Risk from fingering anus with used condom

[worriedbadly]

I recently made a terrible mistake when I was drunk and had sex with a prostitute. We had sex using a condom for a few minutes. Then I took the condom off and the prostitute masterbated me. While she was doing this she put the condom on her finger and massaged my anus and penetrated it slightly. She did not do this for very long. The condom lay on the bed for a few seconds before she put it on her finger. I am worried about my anus being exposed to her vaginal fluid. Do you think I am at risk of HIV infection from her putting the condom in my anus?

I am very worried please can you help?

Thanks.

[H. Hunter Handsfield, M.D.]

HIV was once very common in Thai sex workers, but no longer.  The Thai government's HIV prevention campaigns over the past 15 years, aimed largely at sex workers, are among the world's most successful.

[birdie3333]

A related discussion, worried was started.

[worriedbadly]

Thanks for getting back to me, it has put my mind at ease a little. I am going to have test next week (it will have been 4 weeks by then) and if it is negative I will try and put it behind me.

The encounter actually took place in Bangkok, where I have heard there is quite a high number of HIV infected sex workers. This s one of the main reasons for my anxiety.

I hope I didn't come across as rude by not telling Teak which state I am in but I didn't see its relevance.

Thanks again.

[H. Hunter Handsfield, M.D.]

There is no basis for the worry you are feeling.  As Teak told you on the HIV community forum, and reemphasized below, there was no HIV risk from this event.

Fingering rarely if ever transmits HIV, even when sexual secretions are used as lubricant.  So even if there were some small amount of her vaginal secretions on the outside of the condom, there was no significant risk of HIV transmission.  Nobody can say the risk is zero, but HIV has never been known to be transmitted by fingering and you aren't liklely to be the first.  Anyway, if youi're in the US or other industrialized country, the chance the sex worker had HIV is low.  (Teak asked you where you are because it makes a difference in the chance the sex worker had HIV.  It's hard to imagine why you weren't willing to say.)

You don't need HIV testing on account of this event.  However, all people who are sexually active outside mutually monogamous relationships should be tested for HIV and other STDs from time to time, like every 1-2 years.  So if you haven't been tested recently, perhaps this would be a good time, for peace of mind. But not because of this particular exposure, which on its own definitely doesn't warrant the time and expense.

Regards--  HHH, MD

[Teak]

As you were told earlier in your previous post. You didn't have a risk.