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Fingering w high risk partner

While I was on a business trip to India, I VERY STUPIDLY, ended up with an escort. All we did was she gave me a hand job (with condom on) and I ejaculated in the condom and I inserted my finger (unprotected) into her vagina for a one brief time, literally less than a second, but I did feel wetness on my finger. I washed my hands afterwards with water and later with soap. I visually inspected my finger and did not have any visible cuts or abrasion on the finger I used, just dry cuticles. Two weeks into it I had dairia and it has been going on and off since as well as few night-sweats (no fevers). Needless to say, I don
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239123 tn?1267647614
MEDICAL PROFESSIONAL
First response after reading only the title you chose for your question:  Hand-genital contact (fingering etc) is not a significant risk of HIV or any other STD.  If that is your only exposure, you didn't catch HIV or any other STD; and any symptoms you have cannot be due to that event.

Now I have read the rest.  I'm not sure what you mean by my 'qualifying my answers do the environment and partner'.  I do not believe I have ever qualified an answer about fingering.  No measurable risk of HIV acquisition.  Can I say with certainty it can never happen?  No, of course not.  But people also get hit by lightning.  And given the brevity of your fingering exposure, your chance of getting HIV is far lower than your risk of death by lightning.  I mean that literally.  I don't know the actual prevalence of HIV in escorts in various parts of India, but 'escort' implies higher socioeconomic status, and I doubt that most such people have HIV; or that if she had HIV, she necessarily has a high viral load.

To your questions:

1) Yes, I still believe it.  2) From a strict risk assessment perspective, you don't need HIV testing at all.  But certainly a negative test at 6 weeks will be 100% reliable.  (If it were positive, my first reaction would be to look you in the eye and ask what your real risks are.  Because you didn't get it by fingering an escort in India or anywhere else.) 3) Negagive rapid tests are just as reliable as lab-based tests.  4) I see no reason for abstaining from sex.  You clearly cannot have picked up HIV or anything else that could harm a partner.

Good luck--  HHH, MD
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239123 tn?1267647614
MEDICAL PROFESSIONAL
MedHelp has reinstated the following disclaimer on this forum's home page:

Questions that duplicate other frequent ones, for which abundant replies exist, and that have little educational value for other forum users, will be DELETED WITHOUT RESPONSE. YOUR PAYMENT WILL NOT BE REFUNDED. The most common examples of such questions are those about low risk exposures to HIV, such as oral sex, condom-protected intercourse, hand-to-genital exposure, and nonsexual contact with possibly infected blood or body fluids as well as symptoms of early HIV infection.

Effective immediately, this policy will be strictly enforced. I do not mean this as criticism of huge_mistake, but this question is a typical one of the sort that will not make it onto the forum.

Attempts to post new questions always outnumber the number that can be accepted each day. The purpose of the policy is to discourage anxiety-driven questions that have been answered repeatedly, in order to maximize availability for those with more serious concerns.

Thank you. HHH, MD
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