[Question #8399] Nipple bitten doctor HHH
45 months ago
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Dear doctor,
I went to a massage palour. Got a massage with the therapist wearing gloves. Only handjob with gloves. No sex. No Anal, no vaginal and no oral.
The therapist sucked my nipples and bite it. Slight pain I felt. I stopped and reached home. I examined my nipples. I am unable to find any blood or any cut (I don't know any minor cut was there or not). Imagine if there is a cut.
My questions
1. Am I at risk of getting hiv? Or whether it is "no risk"?
2. Whether I need HIV testing?
3. You might have seen lot of patients. Have you ever seen any case like this turning to positive in your experience?
4. Can I have unprotected sex with my wife?
5. Other than penetrative un protected sex, it is impossible to get Hiv from nipple biten (with or with out blood)?
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H. Hunter Handsfield, MD
45 months ago
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Welcome back to the forum. Thank you for your continued confidence in our services.
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You may have forgotten your own statement after Dr. Hook answered your previous question a couple years ago. That exposure was similar to this one, and at that time you wrote "Now I understand that adults will get HIV only by penetrative sex (unprotected) and needle injury and not through any other mode."
In particular, oral contact with skin anywhere on the body, including nippes, has never been known to transmit HIV. And although a bite by an HIV infected person has been assumed to be risky since the earliest days of the AIDS epidemic (i.e. in the 1980s), I am unaware that any HIV infection actually has ever been acquired by biting. If it happens, it is exceedingly rare. And certainly cannot occur with a bite that doesn't even break the skin.
Those comments prety well answer your questions, but to be assure no misunderstanding:
1. Zero risk.
2. I do not recommend testing for HIV or anything else.
3. See comment below.
4. Yes, you can and should continue unprotected sex with your wife.
5. See above.
No. 3 is a meaningless question. I've never had a patient struck by lightning. Does that lower your risk of being struck? I've also never had a patient who had HIV after an exposure like yours. So what? Perhaps more interesting to you, in the 16 years of this and our earlier forum, with thousands of patients fearful of having caught HIV, nobody has yet turned out to be infected. You will not be the first. If and when than happens, surely it will be from a truly high risk exposure, like unprotected vaginal or anal sex with a known infected partner.
So here is no chance you have HIV -- Please don't worry! Let me know if anything isn't clear.
HHH, MD
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45 months ago
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Dear sir,
Thank you for your reply.
You have almost cleared my doubt. Regarding the bite, when I examined my nipples after the incident, I did not notice any blood but that part was little painful. I don't know whether there is a minor break in the skin. Let's consider a minor break in skin. Am I still at no risk. Still no testing is required for me.
Will saliva prevents tramission here. Am I still safe.
Sir i am planning for my second baby and I don't want to infect by wife that's why I am asking this question.
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H. Hunter Handsfield, MD
45 months ago
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This additional information does not change my opinions or advice. Congratulations planning for your second child, but of course that doesn't change the risk assessment.
That completes the two follow-up exchanges included with each question and so ends this thread. I'll close by reminding you of your own statement in the past: "Now I understand that adults will get HIV only by penetrative sex (unprotected) and needle injury and not through any other mode." BELIEVE IT! And let's make this your last such question, OK?
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