I am a married male and due to some drinking had a lapse of judgment and visited an agency escort. I tried to be safe and hope I was but need to be sure so am here. I asked the escort to put on a condom which she did on me but I'm unsure if she had some vaginal fluids on her fingers when she did. I told her I didn't want to have intercourse but just covered oral, lots of French kissing, me fingering her and me rubbing my covered penis outside her vagina and ass. She also licked my testicles which was uncovered.

1. Could she have transferred any HIV or any other STI when she put the condom on me due to vaginal fluids on her fingers?

2. Can french kissing transmit HIV or any Sti ?

3. Should I be tested for anything realistically or did I not have any risk whatsoever?

4. Would it be safe to resume unprotected sex with my wife without passing anything on to her or should I wait to be tested first?

5. When I sucked her breast I tasted some fluids which I assume was breast milk. Can that transmit HIV?

Neither HIV nor other STIs are transmitted by kissing, or by contact with genital fluids by hands or other indirect contact. How the escort applied the condom makes no difference in the aero risk. To your specific questions:

1) No risk -- see above.

2) No risk from kissing. (There has been recent media attention to a theory that gonorrhea might sometimes be transmitted by open-mouth kissing. However, most STI experts disagree there is any risk. If it happens at all, it is rare except maybe in men having sex with men.)

3) There is no need for testing for anything on account of this event.

4) You can safely continue unprotected sex with your wife. That's what I would do if somehow I were in your situation.

5) There is no risk of HIV from such minor contact with breast fluid or milk.

I hope these comments helps ease your concerns. Let me know if anything isn't clear.

HHH, MD

Is there any HIV or Sti risk in that situation?

How many days following exposure is a gonohrea and Chlamydia urine test accurate? I'm in Canada and I read on the clinic site that it is accurate 2 days after exposure but I recall reading elsewhere that it should be 5 days post.

Also with a the rapid Insti blood prick test is the window the same as a lab test - 99% at 4 weeks and 100% at 6 weeks?

Yes, the window is the same for all AgAb blood tests, lab based and rapid. Even more than for gonorrhea/chlamydia tests, the only reason for HIV testing is for reassurance from the negative result, not because of actual risk. As long as you're being complete, however, you should also have a syphilis blood test. There are no home self tests for syphilis, so you should plan on lab based blood tests for both HIV and syphilis at 6 weeks.

In the 14 years I have been doing this an a previous online forum, with thousands of questions like yours, not one person ever ended up actually being HIV positive. You won't be the first, If and when that finally happens, it will be someone with a real risk, not a trivial exposure like yours.

That completes two follow-up questions and replies and so concludes this thread. I hope the discussion has been helpful.