Im married guy from israel who trying to do only safe things when its outside my marriage (not proud about it and trying to stop with this.) All im doing is massages with handjob at the end  and in few cases protected oral sex. Before 2 days i had a different event. I engaged with Russian csw in tel aviv israel (she's tourist and russian citizen) she gave me massage and fingered my anus for few minutes, she gave me unprotected oral and i licked her anus for maybe 2 minutes. I didn't saw ant sores or blood in her anus, but i have some small cut in my mouth. Im really afraid about hiv, i know about other risks. I don't know her hiv status but i asked her to do only safe things. 

Today i talked with a local hiv clinic and they told me i have nothing to worry about and they not recomend any testing. But the guy who talked to me isn't a doctor so im not sure about it. I will be gald to hear you're opinion. 

Do you think it is possible to catch hiv from event like this?

Is it safe to do sex with my wife.

Do  i need to wait 4 weeks and test for hiv?

Thank you.

I agree exactly with the advice you received at your local HIV clinic. First, even though HIV is relatively common in Russia, often acquired heterosexually or by shared injection equipment, it is also true that the very large majority of sexually active Russian women don't have it. And even if she did, there has never been a proved case of HIV transmission oral to penis. (A few men over the years have suspected that's how they were infected, but virtually all of those were men having sex with other men.) Hand-genital contact is risk free, and there also are no reported cases of transmission by analingus (oral-anal sex). By far your highest risk from the activities described is a gastrointestinal infection, if your partner happened to be carrying a GI virus, for example. Be on the alert for the next 1-2 weeks for illnesses with nausea, vomiting, or diarrhea.

For those reasons, I see no need for HIV testing or for you to discontinue unprotected sex with your wife. (If I personalize things, if somehow I were in your situation, I woudln't be tested and would continue sex with my wife.) 

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD

Just to be clear, you mentioned rates of hiv among russian woman's. She is A sex worker, so i guess the rates are higher among woman's like her, i dont think she's a drug user. Is it change something?

Sorry for been snoozed. But im still nervous.

This is my last question. 

Thanks again, realy appreciate you're kind answer.

As for low vs theoretical risk, I disagree with you. There has never been a known case of HIV transmitted oral to penis. But I believe it can occur. Whether you call that "low" or "theoretical" is purely in your mind; there's obviously no important difference.

Above I said you do not need to be tested for HIV. From a medical standpoint, that remains true. However, I recommend you be tested anyway. It is obvious that my reasoned, science-based advice is not helping you understand and believe you were not infected. I hope a negative test result will achieve that goal. Be assured that I suggest testing strictly for reassurance, not because you are at risk. You are not.

That completes the two follow-up comments and replies included with each question and so ends this thread. If you remain concerned, I suggest you carefully re-read the entire discussion. But pelase don't return to ask the same questions again. There's nothing more we can add. OIK?