[Question #7609] Fingering with my finger had big cut

26 days ago
Dear Dr. I has a stupid encounter as I have asked for massage service and I was so careful when the lady arrived I have noticed that she is sex worker I was careful as the whole process I was wearing my underwear but at the end of the massage, my finger thump had a serious cut the day before meeting here and was continued to bleed but during the meeting I don’t remember my finger was bleeding but the cut was open. She used my hand to rub her virginal area and unfortunately I used one of my finger to finger her like sex act .. unfortuallt I was so so stupid of doing such thing it was like for five min and I could feel her liquid but I don’t know if her liquids tocuched my cut in the thump finger. I could not sleep yesterday thinking of this encounter I have not used my penis and I was the whole process wearing my underwear , what is the chance of getting STI and HIV. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
26 days ago
Welcome to the forum.

Before even reading your question, I have this reassuring reply based on the title you created:  Nobody in the world has ever been known to acquire HIV (or any other STD) from fingering or other hand-genital contact. Could a "big cut" on the finger make a difference? Maybe, but only a minor issue.

How I have read the question itself. A cut a day previously is suffciently heated that any HIV risk is gone. Same for other STDs. Nobody gets HIV sexually without insertive sex, i.e. an unprotected (no condom) penis inside a partner's vagina or rectum. (Even oral se xis no risk for all practical purposes.) The same is true for all other STDs.

Bottom line;  No risk for HIV, no need for testing, and if you have a regular partner, you can safely continue your sexual relationship.

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

HHH, MD
---
26 days ago
Dear Dr Hunter, thank you so much for your kind and swift reply. Your work is truly and highly appreciated. The cut on my finger is 2 cm in length and kind of deep that the day before was bleeding heavily but on the day of this encounter it was not therefore I did not have any tape or wound protection. Also during this stupid encounter I did not insert that finger but other one and I could feel her fluids on my hands I am very scared and so sorry of this as it should not been done .. so you think i should not be tested for HIV or other STI ? Should I resume my normal life with my regular partner? I don’t want to put my regular partner in any danger. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
25 days ago
Thanks for the additional information. It doesn't really change my thinking about this. You don't know your sex worker partner has HIV; there has never been a known case of HIV being acquired because of exposure of any wound of any size or depth, except by medical personnel who get injured while caring for HIV infected partners; and a day old wound probably is pretty well sealed off. And as I said in my initial reply, there has never been a case of HIV reported to have been acquired by fingering. Can I imagine there is slight risk of HIV with a cut such as you describe? Sure. But all this suggest that any risk is so small it can safely be ignored. Pretty much the same deal for allother STIs.

But of course you are free to be tested if it would stop you from worrying about this. Many (most?) anxioius persons are more reassured by negative lab tests than by professional advice, no matter how expert it may be. If somehow I were in your situation, I wouldn't be tested and would continue sex with my wife without worry -- but I'm not you and I can't make that decision for you.
---
25 days ago
Thank you so much dr hunter for your usual quick and firm feedbacks, I have read many of your feedback and we are so lucky that we have an access to communicate with person like you.. before I conclude my part I don’t want to sound picky and asking the same question many times so a day or so 36 hours like is enough to like create a protective layer on my finger and prevent if any viruses in her liquids enters? Also the injured finger was all the time outside as we see from some of the reply the virus will die if exposed to air ? Is this correct. I will trust your recommendation for not going for anything and testing and resume my life as normal. I am correct ? 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
25 days ago
Thanks for your kind comments.

There has been very little research on this, mostly limited to simple studies done many years ago, showing that HIV doesn't live long on surfaces. But there is little hard science about susceptibility of wounds to HIV as they heal, so I cannot say whether air exposure, the early healing process (with a "protective layer"), or some other factor may be important. What we know is that no infections are known to have occurred -- which is why nobody feels it necessary to spend money, time and energy on such research. In other words, we know the fact of no transmission and can only make educated guesses about the biological reasons, and if you read innumerable questions and our replies on this forum, you'll see it's almost always the questioner who asks about air exposure, drying, etc -- and not our replies to such questions. In any case, since there's little or no risk, why be concerned about the reasons?

That completes the two follow-up exchanges included with each question and so ends this thread. Thanks again for the thanks; I'm glad the discussion has been helpful. Take care and stay safe.
---
---