[Question #3270] Follow-Up Question

39 months ago
Dear Doctors, I have started counseling as you suggested for the last two days and it has started explaining my issues and extreme fear of STDs. The emotional issues are much more deeper than I had thought. My counselor asked me to ask a few questions and I will very much appreciate if you can respond:

1. I went for a friends bachelors 5 days back. stupidly again to a strip club and couldn't say no despite, I felt the girls breast and she touched my face. I had a deep shave a day before and my face was irritated with red rashes- she might've touched them. I know you had advised me that it has none, nada and zilch risk of HIV or STD infection - i,e. MeTouching the breasts and her touching my face. My counselor is working with me to ensure that I can say no to these invitations when I don't want to do visit such places - the emotional issues seem to be causing this. Only on day 4-5 of this incident, I had a throats ache, running nose and night sweat. However, I'm feeling slightly better on day 6. Still none, nada and zilch risk of hiv? No need for testing. 
2. Can HIV pass through sweat? I was laying down on my bed and my wife put my 4 month baby on my arm pit while I was sweating. The baby accidentally kissed my arm and the baby had scratched herself on her face a few hours back so might have touched my skin there as well. Any risk?
3. This is one historical question- as you know, 3 years back in Asia I had three encounters with CSW, where she gave me unprotected oral and protected sex. I got tested for everything except hepatitis B. I got hep b vaccine after the two events. It's been three years and I didn't have any symptoms. My skin is more sensitive now a days with occasional red bumps on arms. Is it any risk? My wife and baby are hep b vaccinated. 

I know it's inconvenient for you to answer repeat questions. I'll print this answer and show to my counselor. If possible, please don't delete and close the thread. Your help will see me through and save my personal life. 
Edward W. Hook M.D.
Edward W. Hook M.D.
39 months ago
I'm pleased that you have started to see a counselor and will answer these repetitive questions only because you  indicate that you are seeing a counselor.  I also agree with your plan to print out my responses to these questions  In addition however, I would urge you to print out some of your prior interactions with both Dr. Handsfield and me.  Reviewing these with your counselor may help you and your counselor to help  you.  I suspect you are mixing your personal guilt over your desires to interact with strippers and other persons outside of your marriage with the issue of guilt about STIs.  The two issues are quite different.  With that, straight to your questions:

1.  As you already know (and indicate) there is NO meaningful risk for STI from touching a woman's breast or having a woman touch your face.  STIs are not transmitted in this way. This is an indisputable fact.  The symptoms you describe are those of a cold, which could have been picked up in your activities of daily living.  Sore throat and runny nose are not STI symptoms.  Further, these symptoms could also be either partially, or entirely due to anxiety.
2.    No, STI is not transmitted by sweat.  There are no data to suggest than anyone has EVER been infected with HIV in this way. 
3.   There are no data anywhere to suggest that hepatitis B has ever been transmitted thought receipt of oral sex.  This possibility is not even mentioned in the extensive information presented in medical textbooks about risk factors for HIV. 

I hope these statements are helpful to you and in your counselor's efforts to help you.  EWH
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39 months ago
Thanks a lot, Dr. Hook. This is very helpful. Your suggestion re the counselor was very helpful. One last question, to confirm, from my touching the breast and the women touching my face (there was no kiss etc.) I assume there is absolutely NO risk of HIV? I also do not need to test?
Edward W. Hook M.D.
Edward W. Hook M.D.
39 months ago
Just as for other STIs, there is no risk of acquiring HIV from touching a woman's breast of receiving a kiss, even if that person had HIV which, as you should know from earlier exchanges is unlikely.  EWH
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39 months ago
Thanks a lot, Dr. Hook (and Dr. Handsfield) for your prior response. I visited the counselor with your response and it was very helpful. Apparently, my tendency to get tested after what Dr. Handsfiedl called non-sexual events further breeds my anxiety and leads me to the same conduct - and I'm even scared of shaking hands or kiss on the cheeks now with my friends. I will take your advice and move on. To confirm, from the activity I suggested - (1) me touching breasts, (2) the girl touching my lips and face with her hands (as I described above) are  NO risk events for HIV and I do need testing ? I will restart my sex life with my wife and not worry about the STDs from this prior conduct and will be loyal in future. I will also continue the counseling and will provide you an update in few months. Thanks again. 
Edward W. Hook M.D.
Edward W. Hook M.D.
39 months ago
Your repetitive question is something I would suggest that you also discuss with your counselor.  Repeating the question will not change the answer.  Touching breasts or having a woman touch your lips and face with her hands are no risk events and there is no reason for testing related to these activities. 

This will end this thread.  Take care.  EWH
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