Hello Doc,

I hope you remember our conversation and thank you so much for your advise. I have few more doughts for which I have reached out to you. Hope that does not voilates the rules of the forum.

1) I have gone through the forum and many questions. You have mentioned few times that protected sex if condom does not breaks , leak , slips is virtually zero risk , however with many such virtually zero risk exposure puts you in somewhat risk. But in my case I have at most have 2 - 4 times protected sex and rest every time only breast sucking and that's it. I am pretty sure those 2 - 4 protected sex (4- 5 years back) were very much safe enough and nothing went wrong (If it would have gone wrong, I would definitely know) . I am concerned about the exposure with the breast sucking (While breast sucking my cloths were always on along with condom to avoid any Semen leakage). Although you have mentioned its a no risk (also read in other questions of this forum) , does this every time no risk situation become high / low risk for HIV for breast sucking.

2) As mentioned by you my exposure was low risk is this due to the breast sucking or the protected sex ? or the number of exposure I had in these years . Then again my first question comes here does the no risk become high or low risk with increase number of exposure.

3) Statistically (in numbers) , considering the CDC exposure of unprotected sex which is 4 in 1000 exposure what will be my numbers.

3) This is just FYI... My wife Tested negative for HIV Tridot antibody test in 2020 October when she went for a minor surgery due to miss-carriage .  I think from 2020 I have only had 3 - 4 encounters with CSW . All were only breast sucking with my cloths on.

2,3. CDC's estimated risk for a male from unprotected vaginal sex is one chance in 2,500, i.e one chance in 625 for four exposures (not 4 in 1,000). And that's only with known infected partners, and the large majority of female sex workers in India do not have HIV. If an intact condom is 99% effective, the risk for each exposure with an infected partner becomes 1 chance in 250,000. If there is a 10% chance the sex worker has HIV, your risk now is one chance in 2.5 million per exposure. Perhaps after 100 such exposures, testing would make sense -- but not (in my opinion) after 3-4 events.

You are going about your extramarital sexual adventures with great safety. Try not to obsess about it. On the other hand, the old adage may apply:  "If you can't stand the heat, get out of the kitchen." If you're going to keep obsessing and worrying, maybe you need to rethink your sexual decisions.

I hope these comments provide some additional reassurance. Best wishes.

HHH, MD

1) In my first post you have mentioned my risk is low but not zero, however now you did mentioned my risk is virtually zero considering only 2 - 4 condom protected sex and rest all ( more than approx 70 - 80 exposure) as only breast to mouth exposure. Is is really only when penetration happens the risk comes into picture  in sex ?   I am asking this because when I posted the same question in one of the doctors forum here in India, many of them mentioned it's a risk.  

2) Yes, that is possible. However, absence of data on known risk after 40 years of the world wide HIV epidemic certainly suggests the risk is near zero.

That completes the two follow-up exchanges included with each question and so ends this thread. Please note the forum policy against repeated questions on the same topic or exposure. This being your second, it should be your last. Repeated anxiety driven questions are subject to deletion without reply and without refund of the posting fee. We are not keen on collecting fees for questions with obvious answers, and we have found that repeated replies tends to prolong rather than relieving anxieties:  there's are "yes but" or "could I be the exception" sorts of questions that are not helpful. Finally, such questions have low educational value for other users, one of the forum's main goals. Thank you for your understanding.

Best wishes and stay safe. I hope the two discussion have been helpful.