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Fingering, Mutual Masturbation, and rash immediately after
Hi Doctors,
Just 30 minutes ago, I met up with a man (I am a man). We only kissed, made out, had mutual masturbation, rubbed our penises together, we both had pre-cum. He also massaged my chest, back and stomach. He also wet his hands with his saliva and rubbed my anus. He then put on latex gloves, lube and then inserted his fingers in me. I ejaculated on my stomach and my chest and then he rubbed my ejaculate all over my stomach and my chest, while wearing the gloves and lube. After this, he ejaculated on my leg.
10 minutes after he ejaculated on my leg, he left, and I hopped into the shower. When I got out of the shower, I had a rash all over my chest and stomach, it looks like little red dots all over.
I asked him what his hiv status/sti status was, and he said that he was clean, and that his last test was 6 months ago. My last test was 3 months ago (negative), and I have not had any sexual encounters since.
I'm worried about this rash on my stomach and my chest. I've used latex condoms before, and I've had no problems. I do have eczema though normally, but they're usually not on my chest, stomach.
It does appear from my previous question that I seem to be worried a lot, but I wouldn't have asked this question if this instant rash did not appear. Could you please assess my risk for HIV, STIs. Could this rash be indicative of HIV/STIs? I have no rash on my leg where he ejaculated.
Just 30 minutes ago, I met up with a man (I am a man). We only kissed, made out, had mutual masturbation, rubbed our penises together, we both had pre-cum. He also massaged my chest, back and stomach. He also wet his hands with his saliva and rubbed my anus. He then put on latex gloves, lube and then inserted his fingers in me. I ejaculated on my stomach and my chest and then he rubbed my ejaculate all over my stomach and my chest, while wearing the gloves and lube. After this, he ejaculated on my leg.
10 minutes after he ejaculated on my leg, he left, and I hopped into the shower. When I got out of the shower, I had a rash all over my chest and stomach, it looks like little red dots all over.
I asked him what his hiv status/sti status was, and he said that he was clean, and that his last test was 6 months ago. My last test was 3 months ago (negative), and I have not had any sexual encounters since.
I'm worried about this rash on my stomach and my chest. I've used latex condoms before, and I've had no problems. I do have eczema though normally, but they're usually not on my chest, stomach.
It does appear from my previous question that I seem to be worried a lot, but I wouldn't have asked this question if this instant rash did not appear. Could you please assess my risk for HIV, STIs. Could this rash be indicative of HIV/STIs? I have no rash on my leg where he ejaculated.
MEDICAL PROFESSIONAL
This does not change my opinion or advice. And as you seem to already know, fever alone -- without sore throat and skin rash -- is not a common manifestation of ARS. See your doctor if your fever continues or you otherwise remain concerned. Of course you are free to be tested for HIV if my advice is not sufficiently reassuring. (This does not mean I really believe you are at risk. I do not.)
That will have to end this thread. Take care.
That will have to end this thread. Take care.
So sorry to bug you again. However, yesterday (Thursday March 17) I developed a fever, around 37.9 to 38 ish, chills, headache, no energy and bodyache. Could this be ARS? The event with the guy occurred the Saturday before (March 12).
MEDICAL PROFESSIONAL
Thanks for that information. I'm sure the Canadian public health system does not favor using HIV NAAT just to reassure anxious people after low risk sexual exposures. The test is reasonable if the risk is real, e.g. in someone with symptoms of ARS after unprotected sex with a known infected person. If I were a Canadian citizen, I would be angry if I learned it were being used in situations like yours.
Thanks for your reply. As a comment though, there is no additional cost for an individual for the NAAT test in Canada as it is covered by public health system. However, not every testing location provide the NAAT test.
MEDICAL PROFESSIONAL
Questions 2 and 3 do not change my assessment or advice, and therefore the answer to question 1 is that you do not need HIV testing on account of this event. And therefore, as you suggest yourself, there is no need to get into a discussion of Canada's or BCCDC's HIV testing advice. And please don't spend the money on an NAAT, for goodness' sake.
You can't go through life getting tested every time you have sex with a new partner -- and if your compulsions and fears require that, at least limit it to exposures that have a chance of transmission.
That will be all for this thread. Just stop worrying about this event -- except to see a provider about the rash if it continues.
You can't go through life getting tested every time you have sex with a new partner -- and if your compulsions and fears require that, at least limit it to exposures that have a chance of transmission.
That will be all for this thread. Just stop worrying about this event -- except to see a provider about the rash if it continues.
Thanks, Dr. Handsfield.
The rash is basically gone. I think it may have been caused, like you said, by the mixture of ejaculate, lube, latex, and the bodywash.
I have been perusing through the different posts and responses, and this generated a few follow up issues. I hope that you're willing to respond.
1. Based on your reply, would it be your opinion that hiv testing is unwarranted?
2. I'm worried that the partner's pre-ejaculate may have gotten on his gloved hand when he was fingering me. I've read in your previous posts that this in conjunction with mutual masturbation is completely safe with respect to HIV transmission. I'm just curious how this is different than unprotected anal sex? Could it be that the air along with lube that he applied to his gloved hand in the few seconds between pre-cum getting on his fingers and him fingering me, could that have killed the hiv virus? Is the few seconds sufficient? Would your assessment change if there was his pre-cum on his fingers?
3. Although when we first communicated on the internet he said that he was hiv neg, when I asked him again in person, he still said he was clean, but when I pressed further when I asked when his test was, he got a bit annoyed, said it was 6 months, and said that he never does anal, only been with a few guys and he has a long-term girlfriend. I know in the past, you and Dr. Hunt said to be weary when people are evasive, I'm just wondering whether he was being truthful. Your first sentence in your reply, however, made me feel better.
3. This is a bit ancillary. I'm in Vancouver, Canada. The Provincial CDC still uses the 3rd gen antibody test as the initial test; however, its main CDC operated HIV clinic uses the 3rd gen antibody test together with the NAT test as the initial tests. They do not use the 4th gen antibody test just yet as an initial test. I understand that from your previous posts, that the 4th gen antibody test is fully accurate at the 4-week mark. The BC CDC still recommends 3 months for the 3rd gen, but they said that the NAT test can pick up as early as 2 weeks. Would a 3rd gen test along with the NAT test be just as conclusive at the 4-week mark as compared to the 4th gen antibody test? Of course, if you think that testing is unwarranted, then I would feel less compelled to get the test, as long as I can rationally tell myself that there was no risk.
The rash is basically gone. I think it may have been caused, like you said, by the mixture of ejaculate, lube, latex, and the bodywash.
I have been perusing through the different posts and responses, and this generated a few follow up issues. I hope that you're willing to respond.
1. Based on your reply, would it be your opinion that hiv testing is unwarranted?
2. I'm worried that the partner's pre-ejaculate may have gotten on his gloved hand when he was fingering me. I've read in your previous posts that this in conjunction with mutual masturbation is completely safe with respect to HIV transmission. I'm just curious how this is different than unprotected anal sex? Could it be that the air along with lube that he applied to his gloved hand in the few seconds between pre-cum getting on his fingers and him fingering me, could that have killed the hiv virus? Is the few seconds sufficient? Would your assessment change if there was his pre-cum on his fingers?
3. Although when we first communicated on the internet he said that he was hiv neg, when I asked him again in person, he still said he was clean, but when I pressed further when I asked when his test was, he got a bit annoyed, said it was 6 months, and said that he never does anal, only been with a few guys and he has a long-term girlfriend. I know in the past, you and Dr. Hunt said to be weary when people are evasive, I'm just wondering whether he was being truthful. Your first sentence in your reply, however, made me feel better.
3. This is a bit ancillary. I'm in Vancouver, Canada. The Provincial CDC still uses the 3rd gen antibody test as the initial test; however, its main CDC operated HIV clinic uses the 3rd gen antibody test together with the NAT test as the initial tests. They do not use the 4th gen antibody test just yet as an initial test. I understand that from your previous posts, that the 4th gen antibody test is fully accurate at the 4-week mark. The BC CDC still recommends 3 months for the 3rd gen, but they said that the NAT test can pick up as early as 2 weeks. Would a 3rd gen test along with the NAT test be just as conclusive at the 4-week mark as compared to the 4th gen antibody test? Of course, if you think that testing is unwarranted, then I would feel less compelled to get the test, as long as I can rationally tell myself that there was no risk.
MEDICAL PROFESSIONAL
I saw this before I replied. It makes no difference in my opinion or advice.
MEDICAL PROFESSIONAL
Welcome back to the forum.
You had an entirely safe encounter. Congratulations on being very safe, including discussion of HIV status before sex. Even if your partner had HIV, you could not have been infected.
I'm not entirely sure what you are concerned about with respect to the skin rash. You probably know that it cannot be due to a new HIV infection. Indeed, no infection of any kind can cause immediate skin inflammation. Either the rash is entirely unlrelated to the sexual event, and happened become apparent when it did; or if related to the event, it has to be due to a chemical or allergic reaction, e.g. from the lubricant, latex, or perhaps soap or shampoo in the shower. In any case, this also does not increase the risk of HIV infection.
If the rash persists or you otherwise remain concerned, seek professional attention. But you shouldn't be at all worried about HIV infection in this situation.
Regards-- HHH, MD
You had an entirely safe encounter. Congratulations on being very safe, including discussion of HIV status before sex. Even if your partner had HIV, you could not have been infected.
I'm not entirely sure what you are concerned about with respect to the skin rash. You probably know that it cannot be due to a new HIV infection. Indeed, no infection of any kind can cause immediate skin inflammation. Either the rash is entirely unlrelated to the sexual event, and happened become apparent when it did; or if related to the event, it has to be due to a chemical or allergic reaction, e.g. from the lubricant, latex, or perhaps soap or shampoo in the shower. In any case, this also does not increase the risk of HIV infection.
If the rash persists or you otherwise remain concerned, seek professional attention. But you shouldn't be at all worried about HIV infection in this situation.
Regards-- HHH, MD
Hi Doctors,
It is now about 4 hours after the incident, and most (but not all) of the rash has subsided for now. I am still very worried though. Also, I just noticed that small part of my penis (the back of the penis near the edge of the foreskin) is a bit tender when I touch that part, it feels like there is a small scrape although I can't see any. The guy and I were both producing a lot of pre-cum and we rubbed our penises together. Is this a high risk given that the foreskin has special receptor cells for HIV, or if there was a small scrape on my foreskin. I think I might have gotten it when he jerked me off as he was a bit rough.
It is now about 4 hours after the incident, and most (but not all) of the rash has subsided for now. I am still very worried though. Also, I just noticed that small part of my penis (the back of the penis near the edge of the foreskin) is a bit tender when I touch that part, it feels like there is a small scrape although I can't see any. The guy and I were both producing a lot of pre-cum and we rubbed our penises together. Is this a high risk given that the foreskin has special receptor cells for HIV, or if there was a small scrape on my foreskin. I think I might have gotten it when he jerked me off as he was a bit rough.
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