[Question #5207] Brief Oral to Anus Contact

24 months ago
Good morning Dr.’s,

I am returning to your site with a question about a different situation, but similar type of exposure.  Two weeks ago I visited a Korean massage parlor in  Southern California.  It was early evening  and I had been out with some co-workers after a few drinks, not drunk at all, but relaxed when I arrived at the parlor.  The masseuse was giving me a pretty typical massage, and while doing so I began to  fall asleep.  I was stimulated however when I began to feel her mouth around my rear end and getting close to my anus, I did feel a very brief sense of contact on my anus, but pulled away quickly when I realazied what was beginning to happen. I politely told her “no mouth” and she repeated no mouth to as if to say she wasn’t using her mouth.  She returned to the massage and there was no other sexual in nature contact.  If you are able to see my previous threads you can probably tell I have a bit of a fear of HIV, and I believe I know what your responses will be to my questions, but I still would like to get your advice. 

The masseuse appeared to be clean, up kept, and I saw nothing unusual about the appearance of her mouth, no soars, bleeding gums..etc. 

I have no symptoms of any kind regarding any type of sti’s. 

If it was her tongue or mouth that came in brief contact with my anus, Given the nature of this exposure and very short duration would you recommend hiv testing for this event? Once again, I believe I know what your response will be, but hearing it from you would give me much more confidence rather than deciding for myself on what to do. 

Thank you. 
Edward W. Hook M.D.
Edward W. Hook M.D.
24 months ago
Welcome to our Forum.  I'll be glad to comment.  Let me start this reply by pointing out that most masseuses, even those who are also commercial sex workers do not have HIV.  Even if she did and placed her mouth or tongue into your anus, there would be no risk for HIV at all. this was a no risk event and no testing is needed.

I hope that this comment is helpful to you.  EWH
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24 months ago
DR. Hook, 

Thank you for your guidance.  This time, instead of scouring the internet for information I will accept your recommendations and not worry about this incident. 

Thanks again! 
Edward W. Hook M.D.
Edward W. Hook M.D.
24 months ago
Thanks so much for the vote of confidence.  I am sure that the episode you describe encounters no risk for HIV or other STI.  EWH---
24 months ago
Dr. Hook, 

Thanks again for your response. Seeing as I have one more question available, is there any reason to be at all concerned about the masseuse having any kind of gum disease or for any reason the presensce of minute amounts of blood in her mouth?  

 I believe the mouth is an inhospitable environment for hiv, therefore this scenario would not be of any concern, correct? 

Thank you. 
Edward W. Hook M.D.
Edward W. Hook M.D.
24 months ago
You are correct on all counts.  Even if the masseuse had gum disease, an open sore, or other bleeding source there would be no risk at all.  

I hope my responses have been helpful.  As you know with this, 3rd response this thread will now end.  Please don't worry.  EWH
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