[Question #2304] Anal fingering with saliva HIV

44 months ago
Hello and thank you for a great service. I apologize beforehand for posting a question you have already answered many times in response to others. I confused the guilt from an act I regretted with the fear of HIV. I have told my partner about the act and I am already less worried about the risk of HIV. Since I have already purchased a question and still need some assurance, I will now post it.
This took place in Sweden. I met a swedish man who regularly has sex with other men, I believe sometimes unprotected. He describes himself as active, indicating he is often the insertive partner. He fingered my anus for about a minute with saliva on his finger. There was some discomfort but no real pain. I touched his penis, but I realize that it is irrelevant. Around this time, before and immediately after, there were strains of blood on the toilet paper when I wiped, caused by nervous stomach and abundant wiping. This is the only risk exposure I have had.

I have already tested negative on gonorrhea and chlamydia in the rectum.

Do I need testing and is there any risk for my partner if I have unprotected sex with her?

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
44 months ago
Welcome to the forum. Thanks for your question.

I think you are mainly concerned about HIV, right? You say you are "less worred" about it, but you have already had reasurringly negative tests for rectal gonorrhea and chlamydia.

First, you cannot catch any STD by anal fingering. Also, saliva rarely if ever transmits STDs and for sure is not a source of HIV infection. Saliva kills HIV, an important reason why HIV is almost never caught by kissing or other contact with partners' mouths. Almost certainly your anal bleeding was the result of minor trauma -- either from the vigor with which you wiped yourself, or possible from the fingering. But that does not significantly elevate the risk of infection. Second, even if somehow you acquired a rectal infection, it would not be transmissible by sex with a female partner, i.e. by contact of your penis with anyone's vagina, rectum, or mouth. That is, STDs don't travel though the body from the site where contracted to other anatomic sites.

So I would not recommend any further testing of any kind on account of the events describe. You can safely continue your usual sexual practices with your regular partner.

I hope this information is helpful. Let me know if anything isn't clear.

HHH, MD

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44 months ago
Thank you for your reassuring words. Yes, I am currently only concerned about HIV. From what I gather from other questions like this one there is no documented case of HIV transmitting this way, is that right?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
44 months ago
Yes, that's correct:  no known cases of HV transmitted by finger insertion into anus or any other body cavity, even if saliva or genital fluids were used for lubrication. No worries!

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