Concerned in Cali

[Elisa120]

The other day things got pretty hpt and heavy between me and a man I had just met.  I do not know his HIV status.  I was clear from the moment we started kissing that we would not be having intercourse, and we did not.  While we were making out, he began to suck very forcefully on my lips, which resulted in bruises on the inside of both my top and bottom lips.  I do not know if they bled, but I did not taste blood, or see any blood when I looked at my lips in the mirror.  They were very sore, swollen and purple afterwards.  He also fingered me quite roughly, and when I went to clean up afterwards I noticed some blood.  I had just finished my period, so it was unclear to me whether this was from the fingering or risidual menstruation.  I thought I was engaging in a relatively 'safe' activity by refusing intercourse altogether, and if it were not for the vaginal bleeding and bruised lips I would not even be concerned at this moment.  Does this encounter merit HIV testing?

[Edward W Hook, MD]

The chance that he passively transferred material to you, and that there was enought transfer to lead to infectin to you is beyond the ealm of possibility.   It just does not happen.   EWH

[Elisa120]

Thank you so much for your reply.  I really appreciate it.  I realize that a blood/genital secretion contact would have to take place, and I was just concerned that it could have in some small amounts --- I was not paying a lot of attention and became concerned that he could have touched his genitals  and then fingered me and I bled, etc...

[Edward W Hook, MD]

Just to clarify my rather hasty answer above, the reason no testing is required is that because there was not transfer of his blood or gential secretions to you.  EWH

[Edward W Hook, MD]

Your are OK and do not need testing.  While your encounter sounds rather rough, neither masturbation not deep, rough kissing warrant HIV testing.  Your bruises do not represent broken skin and even if his masturbation of you lead you to experience some bleeding, it does not warrant testing. Take care.  EWH