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HIV Prevention  (Expert Forum)
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Exotic Massage
Answered by
Edward W Hook, MD - HIV Prevention, stds
This forum is limited to prevention of HIV and to safe sex in general. If you believe you might have been exposed to HIV and want help to judge your risk, would like advice about HIV testing, or have questions about the effectiveness of condoms or the risks associated with specific sexual practices, this is the site for you.

IMPORTANT

No questions will be accepted on the treatment of HIV/AIDS or its complications, viral load, and similar topics. If you have questions about a specific STD other than HIV/AIDS, please visit the STD Forum. Questions that do not pertain to the above topics will be removed from the forum.

If you have not done so, please review other threads in our archives for questions similar to yours and Dr. Handsfield's replies. Questions that duplicate other frequent ones, for which abundant replies exist, and that have little educational value for other forum users, will be DELETED WITHOUT RESPONSE. YOUR PAYMENT WILL NOT BE REFUNDED. The most common examples of such questions are those about low risk exposures to HIV, such as oral sex, condom- protected intercourse hand-to-genital exposure, and nonsexual contact with possibly infected blood or body fluids as well as symptoms of early HIV infection.

Exotic Massage

by calcal20, May 08, 2008 09:29AM
Hi Doctor,
I went to Massage Parlor two weeks ago in Canada. During the massage, the girl rubbed my penis (no condom) with her pubic hairs area (not her genital) but No any sexual intercourse.
Could the HIV transmit in this way? Or what other STDs could transmit this way?

I have been having a mild fever since 3 days ago (around 37-37.5 C during the day and back to normal to 36.8 C around 11pm) I know someone says that the range between 37-37.5 C is still counted as normal but I really feel the difference as my usual normal temperature is only 36.8 C or 0.1 to 0.2 below during the day.
So my question is the fever that associates with the ARS is high grade fever or could be mild fever and will the fever come and gone or continuous through out the day?

Also, I had another sexual encounter that was condom protected vaginal intercourse about 9 weeks ago.
Could the ARS happen 8 weeks after the sexual encounter?

Thank You Very Much For Your Help!

by Edward W Hook, MD, May 09, 2008 02:00AM
The encounter you describe falls into the category of massage.  Your exposure is zero risk.  You did not penetrate her in any way and your exposure to her secretions was minimal.  Masturbation which is safe sex.  No risk you you for acquisition of HIV or any other STD.  Please realize that in the course of masturbation miniscule amounts of genital secretions are inadvertently shared between partner, nonetheless there are no HIV transmissions which have occurred in this way.

Regarding your "fever", while there is person to person variation in their temperatures, your temperatures would not be considered fever by most health care professionals.  Irrespective, fever, like other symptoms of the ARS are TOTALLY non-specific and when people experience "ARS symptoms" they are much more likely to have something else, usually some other, more typical virus infection.  When this has been studied in the US, less than 1% of persons seeking medical care for "ARS symptoms" are found to have HIV, the remainder having symptoms due to other processes.  In addition, it is also important to realize that many person who acquire HIV do not experience the ARS.  For a person to try to judge their HIV risk based on "ARS symptoms" is a waste of time.

Finally, regarding the condom protected encounter you describe, I would not worry either.  Condoms work.

Thus, to summarize, you have nothing to worry about.  No concern (or testing) is warranted.  Hope this helps.  EWH
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