Nervous and tensed

[eocr14]

Dear Doctor,

I am a male aged 26 years. I had an exposure with a Filipino bar dancer yesterday. During the exposure, I fingered her anus. The anal secretions from the dancer that were transferred to my fingers and hands came into direct contact with my penis in less than 10 seconds after transfer.

During the exposure there was no direct physical contact between my penis and her vagina; her vagina and my mouth; my penis and her mouth; her anus and my mouth; and her anus and my penis.

Can you please answer the following question:
1) Assuming the anal secretions from the dancer were extremely high on HIV content and were transferred to my fingers and hands, and came into direct contact with my penis in less than 5 seconds after transfer, am I at a risk for HIV? Do I need HIV testing for this exposure?

Thanks!

[Edward W Hook, MD]

1.  That should be obvious
2.  Correct.

yYu do not seem to be able to accept my assessment. it will not change.  No further questions please- as I said, the events you describe carry no risk for HIV.  This thread is now over. EWH

[eocr14]

Thanks Dr. I appreciate your quick response.

1) In your immediate response above you mean "genital" right? You typed a word that says "gential".
2) Also the same "no risk" assessment by you to my exposure applies to all types of body secretions released by the Filipino bar dancer right?

[Edward W Hook, MD]

I said "no risk", not "no risk except...."  There is no known risk from transfer of gential secretions on a persons hands and anxiety related "what if..." questions do not change my assessment or advice.  EWH

[eocr14]

Hi Doctor,

Thanks for the response. I have a follow up question:

1) If both the anal secretions and the vaginal secretions that were very very high on HIV content were transferred from the Filipino dancer to my hands and fingers and came into direct contact with my penis in 5 seconds after the transfer, would you still classify this as a risk for HIV spreading to me and the need for an HIV test for this exposure?

I would really appreciate your reply!

[Edward W Hook, MD]

Welcome to our Forum.  I'll be pleased to comment.  We get questions such as yours regularly and in fact your question is the 2nd one today involving STI risk from hand to genital contact.  Your fingering of your partner's anus is a form of masturbation.  Despite the fact that secretions are regularly transferred from one person to another in the case of mutual masturbation, masturbation is safe sex.  There are no instances that I have ever heard of when transfer of secretions on one person's hands to another have led to HIV- none at all.  The event that you describe was a no risk event.  There is no reason for concern and no need for testing for HIV or any other STI.  EWH

[eocr14]

Please ignore the earlier question I posted in this thread and kindly read the below question.

Dear Doctor,

I am a male aged 26 years. I had an exposure with a Filipino bar dancer yesterday. During the exposure, I fingered her anus. The anal secretions from the dancer that were transferred to my fingers and hands came into direct contact with my penis in less than 10 seconds after transfer.

During the exposure there was no direct physical contact between my penis and her vagina; her vagina and my mouth; my penis and her mouth; her anus and my mouth; and her anus and my penis.

Can you please answer the following question:
1) Assuming the anal secretions from the dancer were extremely high on HIV content and were transferred to my fingers and hands, and came into direct contact with my penis in less than 10 seconds after transfer, am I at a risk for HIV? Do I need HIV testing for this exposure?

Thanks!