[Question #13171] Final follow up
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1 months ago
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Hello doctors,
Again Marcos here, but trying that this but with the intention that this will be my last blog post and I can go on with my normal life without worries. You know what my exposures were, which you told me there was no risk and I can continue to have unprotected sex with my wife as I am doing.
But to settle the issue, I would like to put myself in the worst case scenario to know if my risk would still be low.
1 - Imagine that the three times I had this erotic body to body massage naked (the other masseuses wore panties) there had been a brief unintentional penetration, quite lubricated and brief, let's say 5 seconds, even so if I entered your clinic your advice would be not to do a test and go on with my normal life?
2 - If it has become clear to me that without penetration even if there is enough rubbing between my penis and her vagina there would be no risk, this is because the contagious fluid of the woman is quite close to the cervix or because there is air on the outside and so it is not contagious.
As you know I am not circumcised but I maintain good hygiene, these events happened in Spain where it is rare for a woman to have HIV although there are cases, the young masseuses two Spanish and one Colombian are still attending and seem to have. a normal life
As I said, I know I have already been advised but I need this last bit of help to close the matter definitively.
Muchas graciass
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Edward W. Hook M.D.
1 months ago
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I considered simply closing the thread but have opted to provide brief answers to your repetitive, anxiety driven questions. The answers are unchanged.
1. I would not recommend testing in this situation.
2. The main reason has to do with the type of skin involved. In men infection occurs through introduction of infection INTO the urethra (the inside of the penis). Further, indeed, it is primarily cervial secretions that are infections. Finally, as said REPEATEDLY, without penetration infection would not occur. Infection is NOT transmitted through panties.
You need to move forward. Please do not return. EWH
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1 months ago
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Thanks Dr Hook for your consideration and response, I understand this is my last thread
1 -That is to say, even if there had been a hypothetical case of some sort of unintentional penetration of some seconds with one of these masseuses, could I continue with my normal life and with unprotected sex with my wife?
2 - This is due to the low risk of a masseuse of my style having HIV and because transmission is rare from woman to man in a brief lubricated penetration even when not circumcised? My risk in % I understand would be very low, right?
3 - I understand the panties point, but the three times that Im talking about the masseuse was completely naked like me, I also understand what you explained about the urethra, but I am worried about the part about not being circumcised and that the skin is thinner and can crack because before this there has always been previous masturbation, although I have never seen wounds or blood, all this assuming that a brief penetration has happened, it is clear to me that without it there is no risk.
Please give me the last advice, I really appreciate all your knowledge and I want that this to be my last questions
Best regards
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Edward W. Hook M.D.
1 months ago
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1. This is purely theoretical and paranoid. You need to stop making up things that don’t happen and move forward. It’s not seen. You will not be the first.
2. Far less than 1%
3. This is argumentative and hypothetical. We provide our assessments based on scientific studies and over 80 years of our own research and experience. I cannot help you beyond this.
On follow up remaining. EWH
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1 months ago
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I understand your answer about being theoretical or hypothetical but as this is my final post I would like to understand well why I am not at risk nor do I need a test thanks to your knowledge and experience, in Spain we are not educated at all in this matter.
1 -So it is clear to me that even in the worst case scenario of a brief lubricated penetration with the masseuse, there would be almost no risk and I can continue with my normal life and regular sex with my wife?
2 - The risk of this situation would be far less than 1% (like 0,04 as CDC says? II understand that being this in Spain that there are few women with this virus although some were latina, and that in theory they are masseuses that do not offer sex although they will have their personal life, would reduce more this % right.? But is it true that not being circumsinded would increase it a little?
3 - Yes I totally appreciate your advice based on your own research and experience, so I understand that the most contagious fluid of a woman is located near the cervix so you need like a intentional penetration to be in contact with these fluids and then some kind of damage in the foreskin or a very repetitive push to make the fluid come into the urethra, right?
Doctor, I truly want to move forward now and stop feeling the need to keep doing tests. I've already gone through several last year, and what I need is to hold on to your professional guidance and leave this anxiety behind. I want to trust that I wasn’t at risk and that there's no further reason to worry
I would deeply appreciate one final, detailed response from you to help me close this chapter for good. And since this will be my last post, I want to take this opportunity to sincerely thank both for the incredible work and support you offer. It’s not easy to find this kind of guidance and understanding here in Spain, and your help has truly meant a lot to me
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Edward W. Hook M.D.
1 months ago
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You have received multiple explanations of the no risk nature of your exposures based on our exper3ince and study of scientific data. You do not seen to want to accept these explanations and instead risk is to "image " circumstances including penetration that did not happen. Further, testing is always a personal choice. If testing would make you feel more confident, then test, don't argue. If you test the results will show that you were not infected. This is paranoia and anxiety, not your situation. Final responses:
1 -So it is clear to me that even in the worst case scenario of a brief lubricated penetration with the masseuse, there would be almost no risk and I can continue with my normal life and regular sex with my wife?
Correct. Even in the unlikely circumstance that there was penetration and that the masseuse had untreated HIV there is a greater than 99.9% chance that you would NOT be infected. The chance that the masseuse had HIV is low.
2 - The risk of this situation would be far less than 1% (like 0,04 as CDC says? II understand that being this in Spain that there are few women with this virus although some were latina, and that in theory they are masseuses that do not offer sex although they will have their personal life, would reduce more this % right.? But is it true that not being circumsinded would increase it a little?
Repetitive and correct. See response to question number 1 above.
3 - Yes I totally appreciate your advice based on your own research and experience, so I understand that the most contagious fluid of a woman is located near the cervix so you need like a intentional penetration to be in contact with these fluids and then some kind of damage in the foreskin or a very repetitive push to make the fluid come into the urethra, right?
Correct
End of thread. Please don't worry. If you cannot stop worrying, and that seems to be the case, please consider getting professional counseling about your unwarranted fears. It should be confidential and will help more than returning to the Forum with further questions. I say this out of concern for you, nothing more. There should be no need to return here. Take care. EWH
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