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Std risk from hand job

Question: 

I was engaged with a prostitutes a week ago, In that encounter she gave me a hand job without any lubricants. She touched my penis urethra frequently during the hand job and as far as I know she didn't wash her hand. after the hand job I hug her from behind and she rub my penis using her vagina but at that time I was fully clothes, she was naked, I am afraid that her vagina fluids enter my penis directly. I noticed there no cuts in her hands but i can' be sure. Let's assume she is HIV positive and has several STD, am I at risk of HIV and other types of STD? thank you very much for your answer

Answer: 

Hi there,

Thank you for choosing the AIDS Vancouver Helpline as your source of information.

First of all, in regards to your encounter with the commercial sex worker, a sex worker is not necessarily at a higher risk for HIV than anyone else. Anyone can pass HIV, regardless of age, occupation, ethnicity, gender or sexual orientation. It is the activity (i.e. unprotected anal/vaginal intercourse and needle sharing) that poses an HIV risk.

HIV transmission requires all of the following:

  1. Body fluids containing high levels of HIV, e.g. blood, semen, and vaginal/rectal secretions,

  2. A high-risk activity, e.g. unprotected anal or vaginal intercourse or the sharing of needles, and

  3. Direct access of HIV-containing fluids into the bloodstream, e.g. through the vagina, anus, mucus membranes, or points of needle injection.

  4. A controlled environment, which means no exposure to the air. Activities like unprotected sex or the sharing of needles are high risk activities since they don't involve any exposure to the air, while activities like mutual masturbation or frottage are negligible to no-risk activities since they involve full exposure to the air.

A hand-job is considered a NO risk activity, when it comes to HIV transmission. Rubbing against the other person while clothed does not put you at risk either.

As far as her vaginal fluids entering your urethra during the handjob, the fact that the fluids are exposed to an open air environment, you would not be at risk. HIV dies within seconds of being exposed to air.

Some sexually transmitted infections (STIs) are more easily transmitted than HIV; upon skin-to-skin contact though. At the end of the day, the best way to know your status is to get tested.

We recommend that you reach out to a healthcare professional in your area to discuss your questions and your options for testing. Furthermore, you may find the following site of help to you: smartsexresource.com

In health,

Moe- AIDS Vancouver Helpline Volunteer