[Question #12265] Nipple sucking and handjob

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9 months ago
Hi doctor, I went to massage parlor and received a handjob. During the handjob the masseuse took her top off but not the pants. I did suck her nipple and now I’m quite worry. My questions are
1. Is it possible to get hiv or std from nipple sucking or handjob?
2. If there was lactating or blood, would that increase the risk? I don’t remember having anything in my mouth but not quite sure.
3. Do I need testing on the account of this event?
Thank you.
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H. Hunter Handsfield, MD
9 months ago
Welcome to the forum; I'm happy to help.

Sometimes there's enough information in the title of the question to reply with confidence. That's my impression here, having not yet read beyond the title:  There is absolutely no risk for HIV or any STD from hand-genital contact or oral contact with breasts and nipples.

Now having read the details --> no change.

1. Is it "possible"? Maybe, but with such low risk it should be ignored. In my 50 years in the STD/HIV business, I have never had a patient nor heard about one infected in this way. That's true even if genital fluids are used for lubrication, or if the female partner was lactating (milk in breast).

2. Even swallowing known HIV infected blood is very low risk. If you didn't see blood, none was there -- or in such small amount it would not matter.

3. You do not need testing for HIV or any STD. Worry about HIV/STD if and when you have vaginal or anal sex with a possibly unsafe partner, but not until then.

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

HHH, MD
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9 months ago
Thank you doctor, the info is very reassuring and helpful.
While I was waiting for you to reply, I read a response that quite similar to mine and I came across this one. >> [Question #824] Are these activities 100% risk free with Escorts? //
You mentioned that its possible to envision a rare scenario which sucking nipple could result in hiv transmission and recommend that user to test. Can you clarify a bit more on that as its quite worried me.
Hope you don’t feel I’m challenging you, I just want to understand the rational and move on.
Thank you so much in advance.
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H. Hunter Handsfield, MD
9 months ago
The statement you quote from a few years ago is different wording for exactly what i said above:  "Is it 'possible'? Maybe, but with such low risk it should be ignored. "The "rationale" is that even though theoretically possible, there has never been a known case of HIV acquired in this manner and you're not going to be the first in the world! And anyway, the odds a particular female masage worker has HIV is probably under one chance in a thousand. You really should ignore this event as an HIV risk factor.---
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9 months ago
Noted doctor handsfield, thanks for putting things into practical perspective for me. I’ll try my best to move on without worry.

one last question, I’m planning on seeing someone right now, and if we were to engage in sexual exposure, will I put her at risk on any std or hiv or I should not worry about it?
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H. Hunter Handsfield, MD
9 months ago
As I said above, "You do not need testing for HIV or any STD." That certainly indicates that you can have with a new partner without putting that person at risk for any infection from the previous exposure.

That completes the two follow-up comments and replies included with each question and so ends this thread. I hope the discussion has been useful. Best wishes and stay safe.
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