Fear of exposure from an escort

Hi Doc

Last night I called over an escort ( a Thai girl) from what seemed like a reputable place. I asked if the girl was in good health and they insured that she was (but I guess that they would anyway). At the time of the encounter I was pretty drunk and there was a lot of kissing all over our bodies and mouth(she also put my finger in her mouth and we sucked each others nipples)and also much licking.  I did'nt see any open wounds on the girl but could'nt really tell anyway. We had protected vaginal sex but she licked my penis for about half a minute and I did'nt have a condom on but did not ejaculate. What is the risk from this encounter of getting HIV. Do you think that I need to get tested?

Thanks

[H. Hunter Handsfield, M.D.]

The important part of your risk assessment is that vaginal sex was protected.  None of the other exposures (including fingering and your speculation/worry about blood exposure, below) has ever been known to transmit HIV.

If you assume a 10% chance your partner had HIV, a 1 in 2000 chance of catching it from any particular episode of vaginal sex, and 99% effectiveness of a condom that remained in place the entire time and did not break, your risk of having caught HIV would calculate as 0.1 x 0.0005 x 0.01 = 0.0000005, or 1 chance in 2 million.  If you live in the US, the lifetime risk of dying by lightning is 1 in 27,000, or 75 times higher than the HIV risk.  The specific numbers might not apply to you, but you get the idea.

From a medical or risk assessment perspective, I never recommend HIV testing because of specific sexual exposures, unless the risk is particularly high, such as unprotected sex with a known infected partner.  But I often recommend testing for nervous people who need the reassurance of a negative test result.  If that applies to you, get tested.

HHH, MD

[richie7124]

Sorry I forget to add that I fingured her aswell.

[been_there]

You can rest easy as you did not have a risk of HIV as long as you had protected vaginal intercourse.

Fingering and mutual masturbation are not a risk for HIV and are safe sex activities.

Getting a blow job is also not a risk for HIV.

I am pretty sure the good Dr. H will confirm all this.

Remember to always wear a condom and you will be fine.

Best,

[richie7124]

Thanks for your reply. I was worried because I had never been with an escort before ( hiv prevalance is significantly higher in this group I guess and she was from thailand were the rate is even higher ).I just had one more question, this may seem paranoid but it was really dark and was drunk so am not sure if I came in contact with her blood. How easy is to catch HIV from kissing her blood or from bleeding gums?

[Naseeb]

Fingering is not a risk unless you had bleeing cut and hiv rate is low in pro based on what I read on this forum. Simply because they use protection all the time. Kissing is not a risk unless both partners had bleeing gums and I mean excessive bleeding gums.

[richie7124]

Thanks for the responses. i dont think that I need to get tested in this case.

[sparkeler]

For once someone is satisfied with the advice.  No testing is warranted.  Good for you!