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Avatar universal

I want to go back to my life. Please help

Hi doctors,

I cannot help but have to ask you the question whether I am at any HIV risk because of the following encounters.

1) I had a protected sex with a CSW, both oral and vaginal. After the intercourse, I could not ejaculate. I pulled out very quickly. The condom should be still intact as far as I remembered. I did not notice any damage neither, but I did check carefully. The concern I had in this encounter is that I used my left hand to remove the condom rapidly and I don't know if any vaginal fluid left on my penis. Then I used my right to masturbate myself until ejaculate.

2) I had received a few handjobs from other CSWs, but they should be rather safe, as I don't think any of their hands had wound or cuts.

3) I had received a brief rumming from another CSW. I only remembered that she lip around my anus and did not penetrate.

4) I had 2 incidents of received handjobs or mutual masturbate from the same CSW. I checked her hands are healthy and did not have any cuts or wounds. However, I did rubbed her vaginal (I did not fingered her), she was neither wet nor dry, I think I should get some of her vaginal fluids in my hands. After a few seconds, I proceeded to masturbate myself with the same hand until ejaculated.

The lastest incident is today. I know it is too early for me to test. The problem is I asked the local HIV/AIDS consultants and all their answer is my cases have certain risk, as if any opening of my body get into contact with infectious fluid, I have a risk. My life is miserable now, I just break up with my 7+ year gf, partly because I am suffered from this paranoid. I really want to forget and move on with my life.

Thanks,
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239123 tn?1267647614
MEDICAL PROFESSIONAL
"That's definitely the end of this thread" meant what it said.  If you keep asking anxiety driven "yes but" or "what if" questions, the entire thread will be deleted.  And no, you may not start a new thread with the same questions.  It would suffere the same fate, without reply and without refund of the posting fee.
Helpful - 0
Avatar universal
Sorry doctor. I really want to put this behind me. I wish I can start a new thread to ask you this question, but I cannot until 6 months later.

I remember, in one instance, I fingered a CSW and immediately slightly lick my finger which had vaginal fluid on it. Is this risky?

I will not ask further question after this.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
There is no intended difference between "no risk" and "little or no risk".  Don't split hairs.

That's definitely the end of this thread.  
Helpful - 0
Avatar universal
Hi doctor,

I hope you don't mind I ask one more question. I promise it is the last question.

I read through the old posts, and other doctors and experts said that hand-genital or mutual masturbation are no risk events. Why you said that it carries little or no risk? Do you have a different opinion with them?

Thanks!
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Both are near zero.  Theoretically, I suppose oral sex would carry a higher risk.  But it is a waste of mental/emotional energy to even think about it.  It's like deciding whether your risk is higher from being hit by lightning or a meteorite.  Forget it.
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Avatar universal
one more question
how do u compare my exposures with unprotected oral sex. which one has higher risk in theory?
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Avatar universal
Thanks a lot. Doctor.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
1) Makes no difference.  No risk.

2) To my knowledge, no such transmission has ever been documented.

3) There is a theoretical risk that HIV could be transmitted by such minor exposures.  So any exposure to another person's blood or sexual fluids can be considered "high risk" compared with no contact at all.  But generally HIV infections don't take hold unless large amounts of virus have access to certain kinds of body cells.  Some experts take conservative positions, and others simply don't have as much expertise as you might think.  But perhaps you'll take heart in the virtually identical responses you had from both me and Dr. Cummings on the international forum.

You weren't at risk.  Believe it.
Helpful - 0
Avatar universal
Thanks doctor. I know it must be difficult to deal with people like me.

I have a few follow up questions.

1) When you said, hand-genital carries little or no risk for HIV. I understand that HIV virus are difficult to transmit outside the body, and you need roughly rubbed the infectious fluid to become infected. However, some masturbation I had is rather rough and I could not remember how long passed after the hand touched/rubbed/fingered the vaginal. Will this make my exposure little or no risk?

2) Is there any document case ever that HIV has been transmitted outside the body sexually?

3) When you and other experts in this forum always state that the only real risks are unprotected vaginal or anal sex for HIV to transmit sexually. However, it seems other consultants/doctors think that exposure to any infectious fluid in a short time is high risk. Why there is a such difference in opinion?

Thanks & Happy New Year.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome back to the forum.

Your questions are almost exactly the same ones you asked almost a year ago, last January.  The answer is the same as before.

1) You had protected vaginal sex.  There is no such thing as small leaks in condomds that allow HIV transmission.  If the condom did not obviously break, protection was complete.  You cannot carry enough vaginal secretions to your hands to infect yourself by masturbation in this situation.

2,4) For the same reason, hand-genital contact by CSWs carries little or no risk for HIV, even if genital secretions are used as lubricant.

3) Rimming has not been known to transmit HIV.  Saliva and oral fluids generally are not infectious.

I don't know whether or not you are "paranoid" -- that's your term, not mine. But it seems clear you are having difficulty understanding HIV risks and putting them in context.  Given how frightened you become after even zero risk encounters with commercial sex workers, you might consider stopping such events.  If you continue them, use condoms for vaginal or anal sex.  If you do that, you should not be at all concerned about HIV, which is simply not transmitted by hand-genital contact and rarely if ever by unprotected oral sex.

I hope this helps.  I see you asked the same question on the HIV International forum.  You can expect a similar reply.

Regards--   HHH, MD
Helpful - 0

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