[Question #3040] Hiv worried

41 months ago
Hello doctor!
Im 37 male from tel aviv israel, im married.
Yesterday I had encounter with transexual woman prostituefor some 15 minutes. It was included mutual masturbation. We both masturbate each other but only me ejaculate.  and our penis for minute or two was hold together by her. I dont thing she ejaculated at all but it possible that pre cum touched my hand or my penis,  My concern is because im suffering from very dry hands and I have some small visible cuts on my fingers, so maybe her pre cum had contact with those cuts. I dont know for sure about her status. But I think she hiv positive. Because when I asked her, she answered that her personal helth is not my business cause what we done was 100 percent safe. 
I very worried, cant stop thinking about it and dont know if its safe making sex with my wife. 
The encounter wasn't included penetrate or oral sex at all for sure! . Just masturbation and body to penis rubbing.
Would be happy to hear youre opinion - 
Do you think the activity I described is safe for hiv?
Do you see medical reason for test to hiv?
Can I forget about this case and move on included sex with my wife?
Thanks alot!

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
41 months ago
Welcome to the forum. Thanks for your confidence in our services.

There has never been a reported case of HIV transmitted by hand-genital contact or fingering, even when one partner was known to have HIV -- and I will point out that despite your suspicion, you don't know your partner was infected. Even if she was, you really needn't worry:  if you think about it, dry skin, rashes of the hands, and nicks and cuts of the fingers are very common, so there must have been billions of such exposures to HIV infected persons -- yet no known infections. In other words, your partner is correct that what you did indeed "was 100 percent safe".

As for testing, from a medical or risk perspective, it isn't necessary. However, you are free to be tested if my analysis and opinion don't settle things for you. Certainly I would not be tested if somehow I were in your situation, and I would continue unprotected sex with my wife without fear of infecting her with HIV (or any other STD).

The only thing I would add is that I can understand why your partner's response about her HIV status is concerning. In the event of similar events in the future, you should discuss HIV status with your prospective partner before the event, not afterward. Still, the fact is that even if she has HIV, you were not at risk and really needn't be worried about it.

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

41 months ago
Thanks for toure quick answer. 
I appreciate youre advise. I will try to gorget about it, youre answer is made me relieved.
Thank's again.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
41 months ago
I'm glad to have been of help. Thanks for the thanks.---