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Genital rubbing with Girl on top. Is any HIV risk?

Question: 

HI,

About one month back i had visited a massage parlor. We did not have sex. She gave me blow job, before & after genital rubbing. She was on my top. My penis was not penetrated, but the top portion urethra was visible.she was rubbing for 2-4 minutes max. I didnt know if the her vaginal fluids might have entered the tip of my penis, where urethra was slightly visible. Before genital rubbing i had fingered her vegina, but it was totally dry. I dont know if veginal fluids might have produced during the genital rubbing. After this act I washed off my penis by soap. I donr know her hiv status. After one week of this act, i had throat infection (not sore or ache), where my voice was changed & it was normal in 3-4 days. Also i had 1 or 2 rashes on my hand after 3 weeks of act. The rashes keep coming & going, on my hand & legs, without any treatment, for every 3-4 months. I am worried if I have infected with hiv.

Answer: 

Hi there,

Thanks for contacting AIDS Vancouver for HIV/AIDS-related information.

From the scenario you've described, it is very unlikely that you placed yourself at HIV transmission.

Let me explain why: For HIV transmission to occur, body fluids containing HIV (i.e. blood, semen, vaginal fluids) need direct access to your bloodstream through activities like unprotected insertive anal or vaginal sex. So, even though there were some fluids involved and your urethra was involved, we consider genital rubbing to be of negligible risk. This means that while there is some risk, there has NEVER been a confirmed report of HIV transmission happening this way (read: if this was a common way to transmit HIV, we would be seeing a lot more cases happening!).

How come? Because outside of the body, HIV is a pretty weak virus. It needs to live in a controlled environment. It dies at most in 60 seconds of exposure to oxygen. You should also know that unlike STIs/STD (which CAN be transmitted through skin to skin contact), HIV is NOT transmitted skin to skin. Remember, direct access to your bloodstream. While your urethra provides access, it's not nearly as efficient of a route as a vagina or rectum would be.

I noticed you didn't ask me about oral sex. Likely this is because you know that oral sex is also not a common mode of transmission- the mouth does not provide the same kind of access to the bloodstream and receiving oral sex has NEVER been confirmed as a way to transmit HIV. Just an FYI.

So now that we can pretty confidently assume that you did not place yourself at risk for HIV, how to account for the symptoms? A tough one. At AIDS Vancouver we don't diagnose people because we aren't doctors. We are trained volunteers who dispense information about HIV. Those symptoms you describe are not specific to HIV and could be related to a lot of other things- stress being one of them. I encourage you to go visit your doctor if you feel unwell.

Lastly, I want to remind you that HIV does not discriminate by age, race, gender or occupation. Just because someone is a sex worker does NOT mean they are HIV positive. Sex workers are professionals and this is their business. They tend to take much better care of their sexual health than you and me because it is their source of income.

I trust I've answered your questions; however, if you have more, please don't hesitate to ask.

All the best

Maggie

AIDS Vancouver Volunteer