Hi doctors, I am a Singaporean male that recently received a massage from a female masseuse. After the session, she gave me a handjob. No sex or oral involved and she had her underwear on. During the handjob, she sucked on my nipple and gave me it a soft bite. It hurt a little so I asked her to stop. Post-massage shower, I looked at my nipple and there were no visible scars or blood.

Biting is one of those possible routes of transmission of HIV that seemed to make common sense during the earliest years of the world wide HIV/AIDS epidemic, before any research was done on actual transmission risks. Since then there have been a small handful of cases apparently acquired by human bites -- fewer than 5 among the millions of infected people over the last 45 years. Those cases involved large amounts of visible blood in the biter's month and severe, traumatic bites causing significant injury. But among the millions or billions of "love bites", tooth injuries during oral sex, skin bruises from skin sucking ("hickies") over those same 45 years, no HIV infections are known. For sure the very minor possible tooth injury you had could not pass HIV. You also describe a partner who is extremely unlikely to have HIV.

You really needn't be worries. There is no need for testing; and if you have a regular sex partner, you can safely have unprotected sex without putting them at risk for HIV (or any other STI).

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD

Thank you for the assurance, doctor! It really is appreciated from someone who tends to overthink.

One question on your sentence "describe a partner who is extremely unlikely to have HIV". The masseuse did offer sex but I declined. Assuming that she does have sex with other clients, why is it unlikely that she has HIV? I am trying to understand what makes a person likely to have HIV so that I can be more informed.

Thank you!