 months ago
Dear doctor Hook
Thanks for your quick reply..
Just one point: you understood I fingered her rectum but it was in her vagina. I had no cuts in my finger but not sure if cuticles could be a fragile entry for HIV. 
Once again, thanks a lot. I already feel much more confident. 
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Edward W. Hook M.D.
19 months ago
Sorry for my error. Placing your finger in her vagina is also a form of masturbation, and therefore no risk whatsoever for acquisition of HIV or other STI. Masturbation is classified as a no risk activity for STI‘s, including HIV by the world health organization, the CDC, and virtually all experts.  Still no risk. EWH.---
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19 months ago
Thanks again Dr Hook. 
While I realize you brought facts to assure that my exposures are classified as “no risk” , I still need to manage my anxiety. 
A last question: is it possible ARS happens only one week after “potential exposure”? If yes, in such case, should a 4th generation test be already positive? Thanks a have great 2024. 
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Edward W. Hook M.D.
19 months ago
This is a "what if" question that typically is of little help to those who ask.  For the ARS to occur at one week is decidedly unusual.  If you were experiencing the ARS, a 4th generation test would be positive.  4th generation tests are positive in persons experiencing the ARS since the symptoms are due to the presence of the virus and antibodies to it.

As you know this will complete this thread.  I urge you to move forward.  You really have nothing to worry about.  EWH
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