I am straight male 30 years old, 4 Days ago I went to massage parlour, and the lady masseuse starts seducing with nipple stimulating and sucked my nipples . the duration of sucking is about 15 - 20 minutes  long for pleasure. meantime she sucking extremely deep with bites and teeth. I had small cut (burning sensation) because of biting in right nipple. In addition I found out she had a bad oral breath and foul smelling saliva on my nipple which I later washout with soap.

I believe if she has a bleeding gums due to bad oral hygine, because I saw a small amount of blood (very few drops) on my nipple where I had cut due to bite. still today after 4 days I have burning sensation on that nipple. for this 4 days I am feeling feverish and tired, physian said its due to viral infection that fuels my anxity more.

PS. - No other sexual activity happens during this.

1. Is there any chance I will get HIV with this event? Do I need to be worried since I am extremely stressed and feels guilt after this event searching for HIV all day in internet.

2. For worst case assuming she has HIV with high viral load, Do I need testing, what is probability?

3. I am aware saliva doesn't carry HIV but what if there is blood from mouth sores or oral mucosa (assuming because she has a bad oral hygine for sure)? how much blood needs to be infect ? and this cut on my nipple is sufficient to carry virus in bloodstream?

I would consider this a zero risk exposure with no need for HIV testing or for worry about it. First, the mouth and teeth rarely transmit HIV at all:  saliva kills HIV, oral sex rarely if ever transmits the virus to the genitals, and although biting has been mentioned as a potential risk since the earliest days of the HIV/AIDS epidemic, there has never been a reported, proved case of HIV being transmitted by a human bite. Oral sex is nearly risk free even when performed by HIV infected persons with bleeding gums or other mouth sores. And statistically, it is unlikely your partner had HIV. To your specific questions:

1. Clearly the internet is not your friend here. Like most anxious persons, you are being drawn to information that inflames your fears. Anybody can write anything they want online. Your guilt over the event is also affecting your objective analysis of what you are finding.

2. As I said above, from a medical/risk standpoint, I would advise against HIV testing. Of course you are free to be tested anyway if you don't trust or believe my reassurance, and if negative test results would reassure you more effectively.

3. There must have been millions of exposures like yours, and many of those must have had the same conditions you state -- blood in mouth, sores on nipples, etc -- and still there have never been any known HIV transmissions by such contact. And anyway, it is clear you are posing those conditions out of fearful assumptions, with no evidence they actually existed. These comments do not change my assessment or advice.

As I said, you are free to be tested if you like. If you do so, I am confident the results will be negative. You really needn't be so worried. Don't confuse your anxieties, stress and guilt over a sexual decision you regret with HIV/STI risk from that event. They aren't the same.

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

HHH, MD

It helps me to relieve  my anxiety.

I want to ask some final question coming in my mind frequently.

1. I am feeling very feverish, fatigue and flu like symptoms. is that because of common flu or HIV(assuming 1% risk if I caught).

2. will your response change in case, while sucking nipple  there is a fresh cut  on nipple which is actively bleeding by biting and in the real-time masseuse's mouth blood due to bad oral hygine can enter in my bloodstream?

2. The question about a "fresh cut" is Answered in my original reply. There no known oral conditions that would significantly increase the chance of HIV transmission.

3. There is no research on this -- I can't say whether or how much saliva would make blood non-infectious. But as I said above, with zero known transmissions by such contact, anywhere in the world, you can safely assume there still is no risk.

These questions make it apparent that you are going to continue to worry about HIV, regardless of my advice. Therefore, you should be tested for reassurance.

Another fact that might help convince you:  in the 20 years of this and our preceding forum at MedHelp, with thousands of questions from persons worried about possible exposure to HIV, nobody has yet turned out to test positive. You won't be the first. If and when it finally happens, undoubtedly it will be a typical high risk exposure (think unprotected anal sex between men), and not a minor risk event like yours.

Thanks Doctor, convinced 99%

Still afraid of that rare scenario of being first case in the world because literally feeling feverish, fatigue and flu like symptoms 

In terms of percentage what is the chances assuming in fever of infection (she has high viral load with bleeding gums and bleeding cut on my nipples)

How many % chance with all of these

That's my final question 

Thanks a lot for understanding 

When people delay medical tests for fear of the result -- not just HIV testing, but things like mammograms, colonoscopies, and so on -- anxiety and fear always decline when the test is finally done, even if it's the feared bad news. Fear of the anticipated result is stronger than the relief that comes from finally having an answer. I hope common sense prevails and you get tested for HIV; it will be negative.

That concludes this thread. Please note the forum policy against repeated questions. Do not return with another question on these topics. If you have not tested, the answers will not change. If you test negative, all we would do is agree that you don't have HIV. But I'll make a deal with you. If you test and the result is positive, please return and let us know -- and we will refund your posting fee.

Best wishes and stay safe.