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unprotected oral sex with

Question: 

Hello, first of all thanks for reading this. I had a massage (with vegetable oil) and a prostate massage with an active escort today. She stick one finger in my Anas and sucked my nipple. Some light kissing too. Am I at risk? I have a slight cut on my thumb before I went to her. I always play with my hands and have skin tear off sometimes. She also gave me oral sex without protection. Shall I talk to a doctor of taking Post-exposure prophylaxis? How expensive this is? I’m under no health insurance coverage. Many thanks in advance. Living in NYC, called a hotline, who refused to prescribe me anything. I, however would rather take it before too late. Thanks for the Doctors, experts and friends here.

Answer: 

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about the risk of HIV from receiving oral sex and anilingus (inserting finger in anus). 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.

HIV transmission occurs only through specific activities. Only certain body fluids—blood, semen (cum), pre-seminal fluid (pre-cum), rectal fluids, vaginal fluids, and breast milk—from a person who has HIV can transmit HIV. These fluids must come in contact with a mucous membrane or damaged tissue or be directly injected into the bloodstream (from a needle or syringe) for transmission to occur. Mucous membranes are found inside the rectum, vagina, penis, and mouth.

The above scenario involves oral sex without protection and involves exchange of bodily fluids that pose a Negligible risk for HIV transmission. We do not recommend Post-exposure prophylaxis for the above scenario as 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)