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Sex worker put condom on with her mouth!

Question: 

Hi,

I am feeling very anxious while intoxicated I got a blowjob from a sex worker. She first gave my back a massage with coconut oil (could the oil be contaminated?) I had small scratches on my back the next day, didn't look like the skin had broke though. After that she gave me a blow job but first put on a condom using her mouth. A trick I have seen before. My questions are below:

- Could I get infected from the massage and scratches? Could the oil if mixed with blood for some reason infect me through my back, through an open scratch or cut?
- When she put the condom on me with her mouth, what if her mouth brushed my penis beforehand? I had the condom on until I released. She was also slobbering quite a bit and I think I felt saliva at the base of my penis, didn't look like blood was in it but could of been trace amounts.
-Last thing I remember was also touching her boobs with my hand. Any risk there? What if she was lactating and I didn't remember. I wasn't black out but I am just trying to cover my bases.

Thank you for helping put my mind at ease. I hate doing these things and the guilt/worry makes it not worth it.

Answer: 

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about the risk of being infected with HIV from receiving oral sex. From the information given, this scenario is determined to be Negligible Risk. There are no evidence or no documented cases of transmission. However, there is a theoretical possibility. Receiving oral sex, performing oral sex with a barrier, using shared sex toys that have been cleaned (there is a possibility that the toy may not be cleaned or disinfected properly) fall under Negligible risk because they do involve the exchange of body fluids.

For a risk to exist, specific HIV+ must come into direct contact with the blood stream of an HIV- person. Most of the body surfaces are dry skin ( E.g. Legs, arms) and they do not allow HIV to enter the body. Wet skin or (mucous membranes) is more vulnerable to HIV. These include foreskin and urethra in penis, cervix & vagina, anus & rectum, mouth & throat, open cuts/sores. In the above scenario there are no large open cuts/sores, so essentially there is no risk of transmission. Also, saliva contains an enzyme that inhibits HIV, and do not contain enough of the virus to cause potential for transmission.

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

Regards, AIDS Vancouver Helpline/Online, (Vardah)