[Question #12200] HIV and STD Risk

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9 months ago
Hi I had an encounter in a massage place where after the massage I had a handjob from the masseuse. Although this was not the normal one where it was a stroke up and down, she had some twist and also strokes my groin area. I'm afraid if she did put her finger in the urethra. After that I quickly got into the bathroom and check to see if there was any blood around my groin and penis area and found none. When I got home to take a shower I noticed that I have scratch in the groin area it is an open wound but I believe this is not from her nail but it more looked like a friction burn if you know what I mean. My question are: 

1. What is my risk from a handjob with urethra touch? 
2. If for instance I already have the open wound/friction burn (half inch) in my groin will that add some risk?
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H. Hunter Handsfield, MD
9 months ago
Welcome back.

Looking at your previous question and this one, it is apparent you have an unrealistically inflated view on the chances of HIV transmission. Like your other question, this one reflects a worry about a zero risk event, or close to zero. Of course there are no data on your specific question -- the chance of HIV from finger contact with your urethra. However, we know that there has never been a known case of HIV transmitted by hand-genital contact, even when genital fluids are used for lubrication. And although most hand-genital contact probably doesn't include insertion of a finger into the urethra, surely that must have happened millions of times over the 40 years of the world wide HIV/AIDS epidemic -- and still no known cases. Could an abrasion in that area increase the risk? Probably not; no other skin abrasions are known to have been the site of HIV entering the body. In addition, I would point out that probably under one in a thousand massage workers has HIV.

Therefore, my answers your specific questions is 1) probably zero and 2) your groin wound also did not put you risk for HIV.

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

HHH, MD
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9 months ago
Hi, thanks for the prompt reply. One clarification, do I need to test? Do I even need to tell about this to future sexual partner or I can ignore and move on?
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H. Hunter Handsfield, MD
9 months ago
Aren't these answers obvious from what I wrote above? If there is zero risk then of course there is no need for testing or to inform partners.---
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9 months ago
Thank you doctor.
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H. Hunter Handsfield, MD
9 months ago
That concludes this thread. Please note the forum policy against repeated questions on the same topic. With two recently about exposures widely known to be risk free, it should be your last like them. Such repeated questions may be deleted without reply and without refund of the posting fee. We're not keen on collecting fees for questions with obvious answers; repeated replies often prolong anxiety rather than relieving it (there's so often a "yes but" or "could I be the exception" sort of thinking); and such questions have reduced education value for other users, one of the forum's goals. Thank you.

I do hope the two discussions help resolve these sorts of worries. Best wishes and thanks for the thanks.
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