[Question #9026] HIV Risk

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36 months ago
Hi Doctor,
I understand deep kissing is not a concern for HIV, but I went to strip club in Miami and deeply kissed the stripper right after she had put her finger in her mouth (the same finger she had fingered herself  with). Do I need to worry about HIV here?

Also, she may have secretions in her mouth (for whatever reasons) from the previous clients, does that put me at a risk for getting HIV after I kissed her ? Nothing else happened, ONLY deep kissing.

Regards,



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H. Hunter Handsfield, MD
36 months ago
Welcome back. I'm sorry to see you remain concerned about exposures known to be zero risk for HIV -- but happy to see how long it has been since your past sequence of multiple questions along those lines (over 2 ½ years). I'm happy to address this one.

I'll start by restating my closing comment in your last thread:  "Just remember this:  If an unprotected penis (i.e. no condom) does not enter another person's vagina or rectum, there is no risk of sexual transmission of HIV. If and when you again become conserned about such exposures as oral sex, hand-genital contact, massage, kissing, body rubbing, etc, you will be able to exactly predict the reply you will receive. You also can re-read your previous threads for clues to see what sort of replies you can expect."

And that applies this time as well. There been few if any proved cases of HIV transmission by kissing, despite (obviously) billions upon billions of kisses between HIV infected and uninfected persons over the years. And since virtually all humans contact their own genitals with their hands and fingers from time to time, and then those fingers contact their mouths, there must have been millions (if not billions) of kisses following such events. And still no known cases of HIV transmission by kissing. There also must have been millions of circumstances in which sex workers, strippers, exotic dancers, etc had kissed or even performed oral sex on clients and then kissed other persons -- and still no known HIV transmissions by kissing.

Two other basic facts are pertinent to your question:  First, the large majority of such women do not have HIV. Probably there's under one chance in a thousand the stripper in question has HIV. Second, oral exposure in general is low risk for HIV. Even swallowing HIV infected blood usually does not result in HIV transmission; and among babies nursed by their HIV infected moms, swallowing a few ounces of HIV infected breast milk daily, only 15% are infected, and only after several months. So the chance of HIV infection from the tiny amount of infected vaginal fluid that could be transferred to the mouth by the stripper's finger is simply not a realistic possibility.

For those reasons, you really needn't be at all concerns. Please do not worry at all, and do not get tested for HIV (assuming this is your only potential exposure).

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

HHH, MD
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36 months ago
Thanks Doctor. Since I get to ask 2 questions, I will ask the second one and you may close the thread after that :) So need to refrain from unprotected sex with my regular partner ? I know the answer is yes, but really didn't have any other question to ask :)
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H. Hunter Handsfield, MD
36 months ago
Actually, each question comes with two follow-up comments or questions, for total of three. The follow-up opportunity is for clarification of the original question and reply, not for entirely new issues. This one certainly fits the clarification intent! And you are exactly right:  you can safely continue unprotected sex with your regular partner. That's what I would do if somehow I were in your situation.---