anal grazing

[Paulfisher1]

Good afternoon,

Quick question. yesterday i went for a massage. The place appeared clean, but the massage was sensual. About me: no cuts or scratches on my body, this includes no anal fissures, hemorrhoids or fissures. The massuese: I looked at her hands prior to the massage, I saw no cuts.

During the massage, she lightly grazed over my anus several times, not deeply but probably the area around where hair grows or a little deeply - too close for comfort as far as I am concerned. She massaged me all over, I saw no eveidence of any blood streaks or anything.

After the massge, she pulled out a towell, I don't think she wrapped me in the massage. The towell had a small red streak on it, it could have been blood - it was dry. Because of this I checked her hands a second and finally a third time to see if there was any evidence of cuts or blood. Again, I saw none,

My concern, I know that skin is an excellent barrier to hiv, but does that extend to the skin around the anus. Mind you she never inserted her finger in me, I just am worried if a bloodied finger might have touched my anus, if I am at risk.

Thanks

[Paulfisher1]

Sorry the weather here is very dry and cold

[Paulfisher1]

Sorry to be back here,

but I wanted to ask one last q

exactly four weeks after this incident I developed a itchy rash around the waistband of my underpants, it was almost exclusively around the area the band meets my body, I get this sometimes in really dry, hot weather, and the area becomes raised and pinkish from the itching, the skins appears to be very dry.

I read slot about this ars rash on the net
1) it appears usually in the 2-3rd week, my rash came the forth
2) it is usually acompanied by other symptoms lime fever, muscle aches - I had no other symptoms
3) I read that it generally does not although it can itch - mine itches
4) I read that it tends to present like maculopapular rages, raised and red, symetrical and usually 5-10 milimeters in length

because my rash didn't resemble this and I have had something similar to this in the past I am inclined to forget it

if I can't I will test, because I keep thinking what if some small amount of blood came in contact with perianal skin and there was some minute lesion

could the rash be ars, no matter how small the chance?

[Paulfisher1]

Thank you doctor

[Dr Sean Cummings]

Hi Paul

I've already answered your further questions. I repeat the answer here for ease of reference:-

There is no risk at all of HIV transfer this way.

To effectively transfer HIV you need unprotected anal or vaginal penetration with a penis and an exchange of body fluids.

Whether the identified fluid was blood or not does not make any difference - you were not at risk of HIV from this event.

[Dr Sean Cummings]

Hi Paul

There is no risk at all of HIV transfer this way.

To effectively transfer HIV you need unprotected anal or vaginal penetration with a penis and an exchange of body fluids.

Whether the identified fluid was blood or not does not make any difference - you were not at risk of HIV from this event.

best regards, Sean

[Paulfisher1]

Hello doctors,

I have read much about how HIV infected fluids must be introduced into the body as would be the case in intercourse, mainly anal and vaginal - or in the case of a needlesticks. Furthermore, there seems to be a school of thought that says surface contamination, in which infected secretions come in contact with mildly abraded areas on the body is not a source of transmission.

But what about the perianal, that is the skin outside the anal verge. This skin feels thinner, and easier to break. Perhaps I am wrong, perhaps in the absence of a actual fitula, fissure or hemorrhoid or visible it isn't possible for infection to go through this layer, despite micro tears and minor abrasions

Thanks for your input

[Paulfisher1]

Anybody?

[Paulfisher1]

I meant to say she did not wrap me in the towell