Anonymous
I have a habit of biting nails and this leads to having small cuts on my fingers sometimes. Recently i fingered a massage therapist at a massage parlor while she was giving me a handjob. I am not sure but i think before that probably in the morning or 4 hours before the exposure i might have been biting my nails. The incident happened in the evening after 19hrs. So incase i had some cuts what would my risk of acquiring hiv be? though after everything i checked my finger and there was no sign of sores or any bleeding. i did not feel any pain. now just in case i had but i did not see them. the fingering was for less than a minute and she was dry. i do not think i went deep but just in case. What is my risk even though i did not see any blood on my finger? what is the difference between superficial cut and active bleeding cut? can a tiny sore from nail biting pose a risk for HIV and other STD transmission. What is my risk from the handjob. She only used some oil and did not touch her virgina. please help am suffering from stress and anxiety. please please please help because this is disturbing my work and school. I will not do it again please. Do i need to go for an HIV test from this exposure? Some two Doctors told me its not a risk and there was no need for PEP but i want your expert advise please
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helpline-volunteer
Hi there,

Thank you for your inquiry. From what we gather from the question, you were asking about the possibility of HIV transmission through fingering with a hand that may have had some cuts on it as well as from receiving a handjob.

From the information given, this scenario is determined to be Negligible Risk (there is no evidence or no documented cases of transmission, however, there is a theoretical possibility of transmission under certain extenuating circumstances).

From the HIV Transmission Equation (see below), HIV transmission requires HIV particles in a bodily fluid (e.g. vaginal fluids) to have direct access to the bloodstream through a High, Low, or Negligible Risk activity.

A superficial cut would not be large enough to allow HIV particles to have sufficient access to the bloodstream, while an open cut/wound may allow transmission to occur. With small cuts that are not actively bleeding, it is highly unlikely for HIV particles to have direct access to the bloodstream, and consequently, for the HIV Transmission Equation to be satisfied. Therefore, there is a Negligible Risk of HIV transmission in this situation. 

With regards to the handjob incident that you described, there is No Risk in that scenario due to the HIV Transmission Equation not being satisfied. Once again, this is because we do not have a bodily fluid (e.g. vaginal fluids) having direct access to the bloodstream. 

Recommendation: There are no evidence or no documented cases of transmission. Refer to a healthcare professional for more personalised answers.

All the best,
AIDS Vancouver Online/Helpline, Shirley

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