[Question #4742] HIV Scare

27 months ago

Hello Dr.


I went to a massage parlour and the girl there gave me a hand job, this is my only encounter and niether vaginal nor oral sex is involved. I have been worried about the possible risk encounter from then.


1). If the lady had a cut on her hand and then gave me a handjob would that transmit the hiv.


2). Should I take PrEP medication since the exposure is less than 72 hours? Does it have any side effects.


3). Will I be able to get PrEP medication on walk-in basis or appointment is a must. I live in Seattle.


4). I am worried if I keep wife at risk if I have sex.  


Sorry for being naive but the circumstances are forcing me to post these questions

Edward W. Hook M.D.
Edward W. Hook M.D.
27 months ago
Welcome to our Forum  I'll be glad to comment and provide some more general information.  There was no risk whatsoever from the event you describe.  STIs, including HIV are not transmitted to others through masturbation.  this is true even when partners get each others genital secretions on one another during mutual masturbation end no matter whether either or both partners have scrapes, cuts or sores on their hands. Still no risk at all.  There has NEVER been a case of HIV transmitted through masturbation- penetrative sexual contact is required to transmit HIV.

In addition, I will point out that most masseuses do not have HIV, nor do most commercial sex workers and exotic dancers.  With this background, I'll address your specific questions.
 

1). If the lady had a cut on her hand and then gave me a handjob would that transmit the hiv.

No, still no risk.


2). Should I take PrEP medication since the exposure is less than 72 hours? Does it have any side effects.

There is absolutely no reason for you to take PEP (not PrEP since that is an acronym for Pre-exposure Prophylaxis) because of this event.  If I were seeing you as a patient and you asked for PEP under these circumstances, I would refuse to do so.  I should add that both PrEP and PEP are rather expensive and do have some side effects (mostly GI upset)


3). Will I be able to get PrEP medication on walk-in basis or appointment is a must. I live in Seattle.

See above.  You do not need PEP.  If you wish to be seen by a knowledgeable clinician, I would suggest you go to the Seattle-King County STD Clinic at Harborview Medical Center (I used to work there, Dr. Handsfield still does), which is one of the world's best and most progressive STD Clinics. 


4). I am worried if I keep wife at risk if I have sex.  

Your wife is not at risk, there is nothing to worry about.  There is no reason related to the episode you describe to abstain from unprotected sex with your wife.


I hope these comments are helpful. Please don't worry.  there is no risk associated with the episode you have described and no need for testing of any sort.  EWH

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27 months ago
Hello Dr.

I started to feel irritation on penus head and it might be because of the exposure. My worry is if any of the scrapes /cuts /sores of the masseuses comes in contact with sore irritated part of my penus, am I at risk. in this case should I get tested. 

Apologies for the lack of understanding on this.
Edward W. Hook M.D.
Edward W. Hook M.D.
27 months ago
As I said above, IF the masseuse had cuts of scrapes on her hands which came into contact with you during her masturbation of you there would still be NO RISK for acquisition of any STI.  There is no need for testing related to the exposure you have described.  

The irritation you have noticed may be that you are focusing on your penis, looking for symptoms.  This can cause you to notice normal sensations that are normally overlooked.  EWH
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