I am worried about infection

[sixxtall]

I am very worried about an encounter I had at a strip joint.
I am from Canada and we have very liberal laws as to what can go on in a strip club and a lot of things have changed.  I had lap dances from two different dancers.  I kissed and sucked on their breasts for an extended period of time.  Was there risk of exposure at this point?
I also rubbed the top of one dancers clitoris. This encountered on occured on a Wednesday night.  I had a cut on my finger that I had used the previous Friday.  It was not bleeding.
Was there risk of exposure here?
Finally the dancer had pulled down my pants to try and convince me to get a blow job.  I refused.  However while she was "inticing" me her vagina made contact with the base of penis and the top of my scrottum and then she straddled my waist below my penis.  I found had jock itch and rash in between the folds of my skin where my legs meet my crotch.
Was there a risk of exposure here?
Can you please advise what the chances are of contracting HIV from this encounter.

Thank you.

[Edward W Hook, MD]

Thaks for the additonal information.  Although it has not been studied, the Embrel should not change your risk of infection.  Take care.  EWH

[sixxtall]

Dr. Hook.
One last question and I am not sure how this might effect your answer via possible transmission so I will ask.
I have anklylosing spondilitis arthritis and am taking Enbrel a biological immune system inhibitor.  Will having a weaken immune system change your answer to my original questions?  If I understand your original response I believe you will tell me I have nothing to worry about but I wanted to make sure I had disclosed all the facts.

Thank you I assure you have NO OTHER QUESTIONS. I will not be send you another email telling you what phase the moon was in when I at the strip joint.

Thanks again for your reassurance.

Mike.

[Edward W Hook, MD]

Sorry for the typo, yes, I was typing too fast.  Most men who have sex with men, exotic dancers, etc DO NOT have HIV.  Thanks for pointing it out.  EWH

[sixxtall]

Dr. Hook.
Thank you for your quick reply.  I have a question about your reply below:

"Welcome to the Prevention Forum.  Even before we discuss the activities you describe, I should point out that it is very unlikely that the dancers you encountered had HIV.  HIV is a rare disease and most persons, even so called "high risk" persons such as commercial  workers, men who have sex with other men or exotic dancers are infected. "

You did mean to say that "....other men or exotic dancers are NOT infected"  Right??

Thanks again.  I do feel a lot better.

[Edward W Hook, MD]

Welcome to the Prevention Forum.  Even before we discuss the activities you describe, I should point out that it is very unlikely that the dancers you encountered had HIV.  HIV is a rare disease and most persons, even so called "high risk" persons such as commercial sex workers, men who have sex with other men or exotic dancers are infected.

In addition, HIV is transmitted by penetrative sex and injection of contaminated material below the skin.  It is not transmitted by kissing or other oral contact, by masturbation (rubbing) even if a person has cuts or scrapes which contact genital secretions.  In fact, it is not transmitted by surface contact with genital secretions and it is for this reason that mutual masturbation, in which it is typical for persons to get each others' genital secretions on one another is considered safe sex.  That you had jock itch which your dancer was trying to entice you does not increase your risk.

Based on your description, there is no risk to you and no reason for testing or worry.  I hope my comments are helpful to you. EWH

[sixxtall]

I just wanted to add one thing. At no time during the encounter I described did she put her mouth on my penis.  Nor did I engage in intercourse.  
Thanks for your reply.