Finger Sucking and Oral

[fnsfe12]

Hi Doctors,

Thank you for taking my question.  I'm hoping you can assess the following situation:  Last night, I had too much to drink at a low-end dive kind of a strip club here in the US.  I got a lap dance from an African American female who performed oral sex on me using a condom.  Two weird things happened.  First, before the dance started she told me to wait in the lap dance room for her while she went into the bathroom.  After a minute or two, she walked into the lap dance room with a condom in her hand that was already taken out of the packaging.  I didn't think of it being unusual at the time, but she never even had the packaging with her.  So I have no idea where it came from.  She just rolled it down onto my penis.

Secondly, while she was performing oral sex on me, 2 other dancers (also African American) came in the room and started to flirt around.  For some reason, they kept putting their fingers in my mouth to get me to suck on their fingers. I was thrown off guard by all of this, and consequently, I ended up sucking on their fingers for a while.  I'm concerned because it was dark and I have no idea whether or not there were any cuts on their fingers or where their fingers were before they barged into the lap dance room or if I had any cuts in my mouth.

1.  Did I put myself at risk for catching HIV by sucking on these strippers fingers?
2. If this condom was already used on someone else previously (it looked like it was not used because it looked rolled  up like when they first come out of the packaging) and then she used it on me for oral, am I at risk for HIV?
3. Do I need testing for this situation?

Thank you very much

[Edward W Hook, MD]

Glad to help. EWH

[fnsfe12]

Dr. Hook,

Thank you very much for your help.

[Edward W Hook, MD]

Welcome to our forum.  I'll be pleased to address your questions. The events you describe carried no meaningful risk, at all, for HIV for other STDs.  You do not need to worry and do not need testing.

Before I address your questions, a few general comments.  There are no cases in which anyone has ever gotten HIV from receipt of oral sex, even unprotected oral sex and your exposure was condom protected and therefore certainly no risk. Second, most commercial sex workers do not have HIV and when they use condoms, they do it to protect themselves from customers, not the other way around, Thus you can be confident that the condom placed on you was a good one.  Third, while I have no 1rst hand experience in trying to do so, I suspect that trying to re-roll a used condom would be quite a mess and difficult to do- I sincerely doubt, as you do, that the condom had been used before.  Finally, there are also no instances in which HIV has been transmitted by transfer of genital secretions or blood from one person to another on someone's hands.  This is not a concern or a risk.

1.  Did I put myself at risk for catching HIV by sucking on these strippers fingers?
See above.  there are no cases of HIV which have been proven to be transmitted in this way.

2. If this condom was already used on someone else previously (it looked like it was not used because it looked rolled  up like when they first come out of the packaging) and then she used it on me for oral, am I at risk for HIV?
See above.  I have no way to answer your hypothetical, "what if" question and find it most unlikely to have occurred.

3. Do I need testing for this situation?
I see need for worry or for testing related to the events you describe.

I hope you find my comments helpful. EWH