[Question #4702] Fingered and concerned

28 months ago
Drs,  I was at an erotic massage and received a handjob and CWS inserted her bare finger into my anus for about 60-90 seconds.   Only concerned about HIV here but looking for some reassurance that there is NO risk here.  Please help.  Thank you
28 months ago
One other thing, 12 days since incident, other than slight sore throat no fever or rash.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
28 months ago
Welcome to the forum. Thanks for your confidence in our services.

HIV cannot be transmitted by masage, hand-genital contact, or fingering. Sexual transmission requires a penis inside another person's vagina, rectum, or (maybe, only rarely)mouth. There are no exceptions. You were not at risk and do not need testing, no matter what symptoms you might have. On top of this, the large majority of female CSWs do not have HIV.

So no worries, no need for testing. I hope this information is helpful. Let me know if anything isn't clear.

HHH, MD
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28 months ago
Thank you dr for your quick reply.  Two quick follow ups: 1) I can have unprotected sex with my wife with no worries?  2) out of curiosity saw in another post you estimate 1 in 1000 or 99.99% of CSW likely do not have HVI.  Is this really the estimate?  Thank you and I think your services here are really wonderful.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
28 months ago
1) Since you could not possibly have acquired HIV or any STD, of course you can and should continue unprotected sex at home.

2) The figure of 1 in 1,000 (99.9%, not 99.99%) is a fair estimate for female CSWs in most of North America and Europe, although it depends a lot on the type of sex worker -- with probably higher rates in brothel workers, bar pick-ups, etc (maybe an average of up to 1%?) and lower in most escorts, i.e. expensive CSWs by appointment. Also higher rates in some countries. But in North America, 1 in 1,000 probably is a pretty good average. (In industrialized countries, HIV is a lot less common in heterosexual men and women in general than a lot of people assume or than the media may say.)
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28 months ago
Thank you 
28 months ago
Sorry one last one. No STDscan come from fingering?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
28 months ago
Correct -- no significant risk for any STD. (STDs are not just genital area infections that can be transmitted by nonsexual means. The bacteria and viruses that cause them evolved in a way that requires sex itself for transmission, almost always meaning a penis inside another person's vagina, rectum, or mouth.

That completes the two follow-up replies included with each question and so concludes this thread. I hope it has been useful. Best wishes, stay safe, and happy holidays.
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