[Question #5691] Nipple licked - STD / HIV?

19 months ago
Dear Doctor,
Please help me with my below query. First, i'd like to update you that i did my Hiv test at 3 months from previous incident this week and the result was negative. 
Coming to my query, I was very frustrated with the whole experience and thought the best way to take out the stress is to go for a massage. I really did not intend for any sexual favours, as I know the consequences. I went to the same massage parlor. I was assigned the same lady (from previous incident) to do my massage as there was no one else available. I did not give her any hints and asked her to give me a normal massage. We were having a friendly conversation, just then she licked my right nipple in an attempt to arouse me. I asked her to stop and immediately washed the nipple with soap and water. The licking was for 1-2 seconds max using her tongue and I dont think her lips touched my skin, although I'm not sure. I made it clear again that I did not want any sexual activity and asked her to continue with the massage.
This happened yesterday. Now I'm feeling anxious that I may again run the risk for Stds like Hiv, herpes and syphilis.
Please advice me doctor. Do I need to take Pep for Hiv? Am I at risk for any STIs?
Edward W. Hook M.D.
Edward W. Hook M.D.
19 months ago
 Welcome back to the forum although I am sorry you found it necessary.   In my previous answers to you I have answered these questions. It is statistically unlikely that the masseuse who you interacted with had HIV. Even if they did however HIV is not transmitted in saliva or by licking the nipples.   The same is true for other STI's. This was an entirely no risk event and there is no reason for concern, no reason for testing and certainly no reason for PEP.

 I believe you have a misunderstanding of how HIV is transmitted. HIV is sexually transmitted only through penetrative sexual activity, not by licking touching or masturbating. 

 I am must also warn you that the forum has rules against repetitive, anxiety driven questions. Your repeat questions fall into this category. Should you continue to ask questions of this sort the questions may be deleted or not answered with a response  and without return of your posting fee. I hope you will understand. Take care and please don't worry EWH
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19 months ago
Thank you Doctor, and I'm sorry you found my questions to be repetitive. I thought that my situation was different this time, as I was the receiver of the lick and the saliva was on my nipple for sometime, till I washed it. This act was totally unexpected and she didn't ask me before doing it. More than worry, I was not feeling good about the whole situation and the first thing that popped in my head was - I'm in trouble again, and I didn't even ask for it.
Before putting this question, I even checked some of the online responses which stated low risk for herpes and syphilis and very low possibility of Hiv (cuts or sores).
I'm being more cautious because I'm planning to start my family. I was seeking your response for risk assessment and to understand what can I do about it.
Thank you for the response doctor. I'll take it that this was a no risk situation and I don't need to worry or test for any STI including Hiv.
Edward W. Hook M.D.
Edward W. Hook M.D.
19 months ago
 I'm glad to hear that my reply was helpful to you. I would like to offer a word of caution as well. The Internet is not your friend here. Much of what is seen at the on the Internet is incorrect -some of it is out of date, some of it is taken out of context,  some of it is hypothetical, and unfortunately some of it is just plain wrong. For an anxious person such as yourself the best advice I can provide is for you to stay off the Internet. Take care. EWH ---
18 months ago
Dear Doctor,
While I'm trying my best to move on and get back to my normal routine, I struggle to do so because of some symptoms which come up time and again. I feel fatigue, weakness and slight fever at times. Few symptoms that bother me the most are the hot sensation in sole of feet at night, strained eyes and trouble in sleeping. 
These could be due to the fear which i still have or some underlying disease. So I've decided to get tested at 6 weeks to put an end to my fears.
I understand that your next response will be the 3rd and final one. I hope to not put any anxiety driven questions on this forum in future. But, there is one question which I would like you to answer before closing this thread.
Q. Lets say the therapist had Hiv. Would I still not be at risk if she went on licking / sucking my nipple for a long time, without a break or tear in my skin?

Edward W. Hook M.D.
Edward W. Hook M.D.
18 months ago
As pointed out above, this will be the final response, not only for this thread but for your continuing questions related to non risk events as well.  My sense is that you are influenced by some combination of guilt and anxiety over your actions.  Testing and worrying about diseases/infections that you are not at risk for is not going to change this.  In addition to urging you to stay off the internet, I would also urge you to talk these concerns through with a trained counselor or therapist.  You are over reacting and understanding how to address this problem is something that a mental health professional will be far more helpful in addressing than testing for STIs or HIV that you are not at risk for.  I say this out of concern for you, nothing more.  

The symptoms you describe are entirely non-specific and not those of HIV or any other STI.  Fatigue, "weakness" and "hot sensations" on the feet are not suggestive of STI but certainly could reflect depression or anxiety.

Having your nipple licked and sucked, no matter how long or intensely is not a risk for HIV or any other STI.

Please seek counseling.  This ends this thread.  EWH
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