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Michael

Question: 

Am I at risk for HIV after mastrubating (fingering) an escort girl? Do I need to be tested?

Answer: 

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about the risk of acquisition of HIV by fingering .From the information given, this scenario is determined to be Negligible Risk ( All of the practices assigned to this risk level present a potential for HIV transmission because they do involve the exchange of body fluids) However, there has never been a confirmed report.

In order to contract HIV the following conditions must be met: There must be HIV present in a bodily fluid. The five bodily fluids that carry the HIV virus include: blood, semen (including pre-ejaculate), vaginal fluids, breast milk, and rectal secretions. The bodily fluid containing HIV must have direct access to the bloodstream. This can be through cuts, tears, rips, mucous membranes, open sores, or needles. Transmission occurs through a risky activity in which the first two conditions are met. For example: condom less sex, sharing needles, unsafe tattoos or piercings, vertical transmission–from mother to child (in utero, during delivery, breastfeeding). This scenario does not satisfy the transmission equation because there is no direct access to the bloodstream through large cuts or sores and there is no involvement of a high risk activity.

Recommendation: There are no evidence or no documented cases of transmission refer to physician for more personalized answers.

Regards,

AIDS Vancouver Helpline/Online, (Vardah)