Let me start by thanking you for your last comments on my previous questions, and as usual you were right... I found a lab that does the 4th gen test (p24 antigen as well as the antibodies) and my test was negative...

As i was under severe stress for the last 2 months i decided to loosen up after the test and went to get a massage ... 

I went there and asked for a full body, got a shower and layed down and the girl came and started massaging me. As u know i had the Keratosis Pilaris rash on my thighs and legs, it was burning while she was rubbing with oil. I have a lot of pimples on my back too. They always pop up when i get massaged and blood come out. In the middle of the massage she accidentally hurt her hand with the bed/cart while sitting on my back and blood came in contact with my bloody pimples. She stopped wiped my back with tissues and went out to stop the bleeding with alcohol. Then she came back and asked me if i wanted a happy ending, i was shocked as i thought it was only a reputable massage place... and the anxiety of Hiv came directly through my head !!! 

I really can't live that hell again it's frustrating how these things only happen with me...

My questions are :

1-Will oil on my back deactivate hiv as it is fragile ?

2- Is it possible to have a transmission this way ?

3- do pimples and small dots give access to the bloodstream?

4- do i need another test now ?

Thank you a lot for your help and very sorry to keep bugging you with my mess

You needn't worry at all about this additional exposure. First, the chance your masseuse had HIV is low. Even if she is consider a commercial sex worker, most likely less than 1 chance in a 100 and probably under 1 in a thousand. Second, nobody has ever been known or even suspected to have caught HIV by the sorts of contacts you describe. Without shared injection equipment or unprotected sex (penis inside vagina or rectum), there is no HIV risk. Period, no exceptions known. That she might have bled, or that her blood might have contacted your pimples, are not known risks. To your specific quetions:

1) I don't know whether massage oils inactivate HIV. It seems possible, but I can't say more. But for the reasons above, I don't think this matters.

2) I suppose such transmission might be "possible", but as explained above, no such exposures have ever been reported to result in HIV and any risk is extremely low if any at all.

3) Again, in theory the answer is "maybe". But no known events, so too low a risk to worry about.

4) For sure no HIV testing is needed on account of these events. I really don't think you should be at all worried about it.

I hope this has helped. Best wishes--  HHH, MD

It's an honor too that you're replying to my post...

I've followed tons of your and Dr Hook's replies.

Just to get the facts straight, as i'm getting married and already did the Hiv test as informed earlier, that's a No risk scenario and i can move on without any doubt of infecting my beloved one at some point ? Should i forget about this matter and move on or there's some kind of risk and it's better to be safe ? Of course my questions are based that the masseuse was hiv positive.

One more thing, i thought that pimples and small cuts never give access to the bloodstream as they're superficial and not deep and that hiv dies immediately when in contact with air or other liquids. (that's only for my info).

Thanking you again for your great help, much appreciated.

"Should i forget about this matter and move on" YES "or there's some kind of risk" NO "and it's better to be safe?" BUT YOU ARE FREE TO BE TESTED IF YOU WOULD FIND A NEGATIVE TEST WOULD GIVE YOU MORE CONFIDENCE ABOUT IT

Your comment about the reasons for low risk by contact with pimples and superficial cuts probably is accurate. At least we know that no such cases of HIV transmission have ever been reported.

Thanks for the thanks. I'm glad to have helped.