[Question #3744] Fingering - blood on finger afterwards

34 months ago
Dear Dres, yesterday, during mutual masturbation I fingered a massage lady very vigorous. Afterwards I realized blood stains on my nailbed/finger. They were not totally covered in blood but it was definitely visible. It freaked me out! I have texted the girl today and she said that she is clean and healthy but still has pain from my vigorous fingering (I apologized!!!). So it could be blood from little trauma rather than menstrual.
My questions:
1) What is my risk for HIV/Hepatitis and STD in general?
2) Do I need testing? If yes, when?
3) Can I have sex with my wife?
I feel devastated. Tomorrow I have to fulfill my corporate responsibilities and I have to go on a business trip on Saturday. Yet, I feel I cannot function! Any advice is very appreciated!
Thanks for what you do!
Kind regards
Karl
Edward W. Hook M.D.
Edward W. Hook M.D.
34 months ago
Welcome to our forum. I'll do my best to help. The event you describe did not put you at risk for HIV, hepatitis, or for other STIs.  Most commercial sex workers do not have HIV, hepatitis, or other STIs and even when they do, exposures of the sort You describe do not put you at risk.   To put this into perspective, please realize that the amount of virus present in vaginal secretions is about the same as present in blood.  Since masturbation of the sort you describe never leads to acquisition of infection, the fact that your masseuse was on her period does not change that. This was still a no risk event.   No testing is needed and there is no reason to avoid unprotected sex with your wife.

In answer to your specific questions:
1.   Please see above. This was a no risk event. 
2.  There is no need for testing.
3.   Also answered above. There is no reason to abstain from unprotected sex with your wife as a result of the event you describe. 

I hope these answers are helpful and will help you to move forward without concern.  EWH
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34 months ago
Dear Dr. Hook,

thank you, that helps a lot!

I felt the need to check upon the figures of transmission probability of blood-born infections (HIV, HBV, HCV). I found that for HIV, HBV and HCV the risk of blood on NON-intact skin is all roughly about 0.1%. 

Are there also figures for INTACT skin or is it truly zero? (My skin was perfectly intact.) I am  a "numbers man", so any info or study on that would really help to allay my fears, I guess and hope. 

I am vaccinated against HAV/HBV and had the series of all 3 injections 10,5 years ago. I did not have the recommended "refreshing" booster after 10 years.

I don`t want to be argumentative and am just trying to break this horrible worry cycle!

Thank you so much for what you do!
Kind regards
Karl
Edward W. Hook M.D.
Edward W. Hook M.D.
34 months ago
I am not aware of figures regarding risk for HIV or hepatitis acquisition from contact with intact skin and would suggest to you that the absence of such figures is because such events are rarely, if ever documented.  As a numbers man, you know that 0.1% is a 1 in 1000 occurrence.  Imagine the sort of study it would take to demonstrate that transmission due to contact with intact skin is just 10 times less likely (it is probably rarer still).  Further consider that most commercial sex workers and masseuses do not have HIV or hepatitis.  This is simply not a realistic concern.

I would also add that since you are vaccinated for hepatitis B, even without a booster, you need not worry about risk for this infection.  EWH


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