need some help doc.

[nezz753000]

To dr. hook or dr.hansfield



About four weeks ago, i had protected vaginal sex and I received a handjob(no condom) immediately after the sex worker masturbated and squirted (a fair amount of female ejaculate onto her hand).  This fluid was mixed in with some massage oil that was being used.  Therefore, her vaginal fluid and female ejaculate got in direct contact with the tip of my uncircumcized penis (not sure if there was menstrual blood in there as well).  Outside of this exposure, some got on my fingers, but I am pretty sure I didn't have any deep cuts.  There was no other penetrative exposure.

Over the past month, I have been absolutely freaking out.  I tried to get in touch with this person, but have not gotten any response.  This made my mind race.  I got sick (headache, neck pain, back pain, congestion, genital irritation, etc.) for the past two weeks and haven't been able to sleep or think clearly.  Finally, I went to the doctor 10days after my first encounter.  The doctor performed a common STD(chlamedia,shyphillis,Gonorrhea , and NGU)  checkup and  they came back negative. the doc indicated that it will need to be repeated later to be fully conclusive.

I have a few questions:

1) I have seen repeatedly that vaginal fluid alone should not be able to transmit HIV in a handjob alone, but does the presence of female ejaculate or potentially menstrual blood change this (especially considering I am uncircumsized and have genital herpes)?

2) When these fluid(s) mixed with the massage oil, would that help or hurt the transmission chances?

3) what if the oil mix with her fluid entered the urethra (tip of penis) is that possible?


4)  i have not taken a hiv test yet and i am wondering base on my encounter should i get tested?




a small education about hiv transmission  is what i need to better understand my current situation.

Thanks again for all of your help.  

[nezz753000]

got tested and the test results is a negative.

[nezz753000]

Im sorry....to have bothered you mr. hook .....but thanks again...... i really wanted a second response from you just for a little piece of mind.

[Edward W Hook, MD]

We  have already discussed this exposure and I told you it was no risk.  I will briefly answer your new questions and that will end this interchange as well.  This was a no risk exposure. At this time (4 weeks) you can get an HIV test for your peace of mind. If you had acquired HIV there is an over 90% chance that a test at this time would be positive. Thus, when you combine the virtually non-existent risk of your exposure and a negative test at 4 weeks, you should be TOTALLY confident that you did not get HIV and turn your attention to your anxiety and guilt over this exposure.

In answer to your new questions:

1.  No, neither your lack of circumcision nor your genital herpes changes that fact that this was no risk.
2.  If anything, the massage oil would decrease the probability of transmission, not increase it.  This however is only theoretical since there was no risk to start with.
3.  Forget this "what if" question.  It is not relevant.
4.  You have no medical reason for testing. I have explained the accuracy of the test at 4 weeks above if you chose to be tested for your peace of mind.

This will conclude this answer. There will be no follow-up answers.  EWH