[Question #13981] hand job hiv risk
 |
1 months ago
|
Hello, eight days ago I received a masturbation service from a Chinese woman at a massage parlor in Barcelona. During the service, she licked my nipples. All the actions involved receiving a hand job and licking my nipples. 1. I'm wondering if this exposed me to STIs, especially HIV and syphilis. I'm really anxious. 2. I'm a little nervous that if she had any bleeding wounds on her hands, could it be transmitted through my urethra, small wounds on my penis, or the foreskin mucosa? 3. Six days after becoming anxious, I went to a clinic and had an STI test, which came back negative. Do you think I need to continue testing for HIV and syphilis? I just want to alleviate my anxiety. Do you think getting tested after 14 days will ease my concerns, or should I wait 45 days?
 |
H. Hunter Handsfield, MD
1 months ago
|
Welcome to the forum. Thank you for your confidence in our services.
You needn't be at all worried; were not at risk for HIV or any other STI. Your questions are among the most common we receive; using the forum's search function, I just found the term "hand-genital contact" or the word "saliva" in a few hundred questions. Neither kind of contact has ever been scientifically documented to transmit HIV between sex partners. Gonorrhea has been transmitted by kissing, but only by prolonged, open-mouth, "tongue" kissing and not by social kissing or licking the nipples or any other part of the body. Similarly, syphilis can be transmitted by prolonged oral contact, but not by the events you describe.
Those comments pretty well answer your three numbered questions, but to be explicit and assure no misunderstanding:
1. No, these events did not risk any STI, including HIV and syphilis.
2. If you think about it, there must have been billions of kisses and hand-genital contact in the presence of wounds or cuts -- and still no known cases actually transmitted.
3. For the reasons discussed, of course I am not surprised by your negative test results. However, they may have been done too soon after the event. Exactly what tests did you have.
4. Testing after 14-45 days: If somehow I were in your situation, I would not be tested at all and I would continue unprotected sex with my wife without worry about infecting her. However, testing can indeed have reassurance value even when there is no risk. If my advice has convinced you there's no risk, don't have further testing. But if you're going to remain worried, lose sleep, etc I would advise a urine gonorrhea/chlamydia test any time (if not already done at 6 days); and blood tests for HIV and syphilis at 6 weeks. (For HIV you could have an HIV RNA PCR test, which is conclusive after 11 days. But that really would be overkill in this situation.)
Really, don't worry about this. Don't confuse possible shame or anxiety over a sexual decision you regret with STI/HIV risk from the event. They aren't the same!
I hope the comments are reassuring and otherwise helpful. Let me know if anything isn't clear.
HHH, MD
--- |
1 months ago
|
I went to the clinic that day, and they had me tested for four infectious diseases (probably syphilis, HIV, hepatitis B, etc.) and then gave me a hepatitis B vaccine. They also did a urine test (but I don't know exactly what that tests for). I want to ask if it's possible to rule out HIV if I take an HIV test at 14 or 28 days?
|
H. Hunter Handsfield, MD
1 months ago
|
Urine probably was for gonorrhea and chlamydia.
What did the clinic say about how risky your exposure was?
You'd better have another details discussion with the clinic, if you decide to continue with further tests. As discussed above, I don't see any need for the tests you already had, let alone any further tests.
--- |
1 months ago
|
The clinic said the risk is very small, but I'm probably just being too anxious. I've seen a lot of information online saying it's risky because the urethra and foreskin mucosa can be infected even without breaking the skin. I'll get tested on the 28th day. But actually, if this behavior is risk-free, then a test on the 6th day would put my mind at ease. My last question is, since this contact is considered external contact (blood, secretions), will they immediately lose their infectivity (within 1 second?) after coming into contact with air? And is the reason this behavior doesn't cause infection because blood or secretions enter the body through a wound (urethra, cuts, wounds) and cause fluid exchange?
|
1 months ago
|
Because I felt dizzy and weak these days， maybe I was worried too much.
|
1 months ago
|
By the way， I have my blood test In UK. It should 4th test
|
1 months ago
|
In this website，I also found an answer like this，which means even the hands are bleeding ，there is still no risk for hiv？ is this true？
|
H. Hunter Handsfield, MD
1 months ago
|
What we know about the kinds of contact you had is that nobody ever catches HIV. The time til the virus dies is only one factor; but probably it's a lot longer than one second. The main reasons it isn't transmitted are that infection requires exposure to large amounts of the virus, far more than can be transmitted by such contact; and the virus must have contact with certain cells that for the most part are deep inside the body. (Even when an infected male ejaculates semen loaded with HIV deep in a woman's vagina, there's only one chance in a thousand she will be infected.)
---
---
"Dizzy" and "weak" often go along with anxiety.
Still no risk even if the hands are bleeding.
That completes the two follow-up comments and replies included with each question and so ends this thread. I hope the discussion has been helpful; you really should not be worried at all -- you had an entirely safe contact. Best wishes and stay safe.
---