Anonymous
Hi,

If I received a handjob/touching around my anus from a masseuse if they were with another customer just before me, is there a risk of HIV if they haven't washed their hands? I assume they did the same things with the previous customer that they did with me. Just a bit worried about this.

Thanks
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Anonymous
Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about HIV acquisition through the activity of non-insertive masturbation. From the information given, this scenario is determined to be No Risk (transmission of HIV is not possible in the given scenario).

HIV transmission can occur when the transmission equation is satisfied. The [transmission equation](https://www.aidswindsor.org/healthy-me/hiv-transmission/) requires that *bodily fluids containing HIV is transmitted by direct access to the bloodstream through a high risk activity*.

In this scenario the transmission equation would not be satisfied due to the absence of high risk activity. There would need to be direct access to the bloodstream in order for HIV to be acquired. In this case technically the urethra can lead to the bloodstream, but it is unlikely that bodily fluid of a previous customer would be passed along to you. If there was bodily fluid from a previous customer and the masseuse did not wash their hands the possible HIV would be rendered inactive at this point due to exposure to the environment. HIV does not survive long outside the human body (such as on surfaces), and it cannot reproduce outside a human host (1).

Recommendation: No need for HIV test with the scenario provided, refer to a physician for other health related questions.

Regards,

AIDS Vancouver Helpline/Online, Danielle



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