Anonymous
Hi, here is my situation, would please request you to evaluate and advise appropriately.

I got an oil massage from a CSW. There was no anal/oral/vaginal sex involved. While she was masturbating me (without a condom), she rubbed her nipples on my penis head a few times. There was a fair amount of oil on my penis and on her breasts and nipples. To the best of my knowledge, there was no blood / breast milk on her nipples but for obvious reasons I cannot be sure about this. Through this incident alone, is there any possible exposure to HIV and would this warrant testing.
Thanks.
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Anonymous
Hello,

Thank you for contacting the AIDS Vancouver Helpline as your source for HIV/AIDS related information. I would be happy to answer your questions!

I will start by saying that you are not at risk for HIV and I will explain why. For HIV transmission to occur, you must have 3 factors present. These factors are listed in the table below.

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 from the table, you have none of the factors listed above and that is why you are considered no risk. Non-insertive masturbation (eg. handjobs) does not involve engaging in any penetrative intercourse. As well, there were no fluids or direct access for the fluids (if present) to enter your body through the situation you described. For these reasons, you are considered no risk and you do not need testing based on this encounter.

For information on [HIV risks based on encounter](http://helpline.aidsvancouver.org/question/risk-assessment-chart) and [HIV transmission](http://www.avert.org/hiv-transmission-prevention), please refer to the links provided. Please know AIDS Vancouver recommends that all sexually active people be tested on a regular basis for all STI's, including HIV.

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

Best wishes,

Mary

AIDS Vancouver Helpline/Online

Monday-Friday 9am-5pm (PST)

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

helpline@aidsvancouver.org

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