[Question #4442] Foot fetish

29 months ago
Hi Doctor,

I went to a massage parlour a few weeks ago and sucked the toes/feet of the massage girl.

I am worried about  HIV on the basis that if she  had any cuts on her toes/feet and if i had cuts in my mouth at the  same time.

I do not remember if she had any open wounds on her feet but i assume not as i would of noticed it at the time (assuming there will be allot of blood involved).

If she had any cuts/wounds, could the small amount of blood get into my mucous membrane if my mouth?

I also sucked the breast of the girl. Is this a risk?

Please advise if i am anything to be worried about regarding HIV and if i should be tested.  A nurse at the STD clinic in Sydney said i did not need to worry so i had unprotected sex with my wife. My wife is also breastfeeding at the moment.

I got a rash on my back that is quite itchy. Not sure if that is relevant to you

Thanks.

Regards,
Help23

Edward W. Hook M.D.
Edward W. Hook M.D.
29 months ago
Welcome to our Forum.  I'll be glad to comment.  Bottom line, the activities that you describe were no risk for all STIs including HIV.  Ingestion of blood, other material which might have been on your partner's feet or breast secretions would not lead to HIV. They never have despite millions of exposures of this sort.  HIV is transmitted only through unprotected ano-genital sexual contact or injection of infected material deep into tissue.  The antibodies and other chemicals present in the mouth and saliva would inactivate any virus which might be present.  I agree with the nurse you spoke with.  No risk, no reason for testing.  Also no reason to abstain from unprotected sex with your wife.  

I hope this comment is helpful to you.  EWH
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29 months ago
Thanks Dr Hook!
Really appreciate your reply.
One question, why is there a risk of HIV from a giving an unprotected blowjob  but no risk if you get some blood in your mouth from sucking on toes/feet that might have cuts/sores present? 
Edward W. Hook M.D.
Edward W. Hook M.D.
29 months ago
Unprotected, active fellatio leads to DIRECT inoculation of infected material into the back of the throat and, presumably the tonsils.  OTOH, Ingestion of blood or infected material results in indirect exposure.  Whether you like this explanation or not however, the FACT is, there has NEVER been a case of HIV proved to be caused by ingestion of bloody material, breast milk, or infected material.  You will not be the first.  EWH---
29 months ago
Thanks so much!