[Question #11058] Face-sitting
17 months ago
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I met a dominatrix today. From what I understand, she provides sexual services, so she should be considered a sex worker. I have painful, broken pimples on my nose and face.
I received face-sitting from her. She rode on my face, and my nose rubbed against her vagina and anus. The rubbing was intense, and I felt that my nose entered her vagina and anus. Her genital fluids covered my face, but my mouth remained closed throughout.
She also placed her feet on my face and gave me a footjob.
Should I be concerned about HIV (my biggest worry) and other STIs? I'm worried that the broken pimples on my nose and face might pose a risk of HIV infection during the described face-sitting, as my nose entered her vagina and anus.
This was my first time visiting a dominatrix. I am filled with regret and want to move on with my life.
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H. Hunter Handsfield, MD
17 months ago
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Welcome to the forum. Thank you for your question.
I recognize and understand your concern. However, this is simply a variation on cunnilingus, and apparently also including analingus (oral-vaginal and oral-anal contact, respectively) -- which are inherently very low risk for all STDs. This might have been more prolonged and intense than most such events, but still low risk. There has never been a case of HIV known to have been acquired by either cunnilingus or analingus -- which doesn't prove it can't happen, but does mean it's extremely rare if it does. In addition, the large majority of female sex workers in industrialized countries do not have HIV.
As for pimples etc on your face, that's an urban myth. Exposure of minor skin rashes, sores, etc does not significantly raise the risk of HIV if exposed.
So from a medical/risk perspective, I do not think you need testing. On the other hand, testing often is reasonable simply for reassurance. If negative test results would further reassure you, feel free. If you decide to do it, I would suggest only a throat swab test for gonorrhea and chlamydia; and, after 6 weeks, blood tests for HIV and syphilis. (However, if somehow I were in your situation, I would not feel any need to test for anything.)
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
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17 months ago
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Great. Thanks for your very detailed response. I will take your advice and let it go. One more question: My nose was dry and peeling during the exposure because I had a cold and blew my nose too much using tissues. This does not change your risk assessment for me, right?
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H. Hunter Handsfield, MD
17 months ago
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Just as pimples and small wounds make no difference, surely minor irritation from nose blowing, a cold, or peeling skin ins't likely to raise the risk. No change.---
17 months ago
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Thank you, Doctor. Your comments are very informative and helpful. I would like to use my final opportunity to ask some more questions. I guess I will use your answers as a reference in the future as well. Are there any risks of HIV transmission if, during face-sitting, her genital fluids and blood entered my eyes? Have you seen any people who got infected through this kind of event? Please don’t be irritated if my questions sound strange.
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H. Hunter Handsfield, MD
17 months ago
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Obviously the eyes are often exposed to vaginal fluids during cunnilingus. It must have happened millions of times, but still no known cases of HIV infection from cunnilingus.
Your continued questions reveal your ongoing doubt despite my reassurance. You might want to consider testing for HIV strictly for the reassurance you will gain from the expected negative result. This suggestion does not mean I believe you actually were at risk; I do not. But reassurance itself is a legitimate reasons for anxious persons to be tested. It's up to you. If you do it, have an AgAb (4th generation) blood test 6 weeks after the event.
That concludes this thread. I hope the discussion has been helpful. Best wishes and stay safe.
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