[Question #6369] HIV transmission risk from handjob using saliva as a lubricant

14 months ago
Hello Doctors, 

About a month ago I visited a strip club in downtown Toronto where I received a hand job from a stripper after a private dance. The stripper spat directly on the head of my penis in order to lubricate. I was inebriated at this instant. However, I stopped her and wore my clothes back (without wiping the penis). I guess my anxiety got the better of me. I left the place immediately after that. For some reason I am worried sick from this encounter and cannot seem to focus. I have no flu like symptoms till now. My questions to you are as follows: 

1. Is there a risk it transmission of HIV in this way ie. Saliva landing on the tip of my penis.? 

2. Does the presence of blood in her saliva add to the risk of HIV transmission? 

3. Can I continue unprotected sex with my regular partner? 

4. Speaking from a medical and/or scientific standpoint, do you recommend testing for HIV? 

Thank you and have a lovely day! 
Edward W. Hook M.D.
Edward W. Hook M.D.
14 months ago

Welcome to our Forum.  I'll be glad to comment.  There is no risk for acquisition of HIV or other STIs from receipt of masturbation.  This is true irrespective of what is used for lubrication, including saliva.  Thus the fact that she spat on your penis does not represent a risk factor at all.  FYI, although it did not occur in your situation, the fact is that even mutual masturbation, in which both participants get each other's genital secretions on one another is also a no risk event for HIV.  Thus, bottom line- no risk, no need for testing of any sort.  specific answers to your questions are below:


1. Is there a risk it transmission of HIV in this way ie. Saliva landing on the tip of my penis.? 
No risk whatsoever.

2. Does the presence of blood in her saliva add to the risk of HIV transmission? 
Even if there was blood in her saliva.  Still a no risk event.

3. Can I continue unprotected sex with my regular partner? 
Nothing you have described suggests any reason to abstain from unprotected sex with your regular partner

4. Speaking from a medical and/or scientific standpoint, do you recommend testing for HIV?
There is no need for testing related to the exposure you have describe. 

I hope these comments are helpful. EWH
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14 months ago
Thank you so much for the quick response. 
After I submitted the question, I looked through this forum and found others in similar situation as mine and read your replies to them as well. 

It's just that when I looked through the internet for answers and called a few helplines, I told that the presence of blood in saliva changes the 'body fluid' situation and that got me nervous. 

So to reiterate, even if there was blood in her saliva it doesn't put me at any risk at all. Correct? 
14 months ago
And I can set this matter safely behind me, and you do not recommend any testing whatsoever. Right? 


Edward W. Hook M.D.
Edward W. Hook M.D.
14 months ago
Yes to both questions.  No risk, even if there was blood in her saliva.  No need for testing for the events that you have described.  EWH
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14 months ago
Thank you for the prompt replies doctor. Have a lovely day! 
14 months ago
Just one more question Doctor. I am uncircumcised. Does that change your assessment of my risk in any way? 
Edward W. Hook M.D.
Edward W. Hook M.D.
14 months ago
While circumcision does somewhat reduce the risk for acquisition of a number of STIs, it does not change my assessment or advice.  Even in uncircumcised men, there is still absolutely no risk for HIV related to receipt of masturbation and this is true even if there were blood in the saliva used for lu rica tigon-still no risk.  No need for concern, no need for testing.  

Time for you to move on without concern.  Really.  EWH
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14 months ago
Thank you Doctor.  
Edward W. Hook M.D.
Edward W. Hook M.D.
14 months ago
This thread is being closed following provision o f three replies.  EWH
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