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std from handjob with spit?

Question: 

i had sex with an escort and we had sex with condom, and after she gave a blowjob with condom on but then removed the condom and spited on my penis and gave me an handjob is it possible to get an std from that?

Answer: 

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about the risk of HIV transmission through protected vaginal sex followed by protected oral and a hand-job using spit as a lubricant. From the information given, this scenario is determined to be Low Risk (evidence of transmission occurs through these activities when certain conditions are met).

The scenario mentioned above could meet the three components of the Transmission Equation due to improper use or breakage of the condom during penetrative sex. This risk assessment is based off of the protected vaginal sex, which is considered the activity with the highest risk in the scenario provided. Note that using spit as a lubricant for non-insertive masturbation (hand job) does not add to the assigned risk level as saliva is not a bodily fluid that can transmit HIV (1).

If you are continuously engaging in higher risk activities there are biomedical approaches such as PrEP and PEP that help lower your risk of acquiring HIV. Refer to your physicians for further information.

Recommendation: Refer to a physician for an HIV test.

Regards,

AIDS Vancouver Helpline/Online, Marie