[Question #11804] HIV/ STD
12 months ago
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Hi doctor,
I had an exposure on the 26th of July this year. I visited a local massage place and received Unprotected Insertive oral sex from a female masseuse (from Vietnam) for about 2 minutes.
During this time I also fingered her. Using the same hands I masturbated myself to completion.
I did a urine test for gonorrhea and chlamydia on 12th August and it turned out negative.
Risk factors:
1. Insertive oral sex
2. Masturbating with vaginal fluids on hand
While speaking to a local doctor, he told me that the risks for hiv/ syphillis are negligible and wouldn’t require testing for them. He only recommended the urine test for chlamydia and gonnorhea which turned out negative.
What do you think are my risk factors for hiv. I had no seroconversion symptoms thus far except for 3 raised rash articles on my left chest which cleared within 2 days. No fever, body ache, sore throat.
Me and my wife are in the middle of family planning and I have put that on hold ever since this incident due to fear.
Am I overthinking? Should I put this past me and proceed with my normal life?
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H. Hunter Handsfield, MD
12 months ago
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Welcome to the forum. I'm happy to help.
I agree exactly with the doctor you saw: he is exactly right. These were zero risk events, or very close to zero. There has never been a known HIV infection acquired by oral sex (i.e. mouth to penis) or from fingering or other hand-genital contact, even when genital fluids are used for lubrication. That doesn't mean it can't happen, but obviously the risk is extremely low. The risk also was near zero for gonorrhea and chlamydia, but they are much more easily transmitted than HIV. I'm glad to hear of those negative test results -- but not surprised.
The skin problem you describe doesn't sound at all like symptoms of a new HIV infection.
"Am I overthinking [about having HIV]? Yes, you are. "Should I put this past me and proceed with my normal life?" Yes, that is exactly what you should do.
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
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12 months ago
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Hi dr,
Thank you very much for the reassuring replies. In your experience, have you ever seen anybody acquire hiv through Insertive oral sex or hand genital contact with fluids?
Also how soon do ARS symptoms appear in your experience and what kinds of symptoms?
If you were me what would you do doctor ?
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H. Hunter Handsfield, MD
12 months ago
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"In your experience, have you ever seen anybody acquire hiv through Insertive oral sex or hand genital contact with fluids?" No, I have not; nor have I even heard of such an event.
"Also how soon do ARS symptoms appear in your experience and what kinds of symptoms?" ARS typically begins 8-10 days after exposure, always within 3 weeks. The typical symptoms are sore throat, fever, enlarged lymph nodes, and often a non-itchy body-wide skin rash.
"If you were me what would you do doctor?" Nothing.
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12 months ago
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Thank you dr. Could you kindly care to explain why hand genital contact with fluids do not pose a risk for hiv.
I believe alot of us could do with this bit of education.
Also, as this scenario do not pose any risks, I can proceed to have a normal sexual life with my long term partner?
As this is my last question, I just want to say thank you very much doctor for what you do. A wandering mind is dangerous and you have calmed many of those. Thank you !
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H. Hunter Handsfield, MD
12 months ago
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Hand-genital contact just doesn't provide enough exposure to enough virus. It takes lots of HIV that must have access to certain kinds of cells that are deep inside the body. When an HIV infected man ejalcuates in a female partner's vagina, with billions of HIV in his semen, her risk of becoming infected is one chance in a thousand.
"as this scenario do not pose any risks, I can proceed to have a normal sexual life with my long term partner?' That's the whole point of all my comments above!
Thanks for the thanks. I'm glad to have helped. Best wishes and stay safe.
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