[Question #9575] Possible HIV or other STD exposure?
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31 months ago
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Hi Doctor, I'm a 35 year old circumcised male. 11 days ago I received a body to body massage with oil, both the woman and I were completely naked. She rubbed her body against my front and also gave a handjob and condom protected blowjob. My question is there a risk of HIV or any other STD? If here vagina and vaginal fluid rubbed against my exposed penis during the body to body massage. Also I have a broken tooth that needs to be removed. It's broken right down to the gums and bleeds sometimes. We also kissed deeply but very briefly, if she had blood in her mouth could this also pose a risk. I didn't see any but how much would be needed. 10 days out my lymph nodes in my groin seem to be slightly swollen and definite swelling in my lymph node under my right arm just above my ribs and in my jaw but that could be from the tooth. Please help me, the anxiety is killing me, what are my risks and do I need testing?
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Edward W. Hook M.D.
31 months ago
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Welcome to her forum. Thanks for your questions. I’ll be glad to comment.
The exposures and encounter that you described as a no risk event. Body to Bobby rubbing of the sort you described is called frottage and carries no risk for STI’s or HIV. Similarly receipt of condom protected oral sex is a no risk event. Exposure to a partner’s, genital secretions through the sorts of exposure to describe, carries no risk for STI’s or HIV.
You are a broken tooth sounds uncomfortable, but it does not change the no risk nature of your exposure. Kissing, including deep, kissing, with the exchange of saliva, is a no risk event for HIV acquisition, and virtually no risk for STI’s.
Lymph node swelling of the search, you describe is non-specific. Most people have swollen lymph nodes, which, if they look closely enough, they can find. I would have no concern that your swollen lymph nodes are related to the exposure described.
I hope that the information I provided has been helpful. I see no reason for concern, and no reason whatsoever for testing of any sort. If any part of this response is unclear or their further questions, please don’t hesitate to use you up to two follow-ups for clarification. EWH.
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31 months ago
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Thank you Doctor. The lymph node under my right arm is just over an inch in size. It's quite sizeable and the one in the groin and jaw are a bit tender. I currently have no other symptoms other than the enlarged lymph nodes.
While I was laying on my stomach, the woman rubbed my urethra quite a bit. If she had vaginal fluid on her hand, would this change anything? I couldn't see at that stage if she touched herself.
And last question if she had blood in her mouth during kissing would this change anything due to my wound?
I was not anxious until the lymph nodes started getting bigger and tender and possibly because I'm in South Africa, it's why I'm stressing so much.
There is so much conflicting reports online of how you can get HIV or other STI's. For HIV specifically how do you get it?
So do you feel I can continue with my life without worry over this incident.
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Edward W. Hook M.D.
31 months ago
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Thank you for the additional information however, it ain’t no way changes my assessment. As I said earlier, swollen lymph nodes are nonspecific, and it is entirely normal to be able to feel lymph nodes, particularly under the arms, in the groin, and in the neck. Most people have lymph nodes, which can be felt in the armpits and for a lymph node in that area to be an inch in size is not the least bit unusual.
In addition, I also said before that direct contact with a partner’s genital secretions, if she happened to be infected (and most commercial sex workers are not), is also a no risk event. No penetration, no risk.
Also, repeating myself, kissing, including deep kissing with exchange of oral secretions is a no risk event. This is the case even with a damaged tooth, even with gum disease, on the part of either yourself or your partner, and even if she had blood in her mouth.
HIV is transmitted only through unprotected penetrative sexual activity with an untreated infected partner or injection of infectious material deep into tissue. Surface contamination with infected genital secretions does not represent a risk for infection. Once again, I hope this information is helpful. EWH
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31 months ago
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Thank you very much Doctor for your time and patience.