[Question #9504] Possible hiv risk?
32 months ago
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Hello,
I'm from germany so I apologize already if my English is not the best.
7 days ago I had been to a body 2 body massage. We both were fully naked. The woman used a lot massageoil. As she massaged my back, I massaged her vagina with my hands. She was very wet so I wiped my hands of on her thighs and after that on a towel. 10 minutes later I was told to turn around. She applied new massage oil on her tits and belly and ran her hands through and over her vagina and then back over her belly and tits again. So she definitely spread vaginafluid over her hands and body. She then sat on top of me with my penis between her thighs and her vagina. So my penis haven't touched her vagina. My glans touched and rubbed over her thighs where I wiped my hands soaked with her vaginafluid off before.
She then gave me a handjob and blowjob. She massaged my glans a lot with her hands.
I'm very scared, that I was getting a lot of her vaginafluid on my penis and the glans that I could get infected. How do you would rate the risk of an infection in this incident?
2 days later I was getting a sore throat and 5 days later until now I feel my lymhpnodes on my neck.
Thanks in advance.
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Edward W. Hook M.D.
32 months ago
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Welcome to our Forum. Thanks for your questions. The short answer, as I will expand upon, is that the activities that you describe were no risk events in terms of risk for HIV. Let me explain:
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1. Most commercial sex workers do not have HIV.
2. Body to body rubbing, contact with a partner's genital secretions and mutual masturbation are no risk events for HIV and for other STIs.
3. Receipt of oral sex from an untreated, infected sex partner is a no risk event for HIV. There are no reports of HIV having been acquired from receipt of oral sex.
4. In addition to the no risk nature of your activities, your symptoms have occurred too soon to be due to HIV. When persons develop symptoms from recently acquired HIV, the onset of symptoms is no sooner than a week following exposure and most typically occurs a10-14 days after exposure. .
%. Your lymph node swelling is not worrisome. When persons acquire typical, community acquired sore throats, they get lymph node swelling in the neck.
In terms of other STIs, the only risky contact you describe is the receipt of oral sex. When persons acquire STIs from receipt of oral sex, the most common infection is gonorrhea and that is uncommon. Very, very rarely persons receiving unprotected oral sex may acquire other STIs but is it most unusual.
I hope that this information is helpful. Nothing you describe suggests any need for HIV testing. If you choose to test for other STIs, a urine test for gonorrhea is the most important test. My advice is not not worry and if I were you, in the absence of penile symptoms (burring on urination or a visible, purulent discharge) I might not bother to test at all. EWH
31 months ago
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Dear Mr. M.D. Edward Hook
thank you very much for your reply. Your answer helped me a lot. However the symptoms I had were freaking me out so I decided to go to a hiv checkpoint in my city. I talked with the doctor there and he told me the same what you did that I wasn't at risk at all. Anyway he noticed that I was still concerned about a possible infection because of my symptoms. So he tested me for hiv with a P24 Antigen Test and for STI's. That was exactly 14 days after the incident.
Both test turned out as negative. I was very happy about the result but I read that the P24 Antigen testresult can only be seen as safe after 4-6 weeks after the incident. So can I trust the result or do I have to test again after 4 weeks? Ho common is it, that negative p24 test 14 days after incident turn to positive 4 weeks later?
Thank you in advance.
Best regards
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Edward W. Hook M.D.
31 months ago
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The encounter you describe, as both I and the doctor you saw said, was a no risk evnt for HIV. Your p24 antigen test proves that your symptoms were not due to HIV however, because not everyone experiences symptoms when they acquire HIV, tests for recen tinfection are not fully conclusive until 6 weeks following exposure. There is no sceintific reason you need further testing but, if you choose to do so, test will not be entirely conclusive until 6 weeks following exposure. EWH---