[Question #13401] Nipple sucked
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1 months ago
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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.
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H. Hunter Handsfield, MD
1 months ago
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Welcome to the forum. Thank you for your confidence in our services.
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
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1 months ago
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Just as this mouth to nipple expsore was new after testing,
.Just to be absolutely clear — there’s no chance that HIV or STIs can be transmitted through oral contact with nipples, even if there was vigorous sucking?”
“Do I need to worry about any infections at all from this kind of activity, or is it completely safe?”
“Are there any situations with nipple or skin contact where risk would exist, or is it always zero?”
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H. Hunter Handsfield, MD
1 months ago
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Just to be absolutely clear — there’s no chance that HIV or STIs can be transmitted through oral contact with nipples, even if there was vigorous sucking?” Correct.
“Do I need to worry about any infections at all from this kind of activity, or is it completely safe?” Completely safe.
“Are there any situations with nipple or skin contact where risk would exist, or is it always zero?” If the oral partner had active herpes or syphilis involving the oral cavity, these could be transmitted. But this is exceedingly rare if it occurs at all.
Accept the reasoned, science-based advice you have had. It's pointless to look at trivially risky exceptions. And please no more questions that ask to repeat what I've already said!
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1 months ago
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Thanks, doctor. This really helps ease my anxiety. Actually I got worried after a nipple-sucking incident, so I went to see a general medicine doctor and explained it to him. He immediately asked me to get a full STD panel test and said he would prescribe medicines based on the results. He mentioned that anything is possible and brought up concerns like micro-tears on the nipple and oral health factors, which scared me. However, I felt it might be too early to test and, since it seemed like a low-risk activity, I decided to skip it. Did I make the right decision? Also, the doctor didn’t even check my nipple for any injury — he just suggested the STD panel.
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H. Hunter Handsfield, MD
1 months ago
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Your doctor apparently is ultra conservative or he does't understand STD risks. You made the right decision.
Over forty years ago I had a patient with new herpes of both nipples and at other sites of vigorous oral contact from a sex worker, including two slightly injured spots on his neck ("hickies"). But it's the only such case I have ever seen, and if you don't develop blisters or sores of the exposed nipples within a week, you'll know you were not infected.
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1 months ago
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Thank you very much for your guidance. For peace of mind, I went ahead with testing at day 10 (counting the day of exposure as day 0) — a full STI panel and HIV RNA PCR — all came back negative / non-detected. I understand you meant testing wasn’t really needed this early, but are these results still considered reliable for this timing? Also, just to confirm, when calculating the window period, should the day of exposure be considered day 0 or day 1? Do you feel there’s any value in repeating the RNA PCR at day 14, or would you consider this matter closed?
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H. Hunter Handsfield, MD
1 months ago
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The general advice about HIV RNA PCR testing is conclusive at 11 days, so you were tested a day early. However, 10 days probably is conclusive as well. Exposure is day zero. I considered "the matter closed" before testing and definitely it is closed now.
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That completes three follow-up comments and replies; normally we accept only two. So this ends the thread. I hope the discussion has been helpful. Best wishes and stay safe.