[Question #7780] Nipple licking and hand job

27 days ago

Hello Drs, I hope you are doing very well and healthy.  A friend of mine currently having the same issue with even less risky encounter he is going to get married by 22nd of April and he have been worrying about a case that happen just few days ago where someone ordered him a Good bye to single massage service and he said no intercourse happen, they had shower and she have gave him hand Job. Then later on during the massage he was wearing the underwear and she was fully naked. he liked, kissed and sucked her chest and nipple heavily. He got panicked and started skipping work he could not sleep or eat well because of this issue. He also thinks seriously of postponing his wedding arrangements to have time for testing, he read in the internet that breast feeding milk can transmit HIV but he don’t remember tasted anything. I explained to him based on my understanding that this is no risk and I offered him to ask the experts on his behalf. 

1- Can you please confirm my understanding that this is not a risk at all and no need for any testing whatsoever as no STD including HIV can be transmitted even if we assume that she is positive. 2- What is the odds that this man will get infected by any other STI/STD ? 3- can you please give him an advise to ease his mind of not worrying ( not sure if this is possible) ?

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
27 days ago
Welcome back, but I'm a bit surprised. Whether on behalf of a friend (or really your personal concerns?), these questions were answered in our previous discussion two weeks ago. Perhaps not the exact details, but pretty close.

It would be really dumb of anyone to postpose a wedding on account of the events described. Breast milk?  A theoretical risk in regard to sexual activity. When babies are nursed by HIV infected mothers, only a minority become infected after 6 months of swallowing a few ounces of mild every day. Any risk from a tiny exposure like you describe is zero for all practical purposes. To your specific questions:

1) I confirm no risk for HIV.

2) Also zero risk for other STDs.

3) All we can do is provide scientific facts and advice. Anxious or worried persons are on their own to use that information; we are not psychologists or mental health professionals. If your friend (or you) remain concerned, professional counseling may be in order.

HHH, MD

---
27 days ago
Dear Dr. Hunter, 

Thank you for your fast reply as usual and comprehensive review, i am over already my case and practicing my life as normal with my regular partner and I actually have had therapeutic massage today for back problems. I will be sharing your answer and just FYI- I have already shared couple of questions talks about the same subject that were previously answered here & as a favor I have asked this time to help him reduce his anxiety level as your firm answer with facts helped me a lot mentally.  also, please note that we have very low understanding to sexual life practices and I have seen many people who have major issues understanding how STI are being transmitted including myself. do you know that still some people have the understanding that barber shop can transmit HIV and STD's? still people have suspicious mind with respect to massage services in general and SPA's including me before its being well clarified.  
His concern was not the breast milk but it was one of the factors he searched for, but the hand job, kissing/ sucking the nipples, and the skin to skin contacts. believe me if this is still me I would have go for testing as the encounter I had already passed 8 weeks or more.  so basically the reason for him not to worry about this incident is that there is no fluids exchange (including breast milk), no intercourse, no oral sex and all his activities mades were mouth saliva on her body and semen on her hands so there is nothing to be worried, she actually need to be worrying about herself, correct?

this actually the last thing, you may answer this part and you can Kindly close the threads. 

Regards, 


H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
26 days ago
I'm well aware of the low level of STD/HIV awareness in some countries, ethnicities, etc -- it's very evident from innumerable questions on the forum, many of them much like your own.

Your summary statement ("So basically the reason...") is exactly right.

Threads are normally closed after two follow-up exchanges or 4 weeks, whichever comes first. I'll close this one, but I'll give it 2-3 days in case something else comes to mind. (But only for clarification of the original question, not something entirely new!)
---
26 days ago
Dear Dr. Hunter,
thank you so much for your kindness, well some more information would be very helpful:
1- will the shampoo/ soap helps in not transmitting STD's all types if under shower hand job was done? 
2- can human papilloma virus (HPV) be transmitted via hand job and what is the symptoms incase happen?  
3- will towels transmit any STD's or massage sheets? 
4- will STD's passes through micro skin cracks or non fresh cuts or fresh cuts? 

thats all, thank you again so much. 

Regards, 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
26 days ago
Certain infections are called sexually transmitted for good reason. They are not simply infections that happen to involve the genital area and that can be transmitted by any genital contact. People get STDs ONLY by sex with infected persons, meaning direct genital-genital, genital-anal, or genital-oral contact. Usually it requires penetration, although once in a while an STD may be transmitted by close genital cotnact without penetration. No other sexual practice (kissing, hand-genital contact, fingering, massage, body rubbing, etc) ever transmits any STD, and neither do towels, shared toilets, eating utensils, bathrooms, or kitchens. All this remains true regardless of cuts or scrapes that may be exposed. Just remember these facts -- and you will have the answer to any other quesitons that may arise, both now and any time in your life going forward. 

As those comment simply, the answer to all 4 of your new questions above is that there is no risk. Also, shampoos and soaps instantly kill all STD bacteria and viruses.

Please note that repeat questions on the same topic are not permitted. This being your third, it will have to be your last:  repeated similar questions may be deleted without replly and without refund of the posting fee. Thank you for your understanding.
---