Hello Doctors,
This is not something I'm proud of or that I like to talk about, but around eight months ago, I made out with and was fingered (in my vagina) by a guy, and I was not aware of his sexual history or STD status. At the time, I was not really concerned much about the encounter, but I've recently hit a new bout of hypochondria and I'm having trouble deciphering whether this event should be causing me concern. Here's how I began to worry: in the process of googling my symptoms for a different condition I was worried about, I came upon a page about HIV rash (which did not even match the "symptoms" I had been searching for), and, despite the fact that it was completely unrelated to the information I had been looking for about a different skin condition, I became nervous and frantically remembered the encounter and began to search reputable websites (including your own) for information about whether the virus could be transmitted through these encounters. Most websites (including yours) say the same thing: no cases of transmission via fingering have been documented, and it doesn't seem like a likely mode of transmission. Some websites, however, state that there is a theoretical possibility of transmission if the fingers were bleeding. Now, I remember pretty distinctly that fingers had not been in his pants or in his mouth (i.e. they didn't have semen or saliva on them), but upon reading this information I became really anxious that maybe somehow they had been bleeding and neither of us had noticed? I do not remember seeing his fingers bleed, and there was no sign of blood on my thighs or underwear or anything, but at the same time I'm somehow worried that it was there and none of us recognized it. The guy was of Hispanic decent, and, while I know that race and ethnicity are not risk factors for HIV, I know that the Hispanic population is disproportionately affected by the virus, which increases my worry. A few weeks after the encounter I came down with a really nasty sinus infection, and now in retrospect I'm anxious that maybe that somehow could have been symptoms of HIV. Now, every minor change in my body--every ache and pain, every pimple and skin irritation, every headache and sore throat--I worry is a result of a positive HIV status. I also worry because I know experts say that there are a lot of people who have HIV and don't know it, so is it possible that the virus could be transmitted by fingering and just nobody's reported it because nobody gets tested after such encounters?
My question to you is this: does this encounter warrant testing (given that I am not 100% sure about whether his fingers were bleeding), or is this just me being overly anxious and perhaps a result of feeling guilty about the encounter? I know at least for me if I ever get a hangnail or similar cut on my finger and it's bleeding it hurts pretty badly, so am I silly to think that neither of us would have noticed if his fingers had been bleeding? Do I need to be seeing an HIV specialist or seeing a counselor about anxiety and hypochondria?
I know I can always take a test to be sure/alleviate what might be irrational fears, but I'd rather not do that if I don't have to. I don't think I could handle the anxiety, and I know that with the HIV antibody test they sometimes don't recommend it except for high-risk encounters anyway, since there is a possibility of false positives.
Thank you very much for the abundant resources you provide on your website. I look forward to reading your advice to help me make informed decisions about my health.