Dear Dr Hook, i previously asked a question re fisting and HIV transmission, which you kindly answered.

Welcome back to the Forum.  Before I address your question I should point out that Dr. Handsfield and I take questions interchangeably and it was simply a chance event that I happened to get your 2nd post.  That said, I remember your earlier questions and while I applaud your concern for your wife, my assessment has not changed.  Certainly there is a tiny possibility that HIV was spread through the fisting that your received from the CSW but it remains most unlikely and is not a transmission mechanism that has been proven to occur.  Virtually all HIV infections have been and are spread through either unprotected, direct sexual activity or injection/infusion of contaminated blood and blood products.  Rectal douching, even years of it, are not likely to have altered your vulnerability to HIV.  Further, as we have already mentioned, it is unlikely that your partner had HIV to start with.  It is far, far more likely that your wife's dermatologic problems and the lump you describe are unrelated and possibility due to something that you have picked up in Laos.  My advice remains as it was before, get an HIV test- when it is negative, you will know both that you do not have HIV and that you wife's problems are not related to your sexual/fisting exposure with the CSW about two months ago.  EWH
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Dear Dr Hook,