Could breast fluid be hiv carrier?/new exposure?

Dear Doctors,

I am the 35 unmarried heterosexual asian male from china, who already asked once (on 15th, Aug) on this forum for one unprotected vaginal sex exposure with a female csw due to condom breakage on 10 July.

But last night (11th, Sept) I had a new situation, I know it is not wise to put myself again under any kind of risk and quite embarrassed to ask again, but I am quite nervous these days and confused now so I think I need your expertise and advice one more time please. Last night I was with a female csw again. Because I am still in fresh memory of hiv fear, I recently avoid any kind of genital sex with csw. I have only done breast sex with her, during which also the top of my penis has touched her breast several time shortly. Then I noticed her left breast was quite wet (without color), I then stopt this action because I realized it must be her breast fluid, for I rubbed her breast with my hand a few minutes before and it was dry there, and I thought that was not my precum (even if I had some precum, I only touched her breast with the top of penis for short time, it could not be so wide spread and much), and also not oil, because we were all time together and I didnot see her using oil. Her right breast remained dry. and I didnot see she using any oil. After that she mastubated me and I ejacuated in paper towel. Could you please advice me,

1. Can breast fluid be possible hiv carrier if a female is hiv positive? I have read that breast milk is, but not found clear information about breast fluid  yet.
2. Did I put myself under hiv risk this time? Is the short contact for several times between the openning end of my urethra and her breast fluid a possible way to transfer hiv if present? Do I need to test hiv for this matter?

Thank you and kind regards

[H. Hunter Handsfield, M.D.]

Welcome back to the forum. But you continue to be overly anxious about no-risk events.

The chance your partner has HIV is near zero.  But even if she has it, exposure breast fluid is not a significant risk.  Among newborns who are nursed by HIV infected mothers, at age 6 months only about 10-15% of the kids are infected.  That's after swallowing several ounces of milk per day for 6 months.  What can the risk possibly be after the trivial amount of fluid to which you were exposed.

1) To my knowldge, nobody has examined breast fluid other than milk for HIV.  But logically, the low risk applies here as well.

2) The chance of HIV transmission in this circumstance is nil.

You need to get a handle on real HIV risks.  Safe sex isn't all that complicated:  if a bare penis (no condom) doesn't get into another person's vagina, rectum or mouth, there is no risk of sexual transmission of HIV.  You can count on it.

Pease note MedHelp's rule that permits a maximum of 2 questions every 6 months on each of the professionally moderated forums.

HHH, MD

[Chen341]

Dr. Handsfield,

thank you very much for your reply. I know I was overly anxious over this matter and your answer is very reassuring to me. I really appreciate it. And I will obey the forum rules.

Kind regards