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Blood contact from massage

Question: 

Unprotected oral for 5 seconds without ejaculation - November 2015.
April 2014 - massage with HE.

Masseuse was Oriental in a dark flat. She wiped her hands due to fluid - worried it was her blood.
Got home showered and had spots of blood on towel which settled after 10 dabs.
Unsure if blood from burst blood blister on scrotum or crack in groin crease.

Worried about blood to blood contact and HIV infection.

4 weeks later admitted to hospital with fever and pneumonia (No rash or lymphadenopathy) - worried about ARS.

Worried about HIV.

Answer: 

Hello and thank you for reaching out to the AIDS Vancouver Helpline!

It sounds like you have some concerns in regard to your most recent exposure and the likelihood of acquiring HIV.

It is important to note that one does not acquire HIV based on a particular individual, but is exposed due to actions such as unprotected intercourse. From what you have described, you received unprotected oral sex and when you got home, you became increasingly concerned about the presence of blood. Firstly, receiving oral sex is distinguished as a Negligible Risk activity as while there is an exchange of body fluids, there has never been a confirmed report of one acquiring HIV in this manner. Secondly, while you are concerned about blood to blood contact and HIV infection, HIV is a very fragile virus and once exposed to air it is damaged to the point where it is no longer transmissible. Thus, one is not able to acquire HIV from inanimate objects such as a chair even if it may have been exposed to HIV positive body fluids. In the situation that you have described, you would be at No Risk of acquiring HIV.

The symptoms that are correlated with HIV are also shared by numerous amounts of illnesses, it is because of this that one should immediately partner with their personal doctor so that the prevalent symptoms can be addressed in a proper and timely fashion.

Below I have attached a copy of an HIV Transmission Equation Chart, which goes into further detail on the necessary factors that must be present for there to be a risk of HIV transmission.

HIV TRANSMISSION EQUATION

BODY FLUID
+
ACTIVITY
+
DIRECT ACCESS TO BLOODSTREAM
• blood (including menstrual) • unprotected anal or vaginal intercourse • vagina
• semen • sharing needles • anus
• pre-cum • mother to child (in specific cases) • urethra in the penis
• rectal secretions • open cuts and sores (in theory)
• vaginal fluids • other mucosal membranes
• breast milk • points of needle injection

= RISK OF HIV TRANSMISSION

Here at AIDS Vancouver, we believe in routine testing as it is a great way to stay up to date on your current HIV status. If you decide to pursue HIV testing, it is important to remember that all HIV tests done by medical professionals are deemed conclusive at 90 days post-exposure.

For more information on HIV you can visit HIV Basics.

Regards,

Chris, Helpline Volunteer

AIDS Vancouver Helpline/Online

helpline.aidsvancouver.org