[Question #13655] Dr. Hook Please Help Me Decide If I Had An HIV/HEP B or C Risk
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1 months ago
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Dr Hook,I am a married man and have always been faithful to
my wife and was drinking a couple nights ago after a fight with her and did
something very stupid. I met a woman online and visited her. I'm now in great
fear and can hardly sleep. I will list the things that happened below. Rubbed her vagina over her underwear it was a bit wet,We made out for 10 min (I do have
Gingivitis and my gums tend to bleed often,She rubbed my penis on top of my boxers (it may have touched her),I sucked on her breasts for 10
min,She sucked/nibbled on my finger,I removed my
penis from my boxers and masturbated Myself. After that we talked and I left, I
asked her if she had other sex partners and she told me she just got divorced 2
months ago and has slept with 3 different guys unprotected in the last month
because she is single and dating.One other thing I cannot get off my mind is
that after I finished masturbating, I looked at my hands and saw a streak of
blood on my pinky finger about 1/4'' wide x 2'' long (it was dry at that point,
but was defiantly blood). I showed her and asked if she was bleeding, she
showed me her hands and she had absolutely no blood on her that I could see,
then my mind goes I went to the gas station before getting to her house and I
am betting I got that blood off from the gas pump or the store door handle. My
concern is that whoever the blood belonged to, it wasn't mine and I just
finished masturbating myself with that hand for 10 min or so. I didn’t
use any lube it was just dry masturbation with the blood on my finger.
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Edward W. Hook M.D.
1 months ago
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Welcome to our forum. Thank you for your questions and your implied confidence in our service. I’m pleased to be able to assure you that the activities and events you described were virtually no risk for acquisition of STI including HIV. Despite having had three other recent partners, I would anticipate that it is unlikely that your partner had any STI and her risk for having HIV is a small fraction of 1% at most. Even if she did, however, the activities that you describe, making out, rubbing your hands over her vagina which was wet with genital secretions and rubbing/sucking her breasts are all no risk activities. Similarly, no matter who’s blood was on your hands when you masturbated, was a no risk event. Without penetration contact with blood or genital secretions is not associated with any risk for HIV.
I see no reason for concern and no scientific reason for testing. My advice is to move forward and enjoy your holidays without concern. If any part of this advice is unclear, please don’t hesitate to use your up to two follow ups for clarification. EWH
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1 months ago
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Appreciate the response and hope you had a great Christmas. Could you please further explain how masturbation with a good amount of an unknown person's blood on my finger from a gas pump or anywhere else isn't at all a risk for HIV? It's not that I do not believe you, it's that I am curious. I of course have anxiety over the blood on hand situation probably more so than the other incidents. How about a risk of Hep B/C? (It must have been a good amount to leave a solid streak down my entire pinky). In my mind, it seems that continuously rubbing it in to my penis or the possibility of having the blood mix with my precum and ultimately getting into my urethra would be a concern.
Also, the open mouth kissing that happened while I had bleeding gums.
Furthermore, I spoke with the woman again before receiving your response and she went and got a 4th Gen. P24 Lab based test which was negative (But, she had the 3 different unprotected sex encounters with guys in the recent weeks before meeting me 6, 3 and 2 weeks prior). I know you said no risk, but would the test be helpful for my anxiety purposes. Other than the explanation on the blood, I had no risk of getting HIV/HEP at all during my encounter. Sometimes hearing it again helps with the extremely anxious mind.
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Edward W. Hook M.D.
1 months ago
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Brief responses:
There is global agreement among experts including the CDC, the WHO, and peer experts that exposure to blood and or genital secretions during mutual masturbation is a no risk sexual activity. Some of the reasons include that with transfer of secretions the concentration of pathogens is diluted at least 10-fold and that pathogens loose their infectivity on exposure to the environment. The longer the duration between the secretion entering the environment and exposure the lower the risk, if there is any to start with. Furthermore, experience with and observation count and there are no proven infections due to the sort of encounters you describe.
If your partner had a negative 4th generation test, there was not virus present. Persons with negative 4th generation tests do not transmit infection.
One follow up remaining.
EWH
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1 months ago
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Appreciate the response. These will be my last confirmation questions as I am out of follow ups.
1.Did you mean that no matter when, during the "Window Period" If the 4th Gen Test Is Negative. No Transmission To Others Is Possible? (Not sure if it was a 4th Gen test but was a lab draw and called HIV 1&2 Antibody P24 Antigen)
2.Would I be at risk for HSV From the Deep Kissing, I have started feeling a strange numb/irritation sensation on my inner lip and mouth, I didn't see any visible sores on the lips of the woman, but a what looked to be pimple on her chin? I also have a sore taste bud on my tongue; would these be early development symptoms?
3. Should I worry about HPV from this encounter?
4. Absolutely no risk of HIV/HEP/STDs from random strangers' blood on my finger while masturbating?
5.Would the cold temp 30-38 degrees F change how slow the virus in the blood would become inactive if it came from a gas pump or door handle? (Would the cold temps keep it active longer)
6. I do not expect to do anything like this again, am I 100% okay to sleep with my wife again unprotected? I didn't want to give her anything of course. I've been a bit hesitant to even kiss my her as I wouldn't want to give her anything.
I know that this will be my last follow up and I really do appreciate all of your help.
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Edward W. Hook M.D.
1 months ago
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Final responses
1.Did you mean that no matter when, during the "Window Period" If the 4th Gen Test Is Negative. No Transmission To Others Is Possible? (Not sure if it was a 4th Gen test but was a lab draw and called HIV 1&2 Antibody P24 Antigen)
The "window period" is hugely overblown by the internet. Persons without detectable virus cannot transmitted HIV. If the p24 antigen and the antibody test in a 4th generation test is negative, that person cannot transmit HIV
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2.Would I be at risk for HSV From the Deep Kissing, I have started feeling a strange numb/irritation sensation on my inner lip and mouth, I didn't see any visible sores on the lips of the woman, but a what looked to be pimple on her chin? I also have a sore taste bud on my tongue; would these be early development symptoms?
HIV is NOT tranmitted by deep kissing. A pimple on your chin is NOT a sign of HIV nor is a sore taste bud.
3. Should I worry about HPV from this encounter?
This should not be a concern. Seen numerous past threads on the Forum with HPV in the title.
4. Absolutely no risk of HIV/HEP/STDs from random strangers' blood on my finger while masturbating?
Do you really think the answer will change because you repeat your question? No risk.
5.Would the cold temp 30-38 degrees F change how slow the virus in the blood would become inactive if it came from a gas pump or door handle? (Would the cold temps keep it active longer)
Oh please. No!!!!
6. I do not expect to do anything like this again, am I 100% okay to sleep with my wife again unprotected? I didn't want to give her anything of course. I've been a bit hesitant to even kiss my her as I wouldn't want to give her anything.
There is no reason to abstain/avoid unprotected sex with your wife
This thread is now complete. You are worrying entirely too much. Time to move forward. Have a happy New Year. EWH
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