[Question #12583] Handjob and anal fingering

6 months ago

Hello. I'm a gay man. A few days ago, I met a man on the Internet. We kissed, and he massaged my anus with his fingers. I'm worried that his body fluids or blood are on his fingers. This person held me and his penis at the same time（mutual handjob…or frot？）I think his pre-fluid flowed to my glans. So…will I be infected with HIV? I ordered an HIV rapid test paper for him online, and his test result was negative. He told me that he was healthy. But because of my disastrous thinking, I don't trust him so much, because our communication is carried out online. He took a picture of the test results and sent it to me. But the test results may could PS... Who knows? After I opened the website and read #12578 and #12554,I found that I was very similar to his experience, but I still had some anxiety.

6 months ago

In addition, I saw on the Internet that the acute symptoms of HIV infection include fever, joint pain and so on. I started to have a runny nose a few days ago, but I didn't have a fever. When I got up this morning, I found that my right wrist hurt from time to time. Is this related to HIV?

Edward W. Hook M.D.

6 months ago

Welcome to our Forum. Thanks for your questions. I'll be glad to comment and hope that you'll find my comments reassuring. HIV is probably less common than you think and certainly more difficult to transmit. Most people, even most men who have sex with other men do not have HIV. His test results show that he does not have HIV and despite the mis-information on the internet about the so-called "window period" HIV is almost never transmitted by persons with negative HIV tests.

Even more importantly however, HIV is transmitted only through penetrative sexual activity or injection of infected material deep into tissue. Mutual masturbation, including anal fingering is safe, no risk sex, even when genital secretions (or blood) are present on participants' hands or get onto each other during the activity.

Finally, the classic symptoms or recently acquired HIV (the so-called ARS) include severe sore throat, high fever and widespread muscle or joint aches, all of which start at about the same time and typically occur about 10-20 days after an exposure and never after more than 30 days. A runny nose or isolated wrist discomfort in no way suggest the ARS.

Bottom line- this was a no risk encounter and there is no scientific reason for even testing. At the same time, we are all too aware than many of our clients appreciate the added confidence that a negative test provides. If your choose to test, a negative 4th generation, combination HIV antigen/antibody test any time more than 6 weeks after exposure or a negative HIV RNA PCR test (more expensive) any time more than 11 days after exposure provide conclusive results. Should you choose to test, I am confident that the tests will show that you were not infected.

I hope this information is helpful. If any part of this reply is unclear or there are additional questions, please don't hesitate to use your up to 2 follow-ups for clarification. Please don't worry. EWH

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6 months ago

Thank you for your quick reply, Dr. Hook. I want to know what "penetrative sexual activity" means? Is there a risk only when the penis is inserted into the anus or vagina? In fact, I'm more worried that his pre-fluid will enter my urethra, but according to your answer to Dr. Handsfield on this website, it's no risk,right?

As for acute symptoms, such as high fever, sore throat, muscle and joint pain, do they all appear together? My doctor advised me not to use pep. He thought there was no risk to my behavior. I think these are just because I'm too anxious.

Edward W. Hook M.D.

6 months ago

Penetrative sexual contact includes penetration of the penis into an anus, vagina or mouth although there are no proven cases of HIV related to receiving oral sex and only very, very rare cases related to performing oral sex on an Untreated infected partner.

There is no meaningful risk of his genital secretions entering your urethra during the activities you describe.

The symptoms of the ARS all occur at about the same time,

One follow up remaining. Please don’t worry. EWH

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6 months ago

Dr. Hook, when our penis is put together, our glans is in contact. His pre-fluid may cover my urethral opening. Is this a risk? I don't want to assume some extreme situations, but anxiety is inevitable. But I know it won't be infected without real penetration, right? Does the urethral infection have to be in the anus or vagina? Have you ever seen people like me infected with HIV before? This Thank you for your answer, Dr. Hook!

6 months ago

Sorry, Dr. Hook, I'm just too anxious. I don't quite understand what 'meaningless risk' is? But I can understand that your assessment of my behavior this time is that there is no risk of infection, right?

6 months ago

Dr. Hook, I just experienced shoulder, neck, and back pain issues. But I have cervical spondylosis, which may have happened before. I still don't have a fever or sore throat. But this has nothing to do with HIV, right?

Edward W. Hook M.D.

6 months ago

These will be your final responses- there should be no need for you to return to the forum and should you return, you may not receive a response. Your anxiety is getting the better of you. You are over thinking things. No risk means just that- no risk.

Meaningful risk means essentially no risk- stop trying to over interpret what you've been told.

The symptoms you describe are in NO WAY suggestive of recently acquired HIV.

You need to move forward. If you cannot, I suggest you seek counseling from a professional who can help you address your unwarranted anxiety. EWH

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