Risk Assessment Please

[minimax88]

5 weeks ago, I visited a massage parlor and had received a hand job. From numerous posts here, I know that is no risk. Actually, I need clarification on what happened after. After the handjob, the lady says that she wil just go to the bathroom and shave her Bikini line. Right after her shaving, maybe 5 or so minutes, she gives me a shower. My question is, what if she cut herself while shaving and had blood on her fingers. She naturally washed my penis and touched the top of it. Let's say she had blood on her finger from a cut, would it be possible that this blood enter the urethra and infect me.

I know the blood on her finger would have already been transffered there from a cut elsewhere, probably from the bikini line. Is this still infectious. I am just freaked at all the research stating that blood is more infectious than other fluids.

I have also tested via Abbott Determine Rapid Test at 5 weeks. They say this test is a little delayed in detecting early infections by a few days. Would that be sufficient to move on given the risk.

As a side question, I developed the feeling of frequent urination after this incident which lasted for a day, probably something foreign entered the urethra during the handjob like lotion. What if she had a minute cut in her fingers that gave the handjob, would secretions from a small cut like that mixed with the lotion be also infectious.

I know, I sound a little crazy but I feel the circumstances are somewhat different than the normal handjob questions.

[H. Hunter Handsfield, M.D.]

As you were accurately informed on the HIV community forum, there is no HIV risk from the events you describe.  The chance your hand job partner had HIV is extremely low, and even if she had it, HIV simply has never been known to be transsmitted by hand-genital contact.  This is regardless of cuts, blood exposure, etc.  You are not going to be the first case.  You did not need HIV testing, but you can rely on the negative result when it comes (which is definitely what it will show).

Anticipating your "why?" question, since you asked it on the community forum:  For almost every infectious disease, transmission requries exposre to more than "just one virus".  The amount of exposure required for HIV is especially large, much bigger than for many other infections.  Lots of virus has to reach suceptible cells deep in the skin, in the blood, or elsewhere.  It simply is not possible to be exposed to enough virus for transmission to occur without directly injecting the virus into the body somewhere, as occurs with sex.  Even with unprotected vaginal sex when one partner is infected, the chance of HIV being transmitted is only once for ever 1,000 sex events.  Given that, what could it possibly be with the sort of non-expousre event you describe.

You can go through every "what if" scenario that your mind will generate, but none will make any difference in my opinion or advice.  Therefore, I will delete any such follow-up comments without reply.  Just accept the truth and move on.  If you cannot, it is evidence of an emotional disorder that likely would benefit from professional attention.  I suggest it out of compassion, not criticism.

Good luck--  HHH, MD

[minimax88]

I did get a test a day ago and yes the result was negative. It was a rapid test called Abbott Determine. I guess I was doubting it since studies said that this detects antibodies later by a few days compared to the most sensitive EIA. This was in 5 weeks. As you can see, I am a worry freak and research on the net is not helping.

I guess, I just needed to hear your opinion that both the handjob and shaving of the lady then giving me a shower was indeed no risk. Like many, I had symptoms such as pharyngitis and joint pains and now  reddish blotches like rash on both arms. I do have sensitive skin so it may be just some skin asthma. I guess that freaked me out.

I will indeed try to move on. Thank You doctor