Protected Anal & Saliva/Handjob

[pete404404]

Hi

I am a 40yr old healthy male.

Last week i engaged in the following acts with a TS sex worker, I was not drunk or high and so recall the events rather accurately:

1. We Kissed
2. She performed protected oral on me
3. I performed protected anal intercourse on her.
4. I performed protected oral on her.
5. She performed protected anal intercourse on me.

So this was all fine, until she withdrew from me and inserted her fingers into my anus after spitting on them. I am not sure whether or not she put a condom on her fingers first. She also spat on her other hand and masturbated me, I had cuts around my penis at the time.

So I guess what I am really worried about is the risk of transmission of HIV from either the saliva she transferred to my anus, the saliva she used to lubricate when she masturbated my penis (penis had cuts) or the chance that either of her hands had some residual anal secretions from her anus which could have transmitted HIV or other infections to me via the penis cuts or the anal fingering?

It has now been a week since my potential exposure; I have been to a clinic and been tested for Chlamidya/Gonhorrea (waiting on results) and they have said I can have a duo HIV test after 28 days which is very accurate - is this really a good test?

Please could you give me some commentary on the potential risks of HIV and other STD transmissions? I feel like I want to urinate/defecate more often than usual and the tip of my penis may be more sensitive than usual, but I'm having a hard time working out if these are purely my worry looking for symptoms.

Thanks

[H. Hunter Handsfield, M.D.]

No.  You cannot catch rectal gonorrhea by fingering.

[pete404404]

Thanks doc. The only other thing I am wondering is if I need an additional gonnorhea test to check for anal infection - the test I had only required me to give a urine sample?

Thanks

[H. Hunter Handsfield, M.D.]

Welcome to the HIV forum.  Congratulations for using condoms for the anal sex component.  That's the most important potential risk here, and you protected yourself. In the future, I suggest you also ask your partners -- whether TS or any other partner -- whether or not they have HIV, before going ahead with any sexual contact.  Most people don't lie when asked directly.

Did you take the time to read other questions like yours, as suggested in the Disclaimer message at the top of the forum?  These exact questions have been answered innumerable times.  Condom-protected anal sex carries no HIV risk, if the condom doesn't rupture (which you would have noticed).  HIV is inactivated by saliva, so exposure to saliva, kissing, oral sex, etc carry little or no risk.  HIV is never transmitted by hand-genital contact or fingering, either genital or anal.  For the most part, the same is true of all other STDs as well.

The combo (Duo) test checks for both HIV itself (actually, the virus's P24 antigen) and antibody, the immune system's response to the virus.  The clinic is exactly right:  a negative result at 4 weeks is virtually a 100% guarantee that theperson was not infected.  Many experts would also recommend another antibody test 8-12 weeks after exposure, but it's icing on the cake.  If you do it, you can expect another negative result.

Bottom line:  There was little or no risk of HIV or other STDs, and the HIV test result proves you weren't infected.  You can move on without worry about this event, and concentrate on safe habits in the event of future non-monogamous sexual activity.

Best wishes--  HHH, MD