[Question #9826] Hiv from unprotected handjob

28 months ago

I'm 29 year old hetrosexual male.. went to spa.. she was a female maybe in late 30s. It was a open body massage (she removed her top clothes and exposed her breasts).she didn't remove any of her bottom cloths so no veginal and anal fluid contact at all.. she used a lube for handjob.. the act concluded in less then 2-3 mins.. during the time I was sucking her breasts really hard.. I don't think I nibbled only hard suckling.. but I am worried that it might have caused a micro Trama and bleeding.. I had a dental clean in mid February I had a sensitive teath for a month after that now it is normal.. can you please access my risk

1. Micro Trama on breast leading to bleading and I getting it on my gum bleeding ( I might have I don't I occasionally see blood while brush)

The act was conducted today 2-apr 3 pm

So I am in pep window should I get pep??

28 months ago

Her breasts were sagging if it is important

28 months ago

Some doctor in quora mentioned above suckling cause micro Trama as a risk that's why I am worried otherwise I know this is a very low risk exposure

Have said all that should I go for pep??

H. Hunter Handsfield, MD

28 months ago

Welcome to the forum. Thanks for your confidence in our services.

You apparently have a very inflated view of HIV and how it might be transmitted. You were at zero risk for HIV, even if your partner is infected -- which probably is not the case. Nobody has ever been known to acquire HIV by hand-genital contact, and oral contact with skin, including breasts and nipples, also is risk free. (Of course her anatomy makes no difference -- sagging breasts???) The idea that "micro-trauma" can result in HIV exposure is nonsense; and even if it were a concern, swallowing a tiny amount of blood would not be a significant risk for HIV.

Please do not seek PEP. (You probably could not find a doctor or clinic willing to prescribe it in this circumstance, if you tell the truth about the events you are worried about.) You do not even need to be tested for HIV in this circumstance, and if you have a regular partner, you should continue your usual sex life with that person.

In addition to not needing PEP, it has a downside you might not have thought about: if you want to be tested for HIV, you can have an accurate result 6 weeks after the event. With PEP, the clock on testing begins with the last dose of drug, which is a month away. That would mean that a conclusive negative test result is two and a half months away -- and some experts would recommend even longer.

Really, don't worry. This was a non-event in regard to HIV risk.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD

---
---

28 months ago

Thanks for the reply..

just one more question and I will put this to rest.. I am worried about Breast sucking because some time I have blood while brushing..3 months ago had a gum infection and did a dental clean in mid February.. I had sensitivity for almost 15 days.. so I am just worried about some micro cuts in gum and some micro wound in her nipple and breast area..

Still do you think this is non event??

28 months ago

I'm sorry I mentioned sagging breast but to be honest I am not experienced.. I don't if sagging breast are prone to micro Trama or not..

H. Hunter Handsfield, MD

28 months ago

Yes, still a risk free event. If you think this through, you will understand that there have been billions of episodes of mouth-nipple exposures with HIV infected women over the years, and that at any point in time, millions of people have bleeding gums. And still no known cases of HIV transmission even being suspected, let alone documented to occur. In other words, that aspect makes no difference: there was no risk of HIV. As for sores or wounds of a partner's nipples, there is no reason to assume that possibility -- and even if present would make no difference. Oral exposure to HIV is always low risk. (Even performing oral sex on infected men, and swallowing semen, the risk of HIV is somewhere around one chance in 10,000.)

Do your best to stop worrying about this. All is well.

---

28 months ago

Sorry I know I will stop with one question.. but just one more..

Since there might be bleeding and open cut involved in both parties shouldn't this be treated as blood transfusion exposure risk rather then a oral exposure??

Blood transfusion risk have very high risk (94% I read somewhere).. that's why I am worried..

I know I am adding lots of if and buts.. please bear with me..

if a tiny drop of blood lands on small cut in my gum or anywhere in mouth still am I looking at that 94% blood transfusion risk??

If you think that if there is a blood transfusion risk even if it is theoretical please say so.. I don't want to take any chance..

H. Hunter Handsfield, MD

28 months ago

No, this would not count as a "blood exposure". That term means far more contact with blood than you seem to think. Receiving a blood transfusion is entirely different.

"if a tiny drop of blood lands on small cut in my gum or anywhere in mouth still am I looking at that 94% blood transfusion risk??" That would be little or no risk at all.

You came here for our professional advice. I've done my best, with reasoned, science based replies. Accept them or don't, I don't care; this isn't a debate. Trust me on this: you were at zero risk for HIV. And perhaps you'd also like to know that in the 19 years of this and our preceding forum on a different website, with thousands of questions from people worried about HIV exposures, not one has turned out to be infected. You will not be the first. If and when it finally happens, it will be from a genuine risky event, not something at all like this one.

That concludes this thread. I do hope the discussion has been helpful.

---
---