[Question #7734] Hiv risk from fingering CSW

 
22 days ago
Hello Doctors

Firstly thank you for your service.

I had protected oral an vaginal sex with a prostitute. And I engaged in fingering her vagina. After the act I washed my hands. In the car I applied some hand sanitizer,  and observed that I had a very small lasceration on my index finger from biting my nails the day before, or some hours before, I noticed it because it stung when I put the hand sanitizer on. I have read many of your answers about masturbation, but crazy is what crazy does and I wanted to know if I should be worried about HIV and that the lasceration stung when I put some alcohol on it. Is that an indication of the fact that it could reach deeper and into my blood stream. One fact that I feel that I need to state is that the fingering wasn't inserție, more a clitoral massage. I would not threat had it been not for the sensation of burning on my index finger. The lasceration had a red dot in the middle, most probably blood that coagulated. Of course I understand that the CSW might not have HIV, but better to be on the safe side, and put my crazy mind at ease.
Thank you again for the wonderful service.
Edward W. Hook M.D.
Edward W. Hook M.D.
22 days ago
Welcome to our forum and thanks for your question. From your post it also appears that you have taken the time to read other posts on the forum. Thanks for that as well. Our goal is to leave those posts available to readers add to serve as a source of information.

The exposure that you describe was an absolutely no risk of it. There are no instances in which HIV has ever been documented to be acquired from masturbation of an infected person, even if there are relatively fresh, open cuts on the hand which are is in contact with the partner’s general secretions.  There is no reason for concern at all and no reason for testing. 

I hope this information is helpful to you. Please don’t worry. EWH
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17 days ago
Thank you doctor for the reply it has put my mind at ease. Given that you better understand the following subject can you please explain why a combo hiv screaning test is not 0. I have had a screening test, a few months back, not related to the activity that I have described, it came back negative but the value was not 0. It was 0.09 and below 1  it's a clear negative, but why isn't it 0. I tried to find out the information online but couldn't find it. Below the test specifications
Anti HIV 1+2 and Ag p24 - Chemilum kit A 1 cant

Again thank you for this awesome service that you guys provide and clearing up the information that is online. I live in a country where we were "scared right" when it comes to HIV, so this is the reason for my anxiety. It has been inoculated through years of school programs and TV adds and much more.
Edward W. Hook M.D.
Edward W. Hook M.D.
17 days ago
Biochemical and immunological assays typically have some background "noise" which is reported out as part of the quantitative results.  All values in the negative range however are truly negative and are known to fluctuate a bit on a day to day basis as a result of the assay performance. Your assay's negative result is totally normal and should not worry you in the least.  Believe your results and focus on the fact that the assay is negative.  Please do not worry about fluctuation of test values within the negative range.  EWH---