[Question #3045] Massage parlor accident

41 months ago
He’ll Doctors. I made a lapse in judgement last week(nov 27) and visited a massage parlor. She rubbed me and then had me turn over. She proceeded to masturbate me. This does not worry me. What does worry me is that she stuck her finger in my anus. She did not use any type of protection but did use lubricant of some sort. I am worried that she may have had a cut or a bleeding cuticle or something that could have exposed me to HIV. This week I tend to have an upset stomach and tend to be thinking about it quite a bit. No fever no rash but an upset stomach and I'm very worried 

1) how worried should I be about this incident and the possibility of acquiring HIV this way.?
2) do I need to be tested, and if so when?
3) my mind is going crazy taking my short-term pleasure may have given me a lifelong problem. I appreciate your Insight and explanations and suggestions. Thank you
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
41 months ago
Welcome back to the forum.

Hand-genital contact and fingering are not risks for HIV transmission. The anal fingering event was no more risky for HIV (or any other STD) than just having a massage, with or without masturbation. And upset stomach is not a symptom that suggests a new HIV infection.

So you should not be worried at all and do not need testing for HIV or anything else on account of this event.

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

HHH, MD
---
41 months ago
Thank you very much for your reply. Yes from what I have read from YOU on the internet as well as others is that this is a no risk situation. What i cant wrap my head around is the fact that she inserterd her finger into me and if someway she had a cut or bleeding cuticle. That is what really worries me. I'm sure that nobody would intensionally put a bloody finger in you, but possiblely she may not have noticed.  So a few clarifications. 
1) even if using lubricant and she had a small cut on her finger on cuticle that could have had blood on it, you would still say no risk? I didn't see any but I could be wrong and missed it. 
2) can you tell me the timeframe of ars, how quickly one would see symptoms, what they are, and how long they would last?
3) would there be any reason to have an early detection test (rna)?
4)is there ANY reason to be worried at all about this encounter?

Thank you very much
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
41 months ago
Think this through logically. Obviously there must have been billions of anal fingering episodes over the years, and millions involving HIV infected persons; and cuts or nicks of the fingers, or cuts that bleed, are very common. So there must have been millions of fingering events by HIV infected people with cuts etc. And still no HIV infections known to have occurred from fingering.

1) It's unlikely she would finger someone if her finger were sore or bleeding, but still no risk if she did.

2) Symptoms and timing of ARS are readily available online. Often no symptom at all. When overt ARS occurs, generally onset is 10-20 days, typically with sore throat, fever, lymph gland inflammation/enlargement, and/or generalized non-itchy skin rash.

3 and 4) No.

---
41 months ago
I definitely get all your  information and take it to heart. There is just a TON of information on ARS out there and I wanted to know YOUR thoughts on it. 
1) would you please give me your insight on that?(ARS)
2)is it true that with stress, allot of epinephrine is exuded and that could be the reason my stomach is all upset?
3) lastly, is there ANY reason as related to THIS incident, where I should refrain from sex with her?
I know this is my last allowed submission. 
Thanks for your insights. 
41 months ago
I'm sorry..I may have missed your edit on your last response or just plain overlooked it.
1) Regarding ARS, usually what percentage of people get it and is 7 days usually too early?
2)is it true that with stress, allot of epinephrine is exuded and that could be the reason my stomach is all upset?
3) lastly, is there ANY reason as related to THIS incident, where I should refrain from sex with her? You would proceed with unprotected sex without worry?
I know this is my last allowed submission. 
Thanks for your insights
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
41 months ago
1) Roughly half of newly infected people have ARS, the rest without symptoms.
2) I don't know the physiologic mechanism of GI upset from stress. I suppose epinephrine might be part of it.
3) No, no reason. If there has never been a known case of HIV from fingering, do you really fear you will be the first? If I were in your situation, I would continue sex with my wife without worry. Also, you might be interested to know that in the 14+ years I have been answering forum questions on HIV risk, with thousands of questions, not one person has turned out to have HIV from an exposure they asked about it. You won't be the first in that category either. If and when that heppens, it will be from a real, established risk (like unprotected sex with a known infected partner), not a trivial risk of the sort you have described.

That indeed concludes this thread. Don't be tempted to start a new one about the same exposure. As explained in your last thread several months ago, it would be deleted without reply and without refund of the posting fee.

Best wishes and stay safe, as you apparently have done so far.

---