[Question #2328] Hiv risk

46 months ago
Hello doctors, back again, my concern is a month after i tested negatove for hiv and my pregnant wife tested negative as well in her screenings which worried me due to my infidelities which always involved protected hetero sex, last tuesday and friday i visited two massage parlors and received a handjob at the end. The first one worries me because about 35 mins passed approximately since the start of the massage in which she used cream on both hands then started the handjob but she started massaging the area between my testicles and anus, then proceeded to massage my anus which i sincerely had never experienced, im not sure whether se insterted or not her finger perhaps just up to her first joint in her finger... then last friday i received another one from another female with nothing significant, then last saturday i started feeling weird itching and non ithing sensations in my anus and the skin under my foreskin felt itchy as if i had a yeast infection but it looked normal..and yesterday i was a bit drunk and had protected sex and unprotected oral with my regular girl who got tested around the same time as me but she told me she had protected sex with her ex boyfriend about 2 weeks ago....i am starting to freak out again, i checked the condom and the semen was all inside no sign of breakage or punctures. 

1. Can i contract hiv if the woman who touched my anal area if she had someone elses previous semen on her left hand and then touched me? Because i am feeling weird sensations and itching, to reiterate all this happened after about 30 minutes of massaging me with cream.
2. Is it possible to contract and std from a handjob because my inner foreskin feels like a jock itch, no visible lesions.
3. Is my protected sex encounter safe? Condom seemed in tact and stayed on the reason i know is because indidnt want to dispose of it there at her house so i left it on and despite arriving home in a flacid state it was still on however it slipped off easily when i pulled it off, i made a knot and checked for leakage. Should i disregard this encounter?
Edward W. Hook M.D.
Edward W. Hook M.D.
46 months ago
Welcome back to the Forum.  In reviewing your previous visits to the site and comparing this one, it seems to me that you have a personal conflict between your choice to have sexual encounters outside of your marriage and the guilt that seems to follow such encounters.  In your past encounters, as well as this one, you have practiced safe sex with no risk for acquisition of STIs including HIV.  I will answer your questions both in general and specifically but going forward, I would suggest that you seek the help of a counselor who might help you resolve these tensions and related guilt.  With that, let's address your current questions:

1. Can i contract hiv if the woman who touched my anal area if she had someone elses previous semen on her left hand and then touched me? Because i am feeling weird sensations and itching, to reiterate all this happened after about 30 minutes of massaging me with cream.
What you are describing is a no risk event.  STIs never cause infection when genital secretions are transferred from one person to another person on someone's hands.  This is true whether the concern is your partner's genital secretions or genital secretions from someone your partner had encountered earlier.  The amount of time between touching one person's secretions and transfer to you does not matter as these infections are never transmitted on a person's hands. The fact that cream was used does not change this.

2. Is it possible to contract and std from a handjob because my inner foreskin feels like a jock itch, no visible lesions.
No, receipt of masturbation from another person is not associated with any risk for STIs, including HIV.

3. Is my protected sex encounter safe? Condom seemed in tact and stayed on the reason i know is because indidnt want to dispose of it there at her house so i left it on and despite arriving home in a flacid state it was still on however it slipped off easily when i pulled it off, i made a knot and checked for leakage. Should i disregard this encounter?
The encounter you describe was safe.  When condoms fail, it is obvious that this has occurred because condoms breakage is typically obvious with the condom breaking wide open.  In fact, we recommend against checking for condom failure as a waste of time.

I hope these comments are helpful.  None of the interactions you have described place you at any risk for STI, including HIV.  EWH
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46 months ago
You are 100% correct i tend to make bad choices when i drink which is not often and Despite alcohol i am always 100% aware of what i am doing in terms of sexual safety and precaution, however i tend to feel guilty the next day and i tend to have obsessive thoughts about contracting hiv since high school, your comments always help and even then it takes time for me to get over it, i always end up getting tested
Edward W. Hook M.D.
Edward W. Hook M.D.
46 months ago
Understood.  A counselor might help you with this.  EWH
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46 months ago
Im going to try and not let this one mess with me, do you feel certain and positive that my risk was nonexistent and i should let these incidents go?
Edward W. Hook M.D.
Edward W. Hook M.D.
46 months ago
Absolutely.  there is no risk for STIs or HIV from the exposures that you have described.  EWH
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Edward W. Hook M.D.
Edward W. Hook M.D.
46 months ago
This thread has received three replies and is now administrately closed
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