HIV risk assessment please

[j_34_anxious]

Hello Doctor, here is my case. Can you please make a risk-assessment?

Jun 2007: HIV test for official purposes: Negative

1. Nov 2007: Visit to massage parlor: Lying naked on table; legitimate massage for my knee Tendonitis (not erotic)
2. Nov 2007: Visit to massage parlor: Lying naked on table; hand job + wash-cloth wipe of penis
3. Nov 2007: Visit to massage parlor: Lying naked on table; hand job

4. Apr 2008: Visit to strip club: Masturbating with stripper's shoe with my underwear on. Part of the penis exposed but no contact.
5. Aug 2008: Visit to massage parlor: Lying naked on table; Licked boobs of masseuse; masseuse putting her naked-finger in my rectum. I retracted it immediately. I have haemmorhoids and sometimes bleed from my rectum when I go to the toilet.

Sept-Oct 2007: Several sinus-related light headaches that come and go. One headache in Sept-Oct 2007 was particularly bad and my eyes were sensitive to light.
Sept-Oct 2008: Several sinus-related light headaches that come and go.
Nov 2008: I have developed dry-cough, mucous and had light fever for a day. Dry-cough persisted for about 2 weeks.

NO NEEDLES, NO VAGINAL SEX, NO ANAL SEX, NO ORAL SEX
(except that on incident-5 the masseuse put her finger-nail and a small-part of her finger in my rectum; I immediately asked her to remove it)

Also, I live in Sacramento, California. incidents-1,2,3,5 were with women 20-35 years.
Incident-4 was in London, England with a woman about 20 years.

My questions:
A. Can you please make an assessment on my HIV risk considering all of the above?
B. It has been exactly 13 weeks since my last massage parlor visit (which I want to make my very last). Should I get a HIV-1/2 test done?

Thank you for reading through and being patient with me. Im really anxious with mouth drying and loss of apetite. Please help!

[Edward W Hook, MD]

Please, stop withthe "what ifs".  They do not change my opinion.  Ifmy advice does not help. I suggest you get an HIV test for your own peace of mind.  It will be negative.  EWH

[j_34_anxious]

My thoughts specifically....
-What is the masseuse who put her finger in my rectum had a cut in her finger?
-What is one of the masseuse had an open wound on her hand and touched an open-pimple on my shoulders or back with it?
-Was there un-dried sperm on the sheets before I slept naked there?

Thanks again and sorry for the persistent nagging posts.

[Edward W Hook, MD]

Your are at NO RISK from any of the exposures you describe.  Mutual masturbation, licking a woman's breasts and having a finger inserted in your rectum would not transmit HIV. You do not need to be concerned and do not need testing.  Zero risk!  EWH

[j_34_anxious]

I just want to make it clear- I did NOT have vaginal/anal/oral sex protected or unprotected.

My question is based on::
1. Lying naked on the massage table multiple times and pre-*** on sheets many time.
2. Licking boobs of masseuse (she was not lactating as far as I could tell)
3. Masseuse putting her finger nail and a part of her finger in my rectum for a short-while.
4. Just a freak-chance of me contracting HIV!

Thanks again.