I don't know where the gloves came from, and I don't know if they were clean. I worry that they might have been contaminated with infected fluids, such as infected blood and genital fluids from other clients, that were still active and fresh at the time when she fingered my rectum and gave me the handjob. Additionally, because she fingered me immediately after fingering her own vagina and rectum, her genital fluids and potentially blood got into my rectum. Her genital fluids and potentially blood also were used as lubricants for the handjob.

In the worst-case scenario (assuming the gloves were contaminated with HIV-infected fluids and blood, and she is HIV positive), what are my risks for HIV? What are my chances of not contracting HIV? I am extremely nervous. This was a huge mistake I made.

My English is not perfect. If anything is unclear, please let me know. Thank you for your help.

I don't see any "mistakes" here. You chose an obviously safe partner and had an entirely safe sexual experience. You're overthinking the risks. "Escorts" -- expensive female sex workers -- typically take care of their health, have safe sex, and get tested frequently -- and their clients tend to be low risk (men like you). Therefore, it is unlikely she has HIV or other active, transmissible STIs. And with no penile-vaginal or -anal penetration, HIV is never a risk from sex; even unprotected oral sex carries little or no risk for HIV and low risk for other STIs. And fingering or hand-genital contact even without gloves is zero risk for HIV and all STIs. The idea that your partner would re-use gloves, or that lubricant could be contaminated with other clients' blood, is nonsense; and even if those things happened, there would be no risk.

There is no significant chance these events infected you with HIV or any other STI. I see no need for testing. If you have a regular partner, you can continue your usual sexual practices without putting her at risk. If you regret the exposure itself, you'll have to deal with that -- but don't confuse that regret with HIV/STI risk. They aren't the same.

I hope these comments are helpful. Tell me if there is anything you do not understand.

HHH, MD

Thank you very much for your reply.

I would like to add some details. The escort did not use any sexual lubricants. She began by wearing a pair of gloves and fingering my rectum without lubricants, which was dry and irritating. I am worried that the gloves might have been contaminated with active HIV-infected fluids and blood when she started fingering my rectum, as I did not check if the gloves were clean. Then, she fingered herself and used her genital fluids (and possibly blood from her rectum and vagina, which I did not check) as lubricants to continue fingering me.

If the gloves were indeed contaminated with active HIV-infected fluids and blood, can I still be certain that my HIV risk is zero and that there is no need for testing?

Is receiving rectal fingering without gloves considered zero risk for HIV transmission, even if no lubricants are used and the fingering causes non-severe bleeding in my anus and rectum?

Please understand and believe that you were not at risk for HIV and little or no risk for other STDs either. Don't keep thinking up scenarios that you think might change my mind. You came here for our expertise and I suggest you trust and accept it. Perhaps it will also help you to know that in the 20 years of this and our previous forum, with thousands of questions from people worried about catching HIV, nobody has yet tested positive. You will not be the first. If and when it finally happens, surely it will be a truly high risk exposure and not a trivially risky event like yours.

In your replies, you seem to indicate that the usage of gloves actually lowered the risk rather than increased it, am I right? So, even if the gloves were contaminated with active HIV-infected genital fluids and blood (for example, from other people) when she started fingering my rectum, and continued to be contaminated with her own genital fluids and blood during the exposure, my risk of HIV is still considered zero, am I correct?

The fact is that nobody with exposures like yours ever catches HIV. Concentrate on that fact, nothing more.

Perhaps it will also help you to know that in the 20 years of this and our previous forum, with thousands of questions from people worried about sexual exposures and HIV, nobody has yet reported they tested positive. If and when it finally happens, surely it will be from a truly high risk exposure (like unprotected anal sex between men), and not a minor exposure like yours. Please do your best to stop worrying about such a minor event!

That concludes this thread. I hope you're finally convinced and no longer worried. Best wishes and stay safe.