[Question #11051] Pinwheel

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17 months ago
My first language isn't English, so I'm using ChatGPT to help with translation. If anything below is unclear, please let me know.
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17 months ago

I'm very anxious about an encounter I had yesterday. I met with a sex worker for a BDSM session. During the session, she tied me up and used a steel pinwheel, also known as a Wartenberg wheel, to tease various parts of my body, including my penis and anus. I don't recall sustaining any injuries from the pinwheel. Afterwards, she used lubricants to perform a handjob.

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17 months ago

1. If the pinwheel was contaminated with infected blood or other infected fluids, am I at risk of contracting HIV? I have skin lesions and hemorrhoids, which might have been bleeding (though I didn't notice any bleeding), and the pinwheel might have come into contact with these areas.


2. Is there a risk of contracting HIV or other sexually transmitted infections (STIs) if the lubricants used were contaminated?


3. Can I move on without worry?

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Edward W. Hook M.D.
17 months ago
Welcome to our forum. ChatGPT appears to have served you well in translating your questions and concerns.

The encounter you describe, was low risk. I am not familiar with the pinwheel you described, but from the description and what I can tell from the Internet, this device would be most unlikely to transmit HIV, even if used on another person without proper cleaning.  At the same time, I should acknowledge that the CDC has recommended not using this device in medical settings because of the challenges in cleaning it and potential for transmission risk. While transmission risk is specifically mentioned, I can find no reports of transmission of HIV or other blood-borne infections  With this device. The sharp points of the pinwheel appeared to be solid, and therefore would not transmit blood from, a person the person after you. In addition, if the pinwheel had been contaminated with blood or other HIV, containing secretions, HIV rapidly becomes non-infectious upon exposure to the environment. 

Yes, in response to your questions:
1. Even with hemorrhoids or other skin conditions, the risk of transmission with this device is purely theoretical and not something that I would be worried about about.

2.  HIV and other STI’s are not transmitted in lubricants. I would have no concerns that lubricants which might have been used on other persons as well as you would put you at risk for any infection.

3.  my advice is to move on. I would not be concerned. On the other hand, if you have lingering doubts or concerns, HIV testing is simple, inexpensive, and highly reliable. Testing using a standard fourth generation, HIV antigen/antibody tests is conclusive at anytime more than six weeks following and exposure and is more than 99% conclusive at four weeks.

I hope this information is helpful to you. EWH.
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17 months ago
Thank you. I would be grateful if you could take a look at this link:


The pinwheel is similar to the one in this link. Does this change your assessment?
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Edward W. Hook M.D.
17 months ago
The link you have provided shows precisely the same sort of pinwheel that I saw on my own Internet searches. My assessment is unchanged. EWH.---
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17 months ago
So, to summarize, even if the pinwheel was contaminated with blood or other HIV-containing secretions, my risk of HIV infection from this exposure is only theoretical and extremely low. Therefore, there is no need for testing, and I can move on with my life. Do you agree?
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Edward W. Hook M.D.
17 months ago
Your summary is correct.  I, once again encourage you to move forward.

EWH
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