Risk factors and Need of tests

[Ruler8]

Hello Doctor,

Thanks for the nice service. I am 28 yr old male from Norway. Today I was with a female CSW from Brazil. I did the following activities.

1. Received condom protected Oral sex (around 10 minutes)
2. Condom protected vaginal sex (about 5-6 minutes. I came inside condom)
3. I kissed on her body (few times). She didn't allow to suck her boobs or to kiss her mouth.
4. I fingered her for five minutes (I didn't finger deep since she told I shouldn't do deep fingering. But I felt wetness. Please take this one also into account when answering. I don't know whether I had a cut or small crack in  my fingers).
5. After sex the condom was there. When she removed it, i felt the wetness in the same hand I used to finger her. Also it touched my legs.
6. I am feeling little bit heat flux in my feet now. Is there any connection? Or did I start to give unnecessary focus for symptoms?

7. Please assume that she is HIV positive (I don't know her status. But I asked her about it and she told that she will check periodically and she uses condom to protect herself first)

Is there any risk for HIV and other risks? Please answer the above questions based on my acts. I am new to this topic and this is my first sexual encounter in my life.

Do I need HIV test?.. If so how long should I wait?... I am eager to receive your answer. Anyway I will do a test after some time. But Do I really need a test?

[Edward W Hook, MD]

Welcome to our Forum. I'll be glad to answer your questions. the activates you describe are considered safe sex and do not warrant testing for HIV..  HIV is not transmitted by safe sex, through kissing, or through masturbation (fingering) even though it is common in these situation to get partners' genital secretions on you during the process.  HIV is only spread through penetrative genital or ano-genital sex or through injection of infected material deeply into tissue such as occurs with a needle.  

Further, to put your risk into context, it is important that I point out to you it is unlikely that your partner had HIV.  Most CSWs do not have HIV and the precautions that your partner took are the sort that CSWs take with the intention of protecting themselves from their clients, not for protecting their clients.  

The flux you feel in your feet does not in any way suggest HIV or any other STD.

Bottom line, form a medical perspective, you do not need HIV testing and do not have any reason to worry. I hope you find my comments reassuring. EWH

[Edward W Hook, MD]

I did.  Having sores on your fingers, bleeding cuticles on your nails, etc does not increase your risk- still no risk. EWH

[Ruler8]

Hello Doctor,

       Thanks for the answer. The reason why I asked the fingering part is I am having a very bad habit of nail-biting. I still feel little pain in that finger because of nail-biting. Since I have used that finger, I am worrying. You told that exchange of segregation is OK in fingering. Did you take this problem also (possible crack or nail-biting sore) into account?..

Will you still say that my activities are safe and suggest no testing for me?