Hello there, i have a question that I am quite concerned about so i thought I'd ask the experts for advice. Ok today i visited an escort who i have seen numerous times before i done abit of fingering on her vagina & twice briefly took my finger out of her & placed it on my tongue.. She said she was clean i didn't see anything on my finger or even taste anything but after that we decided to do protected vaginal penatration. She got ontop & moved up & down for a couple of minutes then got of.. When she got of i noticed blood on the tip of the condom which looked briefly like had got in between the condom & the head of my penis which i couldn't understand but after touching the top of the condom i could see the blood was on the outside of the condom. I was abit shocked & said ' are u on your period? ' she said no that's happened because you are big & its difficult for me. So basically i was thinking if she was bleeding inside & i fingered her earlier & then briefly put the same finger on my tounge twice am i at risk for anything bad like hiv or the likes? As i say when i initially fingered her i seen no blood on my finger prior to placing it on my tongue. I'm going over things i my head here & its stressing me. The finger i fingered her with had no cuts but a very very slight layer of skin was peeling. Also im thinking about the condom it was on me & looked intact but as i say initially it looked like her blood had gotten under the condom but i think its just the way the condom was kinda ruffled up as i moved it the blood was on the outside.. Is there a possibility there could have been a tiny hole in the condom where her blood got in? I was always led to believe when a condom would break it would be obvious to see? Anyway thank you in advance & i appreciate you're help & advice. 

Hi there it says my question was updated 20 mins ago but i don't see know reply? 

Welcome to the Forum and thanks for your question. I'll be glad to comment.  Before I get to specifics, let me remind you that most people, including most commercial sex workers do not have HIV or other STIs.  In addition, even most single unprotected sexual encounters do not lead to infection.  With that background, let me address your specific question.---

Thank you very much Dr for your response i really appreciate that as i was just worried ( its a horrible feeling being worried & paranoid) yes i was surprised & shocked to see that 'spotting' ( blood on the condom) when i moved the condom it looked as if the blood was moving around on the inside of the condom which frightened me.. The girl put the condom on with her mouth & done oral on me for a few minutes prior to getting ontop of me i thought maybe her teeth may have damaged the condom. As far as the penatration goes she was only on top for maybe 2 mins or less & didn't even really move much. When she got of i grabbed a wipe & cleaned it & cleaned my hands i can't remember if i actually inspected my penis or not to see did any blood get on the penis head  but as i say the condom was not bust wide open or anything. Based on this exposure would u recommend i get tested or not? Thanks again doctor for your time & response 

Your major risk from this exposure wan not the condom protected exposure but your receipt of unprotected (if it was) oral sex.  If the condom was not in place for oral sex there is a slight risk of oral gonorrhea and a miniscule risk for chlamydial infection.  I am less concerned about the vaginal exposure.  Testing is always a personal choice but there are several moving parts here including unprotected oral sex (if it was), the bleeding with genital penetration, and a somewhat riskier than average partner.  Given that you may want to pursue a urine test for chlamydia and gonorrhea at some point more than 3-4 days after exposure (testing earlier carries a small risk of missing an incubation infection).  EWH---

Hi dr, no the oral she did on me WAS protected .. She put the condom on me with her mouth & did maybe 2 or 3 mins of protected oral on me then got on top for 2 mins or less then dismounted me that's when i saw the blood on condom & was concerned. Obviously I'd say HIV was my biggest worry but from what you say i shouldn't need be as worried as I've been ( all last night) about this encounter? One more question before i go.. With this particular girl i did NOT perform cunnilingus on her but maybe 3 or so months back i did like 30 seconds of cunnilingus on a girl ( a different escort) i only did it around the clitoris area, i remember dr handsfield kindly answered a question i had about cunnilingus about 17 months ago & he said its  a very low risk activity for HIV & no known cases of hiv had ever resulted from such sexual activity.. as u know the medical world is constantly changing & new things are being learned & stuff i just wanted to know is that still the case that cunnilingus is extremely low risk & no known cases of hiv have been reported that way?. Once again I'd like to thank you for your time. 

As you know, we provide up to three responses to each quiet question. As this is my third response this will complete this thread and the thread will be closed later today. ---

Thank you very much my anxieties have been relieved abit now. Thank you to your good self & Dr handsfield for the great work you's do & everyone at ask the experts i appreciate you's. Take care

Thanks for your thanks.  I'm pleased you found my comments helpful.  EWH---