Doctor, I’d like your advice on my risk for HIV and whether I need any further testing, based out of india

On July 1st, I had a body-to-body massage with dry humping (both of us wearing underwear/spa wear) and received oral sex with a condom. About 60 days later, I tested for HIV antibodies and syphilis, and both results were negative.

A couple of days after that test, I went for another massage. During this session, I received a hand job, and the masseuse briefly sucked my nipples. She mentioned she was wearing a thick, matte, waterproof lipstick. Afterwards I noticed some redness on my nipple. Even after two washes, the redness was still visible, but it resolved within a day or two. I did not notice any bleeding at the time, although there was some mild soreness. I do not know her HIV status, and she declined testing.

My questions are:

1. Does this type of contact pose any risk for HIV transmission?

2. Do I need to repeat any HIV or STI testing?

3. Is it safe for me to have unprotected sex with my wife now, or should I wait until further testing is done?  Will you advice RN test on which day for this. Last Sunday was the exposure person licked, sucked my nipple.

Initial response to the title you chose for your question:  oral contact with nipples, breasts, or skin anywhere on the body has no STI or HIV risk for either partner. If you had oral contact with a partner's nipples, or if a partner had oral contact with yours, you have no worries. 

Now I have read the entirely question. The answers are pretty much the same. With very rare exceptions, HIV and other STIs are not transmitted if there is no intercourse. Other than a penis inside a partner's vagina, rectum or mouth, body touching etc doesn't transmit these infections. Hand-genital contact is risk free. I imagine the redness on your nipples was lipstick; and vigorous oral contact (sucking) could cause minor pain. These are not symptoms that suggest HIV or STIs.

Those comment pretty well cover your three questions, but to assure no misunderstanding:

1. Does this type of contact pose any risk for HIV...? No, none at all.

2. Do I need to repeat any HIV or STI testing? I would have recommended against the tests you already had; they could not have been positive. The negative results are conclusive and no further teasing is necessary.

3. Is it safe for me to have unprotected sex with my wife...? Yes it is. You do not need testing on account of the recent oral contact with your nipples.

Don't give these events another thought in terms of HIV/STI. You were not at risk and could not have been infected. All is well. I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD