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Possible exposures

Hi Dr
To get directly to the issue in hand here. I went to sensual massage clinic "is it is". few hours before that I had a burn caused by a steam in my arm that almost pulled the skin off. I saw no blood. I was given the massage and at the end I was offered a handjob but declined. This offer showed that the woman is conducting some risky behavior.  four or five days later I got high fever and flue-like symptoms It took a week to recover. it started to get harder gradually and went off gradually as well. also, two months after that i got a high fever for one night.and it went off (I thought it was the cold) I did not pay attention as I did not consider myself to be involved in any unsafe sexual behavior.  
three weeks ago I was at a strip club fully clothed. the stripper's nipples did touch my lips which had sores (but no blood) several times that got me worried again and I start to think in the sensual massage incident.

am I being irrational?
Should I get tested?
If not can I resume my sexual life with my Gf (unprotected sex)?
5 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
You have it right.
Helpful - 0
Avatar universal
Thanks Doc.
To summorize what you have said here is basically even if the woman at the massage was infected. and even with some cuts in her hands and the existance of pulled off skin, due to a steam burn, this is not an exposure to be worried about. the stripper case I don understand it now.
if my summary is right please agree or comment and that would be all.

Thanks in advance.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Even if lactating, no risk.  You undoubtedly have read that nursing can result in HIV transmission to newborns, if mom is infected.  However, when you dig into the details, it turns out that among such infants, after 6 months only 10-15% become infected.  The other 85-90% don't get HIV, despite swallowing several ounces of milk daily.  In other words, breast milk is not highly infectious at all.  So it isn't surprising that nobody has ever been reported to have caught HIV through breast contact.  You aren't going to be the first.
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Avatar universal
Thanks alot Dr this come as a huge relief. For the dancer, though I know this might not change ur opinion. I dunno whether she was lactating or not while might have sores on my lips. I just wanted to clarify the reason of my worrying about this incident.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum.  I'll try to help.

You were given accurate information on the community forum.  HIV is never transmitted by hand to skin contact, even if there are open wounds.  Certainly having a superficial burn on the arm (or anywhere else) cannot increase the risk.  And I disagree that the massage worker is necessarily at risk for HIV; giving hand-jobs does not put her at risk, not in the slightest.  Even among massage workers who offer more extensive sexual services, HIV is rare.

As for the second exposure, you cannot catch HIV by oral contact with someone's skin, including nipples.  As you were correctly informed on the other forum, if a bare penis (i.e. no condom) does not enter another person's vagina, rectum or mouth, there is no risk for HIV transmission.  Your fever with "flu-like symptoms" probably was just that -- the flu or some other garden variety viral infection.  And HIV fever cannot start only 4-5 days after catching the virus; 8-10 days is the minimum.

To your specific questions:

Are you being irrational?  You're questions are not "irrational", but they are based on obvious misunderstandings of how HIV is transmitted.

Should you get tested?  From a medical standpoint, there is no need.  However, you might want to do it for psychological support.  For most people who ask this sort of question, my reassurance is helpful but doesn't resolve the anxiety about HIV.  If my advice is all you need, that's great.  But if you will sleep better after you have had a negative test result, feel free.  It's up to you.

Unprotected sex with your gf?  No reason not to, based on the non-exposure events you describe here.  Certainly if I were in your situation, I would never have stopped having unprotected sex with my wife, with no worries about giving her anything.

I hope this helps.  Best wishes--  HHH, MD
Helpful - 0

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