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HIV risk from a sex worker
Dear Doctor
I am a 28 years old man. A few days ago I was in Amsterdam and I paid visit to a Thai sex worker.
During the session I noticed some attributes of her body (and her voice tone) that made me thinking, although she had all the female organs, she might have been a man before changing her sex.
She performed a massage to my penis with her breast (unprotected) and then she gave me (protected) oral sex. No penetrative sex at all.
During the oral sex act, the friction was very strong and she performed it very energetically and fast.
I noticed the condom's end started to roll up toward the glans and, while she was alternating between masturbating my penis and giving me oral sex, I think some of the sensitive foreskin (the one covered by the external skin when the penis is flaccid) might have not been covered by the condom during oral since the condom rolled up and covered only the head of my penis.
I know receiving oral sex is considered very low risk for HIV transmission, however since the strong friction and her energetic way to perform it, I was wondering if the foreskin at the end of my penis head not being covered by the condom may have put me at any risk of infection.
I'm planning to have a DUO test 28 days after this event. Is it sensible to have this test done? I'm a bit anxious about this.
Many thanks.
I am a 28 years old man. A few days ago I was in Amsterdam and I paid visit to a Thai sex worker.
During the session I noticed some attributes of her body (and her voice tone) that made me thinking, although she had all the female organs, she might have been a man before changing her sex.
She performed a massage to my penis with her breast (unprotected) and then she gave me (protected) oral sex. No penetrative sex at all.
During the oral sex act, the friction was very strong and she performed it very energetically and fast.
I noticed the condom's end started to roll up toward the glans and, while she was alternating between masturbating my penis and giving me oral sex, I think some of the sensitive foreskin (the one covered by the external skin when the penis is flaccid) might have not been covered by the condom during oral since the condom rolled up and covered only the head of my penis.
I know receiving oral sex is considered very low risk for HIV transmission, however since the strong friction and her energetic way to perform it, I was wondering if the foreskin at the end of my penis head not being covered by the condom may have put me at any risk of infection.
I'm planning to have a DUO test 28 days after this event. Is it sensible to have this test done? I'm a bit anxious about this.
Many thanks.
Many thanks for the prompt reply and sorry for having posted on the wrong forum.
Regards
Regards
MEDICAL PROFESSIONAL
Welcome back to the forum. However, questions about HIV risk should be in the HIV Prevention and Safe Sex forum; see the information at the top of the page and in the Disclaimer message.
My understanding is that most Amsterdam CSWs are regularly tested for HIV, so it is unlikely your partner was infected. Even if she was, there is no measurable risk of HIV transmission from the exposures described. The vigor of oral sex probably makes no difference.
From a risk assessment standpoint, you do not need HIV testing. However, feel free to do it if you need the result for reassurance. If this is your only potential risk for HIV, it will be negative.
Because this is the wrong forum, there won't be any follow-up comments or discussion. But really, do not worry about this event. There is no realistic chance you caught HIV.
Regards-- HHH, MD
My understanding is that most Amsterdam CSWs are regularly tested for HIV, so it is unlikely your partner was infected. Even if she was, there is no measurable risk of HIV transmission from the exposures described. The vigor of oral sex probably makes no difference.
From a risk assessment standpoint, you do not need HIV testing. However, feel free to do it if you need the result for reassurance. If this is your only potential risk for HIV, it will be negative.
Because this is the wrong forum, there won't be any follow-up comments or discussion. But really, do not worry about this event. There is no realistic chance you caught HIV.
Regards-- HHH, MD
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