Anonymous
Hallo, a week ago i was engaged with a commercial sex worker. I decided not to have any sexual activity, but i did touch her boobs and her butts several time, and in the end i ask her to perform a hand job( she didn't wash her hand at all) and during the hand job she didn't use a lubricant at all which makes my penis very dry and it's hurt a little bit. In the process she touch the tip of my penis (urethra) frequently after that i ejaculate in her hands. Let's assume she is HIV positive, am i in danger of HIV ? or other STD? Before that i did hug her from behind and she rubbed my penis using her butt (she only wear panties at that time). Do i need a test for HIV?
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Anonymous
Hi there! Thank you for contacting the AIDS Vancouver Helpline with your HIV related questions and concerns. We are happy to help!

I am attaching here the HIV Transmission equation which will help to make my answer more clear:

HIV TRANSMISSION EQUATION


BODY FLUID
+
ACTIVITY
+
DIRECT ACCESS TO BLOODSTREAM
---------- -------- ----------------------------
• blood (including menstrual) • unprotected anal or vaginal intercourse • vagina
• semen • sharing needles • anus
• pre-cum • mother to child (in specific cases) • urethra in the penis
• rectal secretions • open cuts and sores (in theory)
• vaginal fluids • other mucosal membranes
• breast milk • points of needle injection All three of these components are necessary for risk of transmission.

In terms of your activity, all of these things would be considered No Risk. The reasons are as follows.

For touching skin (such as the breasts) there is no exchange of bodily fluids to pose a risk.
For a hand job, again there would be no exchange of bodily fluids, which is necessary for transmission to be possible.
Even if she had her own bodily fluids on her hand then touched your urethra, once HIV is exposed to air it cannot be passed on, so there is no risk.
Finally, rubbing your penis through panties is again no risk, due to no exchange in bodily fluids.

While you may not need a test specifically for this encounter, at AIDS Vancouver we recommend that all sexually active individuals make testing part of their regular health routine.

Hopefully this helped

Sincerely,

Christina

AIDS Vancouver Helpline Online

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= RISK OF HIV TRANSMISSION