I went to the massage parlor in India and spent 30 mins only with the CSW. During my session while licking her nipples my Penis tip touched her vagina for few seconds. I am not sure which part of vagina my penis touched, it could be her clitoris, vaginal entry but there was no penetration(for sure) or oral sex. I only went for body rub and happy ending. So Sex was not even in our mind and i didnt pay for sex service. Here are my questions

1)with my penis tip only touching her vagina for 3 - 4 seconds(may be 2 - 3 times) put me in HIV Risk.

2)Could it be possible that my tip touched Vagina and her vaginal fluids or secrations may entered my  penis tip or uthera and pose HIV risk.

3)After 3 -4 days of expose, I am feeling severe headache, light fever and pain in legs. not sure if its due to anxiety or cold weather. Could it be HIV early symptoms.

This exposure carried no risk at all for HIV -- or such low risk (one in many million) that it can be ignored. Even with unprotected intercourse with an HIV infected female (e.g. penis in vagina for several minutes), the average risk to the male partner is only once for every 2,500 exposures. (This is why some spouses of HIV infected persons remain uninfected for months or years -- which perhaps you did not know.) Oral contact with breasts or skin anywhere on the body also is no risk. Finally, most massage workers do not have HIV anyway. There might have been slight risk for some STDs, such as herpes or genital warts. But even these are extremely unlikely. You should not be tested for HIV or anything else.

Those comments pretty well address your first two questions, but to assure no misunderstanding:

1,2) There was no risk at all for HIV, even if a tiny amount of vaginal fluid entered your urethra.

3) New HIV infection does not cause symptoms like these. Also, HIV symptoms cannot begin sooner than 8-10 days after exposure. Finally, when someone suggests his or her own symptoms might be due to anxiety, usually s/he is right!

In summary there was no risk of HIV and no need for testing. Don't worry at all!

Best wishes--  HHH, MD

1)There was no risk at all for HIV, even if a tiny amount of vaginal fluid entered your urethra. - Why there would not be any risk? I thought, if infected vaginal fluid/secreations enter your body through urethera it should be risk, unless i dont have full information.

Sorry if my questions are repetitive, but I am thinking too much on this and getting health issues out of anxiety(maybe).

1) "Why would there not be any risk?" Because not nearly enough HIV can possibly contact susceptible cells in your body with such an exposure. Many people assume that "just one virus" is enough to transmit. Not true:  for HIV infection to take hold, large amounts of virus must contact certain kinds of cells which typically are deep inside the body. When a male has HIV and has vaginal sex with a female partner, depositing semen loaded with HIV deep insider her body, the average risk is one chance in a thousand she will be infected. In other words, 3 years of daily sex before it would be fairly certain she would catch it. The kind of exposure you describe has never been know to result in HIV transmission.

2) Like the symptoms you mentioned previously, these are not typical for a new HIV infection (acute retroviral syndrome, or ARS). And they still started too soon.