I don't recall having any visible or obvious cuts on my testicles or at the base of my penis during this encounter. I'm confident that even if there were very small cuts, there was no presence of blood. However, I do have scrotal eczema and Fordyce spots, which sometimes cause itching and burning sensations.

1. Do non-bleeding, very small cuts on my scrotum and the base of my penis increase my risk of contracting HIV during oral and vaginal sex?

2. Do scrotal eczema and Fordyce spots increase my risk of contracting HIV during oral and vaginal sex?

3. Can I move on without worrying about HIV?

This was a no risk sexual event in regard to HIV -- at least as low as risk can get and still have vaginal sex. Several reasons you should not be worried at all. First, there is little chance your partner had HIV. Escorts -- expensive female sex workers who work by appointment -- are believed to have very low HIV rates. Most know the score, use condoms, get tested frequently, and have low risk clients -- men like you. (In addition, even among the most sexually active women in the UK -- which I impute from payment in £  -- under one in a thousand has HIV. Second, you had condom protected sex, including oral sex (for which condoms really aren't necessary anyway since there is no HIV risk from unprotected oral sex. Third, HIV is not transmitted in saliva or by licking, anywhere on the body. Finally, your scrotal eczema doesn't significantly elevate your risk. (And Fordyce spots are normal, not inflammatory, and even in theory would not elevate HIV risk.) "Small cuts" of the genitals (from shaving?) also doesn't raise the risk of HIV.

Those comments address all three questions, but to assure no misunderstanding:  1. No, these things have no effect on HIV risk. 2) Same for scrotal eczema and Fordyce spots. 3) Indeed you "can move on without worrying about HIV". I do not advise testing -- although of course you are free to do that if the negative result would further reduce your worries about it. If you have a regular partner, you can continue your usual sexual activities with that person without putting them at risk.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD

Thank you very much for your reply！

Just to clarify my understanding, are you saying that even if I were experiencing a scrotal eczema outbreak during the vaginal and oral sex, with soreness and itching on my scrotum due to the condition, it would not increase my risk of HIV from this exposure? Therefore, I can continue with my life without worry, am I correct?

Perhaps you'd also like to know that in the 20 years of this and our previous forum, with thousands of questions from people worried about HIV, none has yet reported they eventually tested positive. You won't be the first. If and when it happens, I'm confident it will be a genuine high risk exposure and not one anything like yours. (Think unprotected anal with a known infected partner or something similar.)

Thank you very much; this is very helpful.

I have one more follow-up question about something I forgot to mention. The CSW sucked my fingers before we started having sex. I have hangnails that often cause redness (which is my blood) on my fingers. Based on your previous reply, I think this does not pose a risk for HIV. However, since I have one last opportunity to ask a follow-up question, I think it’s worth using this opportunity.

Do I need to worry about HIV risks from my fingers with hangnails being sucked?

As you expected, that concludes this thread. I hope the discussion has been helpful. Best wishes and stay safe.