Anonymous
About a couple of months I have had two encounters with Sexworkers/Masseuse. The first time we kiss on the mouth kindly a couple of times (she had bracers), she touched herself and later broughtwith her hand my penis to her niple for five seconds (she have had a breast operation time before, no bllod at all but still havd the band aid), later we had mamary intercorse and I finished over her breast. Finally she gave me a regular massage on my back.
The second time the other lady cleaned my penis with a baby wipe and I I touch her vagina with my toe, a couple of seconds. Then she gave me a massage. Both times, after sexual activity, I took showers. My question is There is any risk to get HIV in these situations?
I really appreciate your help. Best,J
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Anonymous
Hello J,

Thank you for contacting the AIDS Vancouver Helpline as your source for HIV/AIDS related information. I will try to answer your questions the best that I can.

With regards to your encounters, you are not at risk for HIV. I will explain this by showing you the HIV transmission equation table. For HIV to be passed on, you need to have all 3 of the factors present.

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
As you can see in the table above, your activities of non-insertive masturbation, kissing and massaging do not have all of the factors present. You did not engage in any penetrative intercourse and there was no direct access for any body fluids to enter your bloodstream. For these reasons, you are considered no risk. You may also refer to our website for more information on [HIV transmission and risks](http://helpline.aidsvancouver.org/question/risk-assessment-chart).

AIDS Vancouver recommends that all sexually active people be tested on a regular basis for all STI's, including HIV. For information on safe sex practices, you may refer to this [webpage](http://smartsexresource.com/about-stis/prevention).

I hope I have answered your questions. Please feel free to contact us if you have any more questions.

Best wishes,

Mary

AIDS Vancouver Helpline/Online

Monday-Friday 9am-5pm (PST)

1 844 INFO-HIV (Toll free Canada & U.S.)

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= RISK OF HIV TRANSMISSION