body to body massage with button crack cut

[paulthomas266]

Dear Doctor,

A year ago I came here to ask for your risk assessment about a potential exposure I had. .

Now,planning to get married. girlfriend asked about my past sexual activities. I mentioned a sleazy adventure.

My case involved  body/body massage,aka nuru massage. I was lying down naked with penis on towel, butt facing up. She spread a gel all over my back and anus. Then she spread it on her breasts, trunk, belly and started the massage. I noticed  she had her underwear on, but forgot to check if she had wounds!

For most of it (50min.) it consisted in slowly moving back and forth on my back (from my neck to my legs).First 20 min. were ok. After a while I noticed some itching/abrasion every time she was sliding all the way up, specifically in my natal cleft, which sometimes bleeds(very small drops) for a bit when I m wipping my butt.

I don’t know if she was sliding there with her belly/vagina. I could feel it seemed to be rough and dry(gel seemed to have dried).

My gf is truly afraid she was bleeding when she was sliding on my butt crack and if blood from her belly or vagina immediately entered my small  wound there. I did not see her bleeding profusely, but there was like poor lighting. What if she had wounds on her belly?

I told her HIV is not infectious outside the body but she said  it could happen exactly on the moment she was sliding on my butt crack, if she dripped blood there. I know there have been no cases of HIv transmission on mutual masturbation but my GF said probably there was never an experience like mine, 50 min sliding on my back!!!

She found this and said my situation was similar:  
http://www.medhelp.org/posts/HIV---Prevention/Open-Wound--and-Blood/show/255867

Can my situation be compared to this?
Is it true that the massage I had is different, as my GF thinks?
The last 48 hour were hell, she keeps coming with flights of fancy!

Can you please shed some light on this issue doctor? Very much appreciated!!!!

[Edward W Hook, MD]

Glad te I could help.  Take care.  EWH

[paulthomas266]

Thank you for your reassuring answers Doctor.

You can end the thread.

[Edward W Hook, MD]

1.  The duration o fyour  masssage makes no difference.  Still no risk.

2.  correct, nothing in life is absolute.  The term "theoretical" is used to address this issue.

3.  Never.

4.  These symptoms wre not the ARS.

You really need to relax. EWH

[paulthomas266]

Dear Doctor Edward W. Hook,

Thank you so much for getting back to me so fast. I really appreciate your professional approach and your clear and concise answer, always holding yourself to high standards towards inquirers. Thank you for this Dr. Edward W. Hook!

Yes Dr., it is haunting us now a lot!!! It was no longer an issue for me because one year ago I read a lot about the vectors of transmission of HIV. But she is driving me crazy now!!!  Anyway, had not she asked I would have ended up telling her anyway as this is not in compliance with my righteous upbringing. We are both virgins and she says she cannot believe that such a sleazy adventure can possibly ruin our plans.

Sir, I promise I will just add a final remark and ask four short questions for which a short answer would be perfect as I do not want to take your precious time! I will not be like other people who keep asking for follow-ups and further follow ups, coming up with new "variables", the famous "if´s", every time a previous question has been answered by you, ( God that must be excruciatingly unpleasant for you sir)

My questions are the following:

1-Time (the fact that the massage was 50 min sliding in my back) makes no difference in this event, as long as my cut in the intergluteal cleft(skin tear in buttcrack) was just a superficial wound, and not a gaping wound( I am sure it was not) requiring stitches? Can I make this assumption?

2- In this situation the risk is regarded/labeled as "theoretical" (with the example of being hit by lightning while walking down the street being a good comparison) or definitely a no risk event ? I do not mean to sound pedantic, but most MD´s use "theoretical" to be on the safe side, right?

3- Neither you Doctor Hook, nor Dr. Handsfield have ever heard of an HIV transmission in the manner I have described?

4- She asked me whether I had ARS symptoms or not. I said that after 10 weeks of the massage I had temperature and had a cold for 2 or 3 days (37.4 degrees celsius-99.32 fahrenheit) and she said this could be a late conversion!!! I have never read about ARS symptoms 10 weeks after a exposure. Is this possible? Highly unlikely?

Just one final remark: she offered more than the massage (protected vaginal intercourse), which I promptly refused. Thus, I would say she is more likely to be HIV positive than a real masseuse. And she was from Thailand (high HIV incidence among CSW as far as I am aware). Anyway, after reading your first answer, I do not think I need to take this details into consideration.

I am sorry for my possible mistakes in spelling/grammar, I am portuguese. (english as second language).

Thank you so much for your help.

[Edward W Hook, MD]

Welcome back to our Forum.  I'll try to help.  These sorts of past experiences do have a way of coming back to haunt us from time to time, don't they?  In preparing to answer your (girlfriend’s) concerns, I noted that the post she referred to is 8 years old.  Since then knowledge has accumulated which allows us to comfortably say that even if your masseuse had a recent, bleeding cut which happened to drop blood (or secretions for that matter) into a recent cut or your rectum, there would still be no risk for infection.  Were that question to be asked again, I suspect the Dr. Handsfield would tell you (her that this was a no risk event) and that there was no reason for concern or for testing.  I certainly would.  The analogous situation is the possibility of getting a partner's genital secretions on a cut or in your rectum during mutual masturbation, something that has happened enumerable times and is no risk.

finally, I would add a reminder that it is statistically unlikely that the masseuse had HIV, or a cut, or that if she did that it got into a cut or your rectum.  this was a no risk event for which there is no reason for concern and no reason for testing.  I hope that this comment is helpful to you. EWH