[Question #4729] STD transmission from blood on finger

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80 months ago
Hi Dr,
I get STD tested once a year for everything and my last negative test was 3 weeks ago. I see about 6-8 different high-end escorts and maybe 20 Asian massage girls a year. I never have sex with massage girls just kissing rubbing and fingering. I always wear a condom with escorts for penetrative sex. 

About 2 hours ago I saw Asian massage girl and I kissed her, licked her nipples and I also fingered her. I never tasted blood from kissing her or licking her nipples, but I did taste a little sweat and saliva. The whole kissing, fingering licking lasted about 3-5 min. After I ejaculated I put my hand on the massage table and noticed there was blood on the white sheet of paper over the bed. The blood was not from my finger it was from the girls vagina that got on my finger. I did at one point grabbed her tits not her nipples with both of my hand in between fingering, but never saw anything different like blood on her tits. I'm not 100% sure if my finger touched her nipple, but I'm usually very attentive to things like my wet finger touching her nipples.  She sprayed water with a little rubbing alcohol on my finger which I used and there was no stinging and I also washed my hands with soap and water before I left. When I came home I poured 70% rubbing alcohol on my whole hand and did not feel any stinging. There was very little stinging on my knuckle top of my index finger but no visible cut. 

Can I get any STD from my episode I described because there was blood involved???

Thank You
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H. Hunter Handsfield, MD
80 months ago
Welcome back to the forum. Thanks for your continued confidence in our services.

Skin contact with blood carries no risk of HIV. Fingering, hand genital conact, kissing (including contact with breasts and nippes) is risk free for HIV and all STDs. This was an entirely risk free event. The risk of HIV or STDs from sex with a condom is much higher risk for HIV and all STDs than this sort of thing. It's good you always pursue safe sex (even if condoms sometimes fail, as discussed in one of your earlier threads), which is the important thing. Because of your chosen lifestyle, with at least occasional sex with commercial sex workers, you should get regular STD/HIV testing (urine for gonorrhea/chlamydia, blood tests for HIV and syphilis) from time to time, like once a year -- even if there are no condom failures. But the additional sorts of contact you describe here, blood or no blood, are absolutely zero risk.

So no risk, no worries, no need for testing on account of these events.

I hope this information is helpful. Let me know if anything isn't clear.

HHH, MD
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80 months ago
Thanks for the fast reply Dr. HHH, 

I got paranoid because of the blood I saw.  I was in high school in the 90s during the height of HIV subject was being talked about everywhere and I was scared straight in school about HIV. I do get the 10-panel test once a year, but if anything happens this website helps me calm my nerves with real logical knowledge. 

Thank  you again 
Merry Christmass 
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H. Hunter Handsfield, MD
79 months ago
Health education in many (most?) schools often over emphasizes blood as a source of HIV infection. Certainly blood is a source, but not with casual or superficial contact. And when you're speaking of a sexual context, blood contact make no difference. The amount of HIV in genital fluids is just as high as in blood. For example, unprotected vaginal sex with an infected woman who is menstruating is no higher risk than without obvioius blood.

You might want to rethink your annual 10 test panel. Some of the tests on it are a waste of money given what your sexual lifestyle seems to be. You might save a few dollars by limiting testing to urine for gonorrhea/chlamydia and blood tests for HIV and syphilis. If I were in your situation those are the only tests I would do.

Anyway, I'm glad to have helped. Happy holidays.
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