1) First and perhaps most important, even unprotected oral sex carries little or no risk for HIV. There has never been a proved case of HIV transmission mouth to penis. Based on stories told by people who thought that's how they were infected, a calculation by CDC indicated the risk of receving a BJ by an HIV infected partner was 1 in 20,000. That's equivalent to receiving BJs by infected partners once daily for 55 years before transmisison might be expected. Second, HIV is rare in even the most sexually active women; it's fair guess that there is under 1 chance in a thousand your maseuse had HIV. On top of all that, plastic wrap is a very effective barrier -- in fact, it's more or less the same as polyurethane condoms, which provide an equally good barrier as latex condoms do. For sure you should not seek PEP after such an exposire, and no doctor should agree to prescribe it even if you ask for it.

2) Oral sex is also low risk for most other STDs. And with the plastic wrap (which obviously did not rupture, since it contained your semen) the risk was even lower. Could there have been some small risk during the part of the unprotected exposure before the plastic? I suppose so, but extremely low. I really woudn't worry about it.

3) HIV and other STDs are harder to transmit than you seem to fear. Such fleeting contact is entirely risk free. The STD bacteria and viruses evolved to require much more intimate contact for transmission, almost always involving insertive sex. No risk at all for HIV or anything else.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD

Is any testing warranted? Or could I just move on without any testing and concern?

Thanks.