,  I am a 43 year old monoganous man with kids  , never had any sexual relations besides my wife when we got married.  A month ago i went to a massage parlour due to work stress. The masseuse offered a had job but initially i declined til she pressed her breast in my mouth and i gave in . I sucked and licked her breast for a few minutes, It was dark and could not see clearly if she was lactating but i think i felt something went in my mouth , I dont know if it was MILK or some discharge.  I found out that she has a 2 year old daughter living with her parents in their province. This incident gave me allot of stress, cannot function well and sleep properly , so depressed been avoiding unprotected sex with my wife fearing i might pass something to her . made some  research about it and the stuff in the internet made me more anxious. Our country in a bit misinformed  and has very little awareness about HIV and STIs thats why i turned to google and i cannot find the right answer for the following:

Breast milk is generally listed as a potential source of HIV transmission, but the actual frequency is exceedingly low and there has never been a report of HIV acquired by an adult from swallowing infected milk or the scant fluid that may be present in some women during sexual arousal. To give you an idea of the low risk, when an HIV infected woman (not on treatment for HIV) nurses her baby, after 6 months only 15% of the babies become infected, after swallowing a few ounces of milk daily. For those reasons, you can be sure this was a zero risk event for you. In addition, the large majority of female sex workers (including some masseuses) do not have HIV, even in those countries where heterosexually transmitted HIV is common. So the odds are your partner wasn't infected.

Those comments pretty well cover your specific questions, but to be explicit:

1. See above.

2. This makes no difference. First, if you didn't notice e any sores in your mouth, you can be sure none were there. But even in that situation, the risk is nil. Various oral sores, bleeding gums, and so on obviously are very common, so there must have been millions (or billions?) of oral exposure to infected women's breast fluids over the 4 decades of the known worldwide HIV/AIDS epidemic, and still no known cases acquired by mouth-nipple contact.

3. You definitely do not need HIV testing.

4. "Can I move on and forget about this?" Yes:  that's exactly the point of all I have said up til now.

Even if somehow you had HIV (from some other event), there would be no risk to your kids or any household members. Nobody living in the homes of HIV infected people ever are infected (assuming they aren't sex partners) even after years of sharing toilets, kitchens, eating utensils, and the normal daily contacts between children and parents. This definitely is nothing for you to worry about.

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

HHH, MD

So it is safe to say that I could continue unprotected sex with my wife and remove all the fear and irrational thoughts  having ZERO RISK from this event? 

Agian thank you so much . 

Also true that saliva is hostile to HIV. Good word -- I never thought of it but might start using it. We often say that saliva kills HIV, which might not be accurate. What we do know is that mixing saliva with HIV markedly reduces its infectivity. I'm not sure about stomach acid either. Whatever the biological mechanisms, it is clear that oral exposure and swallowing the virus uncommonly results in infection taking hold.

 

So having said that just to be clear  I am at zero risk from this exposure even if the other party is HIV+  and I'm sure handjobs are definitely zero exposure too and I definitely don't need to be tested .  What is important as you stated I am zero risk from this exposure and my wife is safe having unprotected sex with me again. I can move on with my life and stop worrying about this . 

As you also stated no known man has ever been recorded  infected by this kind of situation or event. 

  Just for educational purpose I have read that the ONLY real ADULT RISK  for acquiring HIV are . 

1. Unprotected penetrating anal sex 

2. Unprotected penetrating vaginal sex 

3. Sharing of IV needles to inject drugs  and possible blood transfusion . 

One forum stated that this is the only things one  must remember for HIV prevention .  Do you agree? 

Again thank you Doctor 

And thank you for doing what you do. Bless you with your contribution in this world.

That completes the two follow-up exchanges included with each question and so ends this thread. Thanks for the thanks -- I'm glad to have helped.