[Question #4853] HIV fear from fingering,oral and kissing

28 months ago
Dear Drs I am a male from Dubai , Recently I had engage with sexual activities with one of the girl whos HIV status is unknown and she is not a Sex worker. The activities includes I fingered her vagina I got blood on my finger and she said she got her periods , I had no cuts on my finger , we had a open mouth deep kiss for seconds and close mouth kissing and later she gives me  massage on my penis and do blow job means i insert my penis in to my mouth .after 20 days I had complete blood count  all values are normal except lymphocytes was slightly high as 3.7 where normal range was 0.99 to 2.99 , the Dr. said the CBC is normal , but  will this indicate new viral infection .  WBC was in normal range but close to high value and LYM is high as 3.7 , will my above activities poses HIV risk espcially fingering during periods and got clear blood on finger and deep open mouth kissing and un protected oral I cummed on her mouth too .
Edward W. Hook M.D.
Edward W. Hook M.D.
28 months ago
Welcome to the Forum and thanks for your question.  I'll be glad to comment.  I will go into detail below but the summary statement is that these were no risk activities and there is no reason for concern and no need for testing.

To provide more detail, first let me point out that HIV is rare in Dubai and when seen 75% of cases are seen in men- thus it is unlikely that your partner had HIV.  Even if she did, the activities you describe are not associated with risk for HIV.  Even if they are infected, there is no risk of infection from masturbating a partner (inserting your finger into her vagina) - this is true whether or not there is blood contact.  There is no more blood in menstrual blood than there is in non-bloody genital secretions.  Similarly, there is no known risk for HIV from open mouth kissing or from receipt of oral sex -there are no proven cases of infection acquired with either activity.

finally, CBC blood tests are not useful even to provide clues for HIV.  That your lymphocytes were slightly high is non-specific and is not a clue to HIV.

Thus, as I said, I see no reason for concern and no need for testing of any sort.  I hope this information is helpful to you. EWH
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28 months ago
Dear Dr , Thanks for your Valuable comments and I would like to point one one more thing is that when I receive the blow job I ejaculated in to her mouth , will that change the risk factor , Since you are not recommending for the test I believe I can live my normal life and have sex with my living partner with out worry .and no need for testing  and move on the life is that correct .
Edward W. Hook M.D.
Edward W. Hook M.D.
28 months ago
 Your ejaculation into her mouth in no way changes your risk for infection.   I agree that there is no reason for testing related to the exposure you describe and would encourage you to move forward without concern. EWH ---