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Mr. Afraid (Shared Sex Toy)

Question: 

hi
my question is that i went to a Chinese massage parlor.i got a protected (with condom on my penis) oral from her.when i ejaculated she removed the condom and cleaned my penis with baby wipes. then she waited for 5 to 7 minutes and held my penis (non protected without a condom)and massaged it to make it erect. as it got erected she used some oil to give me a boob-fuck(unprotected)and while i was just about to ejaculate she used a artificial vagina(again unprotected)( she claims that artificial vagina was disposable and was put in come glass container filled with water )to ejaculate me .after this ejaculation which was my second ejaculation i felt tired and wanted to go . but she insisted me to give me a (one more hand job because i had paid her already for this )and massaged my penis for 5 to 10 minutes to make it erect but it could not erect so i went back.
from that day to now i have extreme anxiety.my doctor already have prescribed me praxil.my concern is that
1>can hiv be transmitted in above senerio?
2>if that artificial vagina was not disposable and was the used one having hiv+ semen contamination and putted in water and then used on me then can it effect me?
3>if her hands or boobs have some left over semen from previous customer and my penis was rubbed on it (unprotected) then is there any chance of transmission of hiv because in the last try she was massaging my penis hard to make it erect and she tried to make it erect my massaging it for 5-10 minutes which is a big time duration?
4>do you advise me to get tested?i already got tested on 17th day 21st day and 28th day after exposure with fourth generation test for hiv i.e.(Abbot Alinity i - Combo test (p24 & HIV - 1 & 2 Antbodies) all are negative. should i retest my self at 3 months mark?
5>do you put this activity in a hiv trasnmission risk?
please reply i beg for your guidance
regards

Answer: 

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about the possibility of HIV transmission through the use of a sex toy that may have been either disposable or potentially re-used and cleaned. From the information given, this scenario is determined to be Negligible Risk (There are no evidence or no documented cases of transmission).

The scenario mentioned above does meet the three components of the Transmission Equation when certain conditions are met. A sex toy that has been previously used may not have been cleaned properly and although there are no documented cases of transmission, there is a theoretical possibility. Please note that HIV does not survive long on surfaces of objects as it is rendered inactive when exposed to oxygen, so the likelihood of HIV surviving on/in a sex toy between uses is very unlikely (1).

In terms of testing, a 4th Generation "Combo/Duo" test is able to detect an HIV infection in 50% of people 18 days after infection, 95% of people 34 days after infection, and 99% of people 6 weeks after infection. Some physicians and guidelines recommend re-testing after 12 weeks for completely conclusive results after a risky exposure (2). Since you tested 4 weeks after the negligible risk exposure, it is likely (~95%) that the test was accurate.

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

Regards,

AIDS Vancouver Helpline/Online, Marie