Semen into Rectum Through Sex Toy

[chaticman]

Dear experts,

I went to a massage parlor a few days ago in China and wonder whether it was an exposure to HIV.

Here are what happened:

(1) The CSW used a bottle to hold lubricants which according to her were made of milk and baby oil. The lubricant felt warm when it got onto my body.

(2) The lubricant bottle was shared among the CSWs in the parlor. She went out to get the bottle right before she gave me the hand job. It is possible that the outside of the bottle had semen or pre-ejaculate fluid from other client, as the other CSW could have used it for other custmer RIGHT BEFORE and touched it with other people's semen on hands.

(3) The CSW squeezed the lubricant (milk and baby oil) onto my penis and anal. She started the hand job. I am afraid her hands might have got semen from the bottle. She reached the bottle several times for more lubricants.

(4) She took out a vibrator from a box (I am certain it has not been used for the last 30 minutes). She sprayed disinfectant onto the vibrator and wiped it with tissue before she put a condom (not sure about the quality and raw material) over it.

(5) She then inserted the vibrator into my anus (probably one inch deep) for 30 seconds. I am afriad along with the vibrator, some lubricants (milk + baby oild) contaminated with semen from other custmers might have gotten into my anal.

(6) 30 minutes BEFORE the session, I went to number two. After I wiped my anal with toilet paper, I saw a little blood on the tissue, as I did it too hard. I do not usually have anal fissure or hemorrhoid. I do not know whether that cut in the anal might increase the risk.

(7) I am afraid since milk has a similar ph level as human body, it might provide an ideal environment for HIV to sustain. Also, I am afraid the baby oild might have "shielded" the HIV+ semen from exposure to air.

Please kindly assess my risk, assuming  the semen on the bottle might come from a HIV+ customer.  Thank you, doctors!!!

[Edward W Hook, MD]

Oh please.  As I said above, despite your statement to the contrary, HIV would not survive in the milk-oil lubricant used on you.

This will end this thread.  EWH

[chaticman]

Not that I think someone ejaculated into the lubricant, but just wanna be sure that even if some semen on the outside of bottle were not exposed to air (not dry, covered by milk and baby oil), it would still be safe. Thank you.

[chaticman]

Doctor Hook,

Thank you so much for your patience and understand. Please allow my very last follow-up.

I understand that the virus cannot live upon exposure to air. For that to happen, the drying of semen cells needs to take place. However, if the semen is ejaculated directly into lubricant, there would be no drying (within 5 minutes) and thus the virus cannot be rendered inactive???

Thank you again. This will really be my last question.

[Edward W Hook, MD]

You seem to argue that you are at risk.  This is not a debate.  You asked for my assessment and I gave it.  Now you are arguing and extending your earlier “what if” concerns.  

1. The virus begins to die immediately on exposure to air.  Damaged virus is no risk and does not cause infection.

2.  Sorry, I don’t know why you would think that a mixture of milk and baby oil would be an "ideal” environment for HIV but that is just microbiologically wrong.  HIV grows/survives only within cells.  

3.  Temperature is important for survival of HIV and the virus survives best at body temperature.  Despite this, there is no practical reason to think that the lubricant used for you was infectious.

4.  Further arguing.  Here is a FACT.  No one has EVER gotten infected through masturbation.  "Fingering" is masturbation.  Transfer of infected secretions directly or indirectly in the manner you imagine (since you really do not know that there was transfer OR that they was infected if there was transfer) does not transmit HIV.  

You need to relax.  This was not a risky exposure.  EWH

[chaticman]

Doctor Hook,

Do you mind looking at the follow-ups for me? I am not sure the other comment has gone to you or not.

Thanks!

[chaticman]

Doctor Hook,

Thank you for your reply. Please kindly allow me to ask some follow-ups:

(1) Could you clarify on "virus does not survive outside of the body"? I remember reading some of your past posts in which you wrote that it takes several minutes for the virus to lose infectiousness when exposed to air.

(2) Also, you wrote that HIV needs water with salts to survive. I was afraid that the milk provided an ideal environment for the HIV semen to survive. Since the bottle was brought in right before the session, it is likely that some fresh semen are still on it, and covered by lubricants (not being exposed to air, not dried, and thus still active).

(3) Does the warmth of the bottle help render the virus inactive? The lubricant felt warm on my body, so it had a temperature that was slightly higher than body's.

(4) Can I think of this scenario similar to INSERTIVE FINGERING which realistically has no risk? The vibrator is similar to the size of a middle finger. But I am afraid the semen it brought into my rectum is more than a finger could because semen might be covered with lubricants.

I really appreciate your comments. Thank you very much!

[Edward W Hook, MD]

Welcome to the Forum.  There is no risk for HIV transmission form the activities you describe. There are several reasons for this. Most importantly the virus does not survive ourside of the body, even if it were to be mixed with milk and baby oil.  Further, it is unlikely that the lubricant was contaminated, that you had hemrrhoidal bleeding prior to the events described does not change my assessment in any way. There is no reason for concern and no need for testing.  

I hope this response is helpful to you.  EWH