I hope you're doing well.
I wanted to ask for your expert opinion on a possible HIV risk. On January 7, I received a handjob and breast rubbing (with massage oil) from a masseuse. She wore pants the whole time, had no visible hand wounds, and there was no genital-genital contact or penetration. However, I worry that if any breast milk — possibly expressed from her nipples at that time — mixed with the massage oil, it may have touched my urethra during the breast rubbing.

I tested HIV Ag/Ab negative at 31, 51, and 116 days after the event.

1. Do I face any HIV risk from this situation? 

2. Would these negative results be considered conclusive even if this were a high-risk exposure?
3. Does the HIV Ag/Ab test always rule out infection if negative after the window period of 6 weeks or 90 days?
4. Have you ever seen or heard of anyone getting HIV this way?

Thanks so much for your time.

2. Would these negative results be considered conclusive even if this were a high-risk exposure?

Yes, your results are absolutely conclusive.

3. Does the HIV Ag/Ab test always rule out infection if negative after the window period of 6 weeks or 90 days?

Yes

4. Have you ever seen or heard of anyone getting HIV this way?

No, I have never seen nor heard of someone acquiring HIV from an exposure of the sort you describe.

I hope that his infoormation is helpful.  Please don't worry.  EWH

Thank you for your reassuring reply. I also really doubt the masseuse was lactating—there were no signs of recent childbirth, no visible milk, and the way she acted (proactively rubbing oil on her own breasts and letting me ejaculate on them during the breast rubbing) makes it seem even more unlikely. She also gave my penis a quick check before starting, which shows she was being careful about hygiene.

Just for peace of mind—could you please explain why, even if some breast milk had come into contact with my urethra, there still wouldn’t be any risk of HIV transmission?

I’m based in Malaysia, and my HIV Ag/Ab tests at 31, 51, and 116 days post-exposure were conducted using the CMIA method at a JCI-accredited laboratory. 

1. From everything I’ve read, the 51-day result is already considered 100% conclusive, and the 116-day test was probably unnecessary—just added absolutely  confirmation that I wasn’t infected. Could you please confirm if that’s correct?

2. Even if I had experienced a truly high-risk exposure like a needlestick injury or unprotected receptive anal sex (which I didn’t), would my results still completely rule out HIV?

Thank you again for your time and expertise!

Thanks again for your support — it really means a lot.

Just to clarify: when I mentioned "breast rubbing," I meant intermammary sex — my penis was massaged between the masseuse’s breasts with oil, and I ejaculated. Some breast milk may have been present.

1. Would that change your assessment?

Given that this act carries no HIV risk, and that my Ag/Ab tests at 51 and 116 days conclusively rule out infection — even in high-risk cases — can I confidently say:

2. I do not have HIV,

3. There are no health consequences (I also tested negative on a full STD panel),

4. And I can fully move on, put this behind me, and live as though it never happened?

I really appreciate your time and guidance. Thank you again.

Sorry, I just remembered a few more details — mainly about my wife’s symptoms.

Thanks again for all your help. Just to add — I had unprotected sex with my wife on Jan 19. When I got tested for HIV at days 31 (Feb 7), 51 (Feb 27), and 116 (May 3), I also did syphilis tests (RPR/VDRL) at the same time — all done via blood draw at a clinic, and all were negative. My wife had one HIV Ag/Ab and RPR/VDRL test via blood draw at the clinic on Feb 27, which was also negative. She had a 3-day fever starting around March 15, 1–2 days after returning from a cold country on an overnight flight. She also had some mild diarrhea, possibly from taking two tablets of amoxicillin. The fever went away after taking Uphamol (paracetamol).

Given all this, can I confidently say I don’t have syphilis or HIV, and that I didn’t pass anything to her? And have you ever seen or heard of someone getting syphilis from the kind of contact I described?

Really appreciate your time.