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Can Transmission Of HIV By Handjob Method?

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Posted on Wed, 14 Feb 2024
Question: Sir, day before yesterday I had an unprotected handjob from a csw. Do I need to test for HIV/STI? Is there any risk of contacting it? Yesterday i went to the parlour just to see the hands of the lady there and found that she didn't have any cut or abrasion on her hands. Now Can I resume normal sex life with my wife? Has there ever been any reported case of transmission of HIV by this method. Pls advice
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Follow up: Dr. Sankaranantham Murugan (13 hours later)
Sir, because of this incident I could not sleep properly last night as I am scared. And now since evening I am feeling feverish and little headache for which I took paracetamol. Sir, I am very worried, am I at a risk?
doctor
Answered by Dr. Sankaranantham Murugan (56 minutes later)
Brief Answer:
Your HIV transmission risk is almost nil.

Detailed Answer:
Hi,
Hand job is the safest Sexual activity. If you have not indulged any other Sexual activity, you need not worry about STI/HIV. I had not come across a single case of either HIV or STI through handjob either in my practice or in any reports available.
Dr S. Murugan
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Sankaranantham Murugan (33 minutes later)
So is HIV tests required or can I continue my normal life including sexual life with my wife without any fear.
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Follow up: Dr. Sankaranantham Murugan (2 minutes later)
No Sir, no other sexual activity except this brief handjob.
doctor
Answered by Dr. Sankaranantham Murugan (9 hours later)
Brief Answer:
You are safe.

Detailed Answer:
Hi,
Welcome back.
You can resume your normal sexual life as you are sure about your sexual activities.
Not to worry.
Dr S. Murugan
Above answer was peer-reviewed by : Dr. Saisudha Kotla
doctor
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Follow up: Dr. Sankaranantham Murugan (2 hours later)
Yes I am sure that I was not involved in any other sexual activity other than that. So should I ignore the symptoms such as mild shivering and headache which maybe due to change of weather and continue my normal routine.
doctor
Answered by Dr. Sankaranantham Murugan (3 hours later)
Brief Answer:
Ignore these symptoms which are not related to HIV/STIs

Detailed Answer:
Hi,
Welcome back.
If at all, one got infected with HIV, the earliest sign of the infection can't occur anything prior to 4 weeks after the exposure.
Feverish feeling, headache and sore throat can occur to anyone at any point of time. These are not related to HIV/ STIs. Even during the intimacy during the contact with the partner also, one may likely to get an upper respiratory infection, cold or other nonvenereal conditions.
If you have some problems persist, you can contact a nearby physician and get well soon.
Dr S Murugan
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Sankaranantham Murugan (4 hours later)
Dr. I am getting frequent chills and weakness too. In the afternoon I felt so light headedness and vertigo. As you said it's can't HIV as I have not indulged in any other sexual activity other than handjob. They why I am still not convinced? Why are these health issues making me feel that they are early sign of the infection and making me worry.
doctor
Answered by Dr. Sankaranantham Murugan (13 hours later)
Brief Answer:
You need to consult a physician nearby and get treated.

Detailed Answer:
Hi,
Welcome back.
Frequent spells of chills are possible in Urinary tract infections and Malaria. You approach a physician nearby, have to undergo certain investigations and get well soon. These sort of infections can occur to anybody. Your encounter with the CSW is just coincidence.
Dr S. Murugan
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Sankaranantham Murugan (2 days later)
Doctor I since last 2 days I am so much scared that I am having persistent headache and weakness. Whenever I think of this immediately I get headache. Doctor are you sure that I should allay all my fears from this encounter which was only restricted to handjob and relax myself and should not think of this anymore. Because I am not having any other symptoms just this headache and weakness which may be due to anxiety.
doctor
Answered by Dr. Sankaranantham Murugan (20 hours later)
Brief Answer:
You are safe.

Detailed Answer:
H,
Welcome back.
Once again I am ascertaining that hand job is safest sexual activity and you need not worry about HIV/STIs.
If you still have problem, you cam meet a psychiatrist and seek their help. You will be alright.
Dr S. Murugan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sankaranantham Murugan (7 hours later)
Doctor one question, If I am safe then why have I started developing throat itching and irritation combined with on and off headaches. Is it still ok because I had never had these things before at the same time. As advised I have mentally satisfied myself to be safe and started normal family activities including sexual life.
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Follow up: Dr. Sankaranantham Murugan (5 hours later)
doctor now I have a sore throat developed, and I took Azithromycin today evening. why are these symptoms still coming if I am safe? should I ignore these, relax and move on ?
doctor
Answered by Dr. Sankaranantham Murugan (2 hours later)
Brief Answer:
Consult an ENT surgeon for your sore throat and get well soon

Detailed Answer:
Hi,
Welcome back.
Sore throat can occur to anybody at any point of time. Even my wife is having sore throat at present. Close intimacy during the encounter with that CSW could be a cause of sore throat in your case, if she had at that time.
Not to worry. Consult your physician and get well.
Dr S. Murugan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sankaranantham Murugan (23 hours later)
doctor I have severe sore throat from last 2 days, I have taken 2 dose of Azithromycin tablet, cofsil syrup, warm water, azile sore throat tablet, garlic juice with honey all didnot work. I still have the same intensity of sore throat. Doctor It is not related to HIV? I am scared now.
doctor
Answered by Dr. Sankaranantham Murugan (8 hours later)
Brief Answer:
Consult your physician or ENT surgeon

Detailed Answer:
Hi.
No, It is not related to HIV.
If your sore throat is due to viral infection, then it will not respond to antibiotics, It will settle on its own after a week or so.
If it is due to bacterial infection, change of antibiotics will do good for you.
Your physician will take care about this. Ignore HIV infection.
Dr S. Murugan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sankaranantham Murugan (2 days later)
Dr on 9th day I did my HIV 1 RNA PCR from Dr lal, today report has come on 12th Day as target not detected. Now doctor, shall I conclude I am hiv free being that handjob only the sexual activity I was indulged in?
doctor
Answered by Dr. Sankaranantham Murugan (33 minutes later)
Brief Answer:
You are free from HIV 1 and 2 infection beyond any doubt.

Detailed Answer:
Hi,
Welcome back.
I already clarified that you are free from HIV infection.
Dr S. Murugan
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Sankaranantham Murugan (26 hours later)
Doctor In that case why am I still having chills, sweats and little sore throat. Shall I accept in my mind that it is for sure not related to HIV? Do I need any further test ?
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Follow up: Dr. Sankaranantham Murugan (57 minutes later)
I have already consulted ENT doctor here, he gave me some medicine but i did not tell him about the exposure I had.... I got little relieved from sore throat now...He said that viral is happening to everyone this season so recovery will take time.. he also gave calpol if fever comes but did not do any investigation...
doctor
Answered by Dr. Sankaranantham Murugan (17 hours later)
Brief Answer:
You are safe.

Detailed Answer:
Hi,
Welcome back.
Your symptoms are not related to HIV as I had assured you already.
Your ENT doctor is correct. Follow his advice.
Dr S. Murugan
Above answer was peer-reviewed by : Dr. Saisudha Kotla
doctor
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Follow up: Dr. Sankaranantham Murugan (31 hours later)
Doctor I am still having chills, sweats and back muscle pain. It is the 2nd week now. As you said it is not related to HIV. I am going to see a general physician today. But doctor I am still scared of hiv
doctor
Answered by Dr. Sankaranantham Murugan (1 hour later)
Brief Answer:
With your restricted sexual activity to hand job, you are safe from HIV.

Detailed Answer:
Hi,
Welcome back,
If you have confined only to hand job, you need not worry about HIV. You are the only person knew about the happenings on that day. The earliest symptoms of HIV infection can not occur earlier than 3- 4 weeks after the encounter, Your symptoms started within 5 days after that incident. It could not be due to HIV at all unless you had some previous risky exposures.
Meet your physician and get well soon.
Dr S. Murugan
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Sankaranantham Murugan (1 hour later)
Doctor I had already told you that I was only restricted to handjob. No vaginal, no oral and no anal. The CSW only handjob me.

Also I did not have any exposure prior to that.

Then why am I having body ache, chills, sweats, sore throat, and headache still. It has been more than 8days. I am now very worried. Each sec is difficult to pass.
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Follow up: Dr. Sankaranantham Murugan (3 minutes later)
Also RNA test at 9th day and result at 12th day as negative is of no use doctor ? Does it give any idea
doctor
Answered by Dr. Sankaranantham Murugan (6 hours later)
Brief Answer:
You are unlikely to have HIV infection

Detailed Answer:
Hi,
Welcome back.
When you are confident about your sexual activity, why are you worrying about HIV?
Your physician will answer for your symptoms.
Dr S. Murugan
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Sankaranantham Murugan (4 hours later)
Dr on 15th day i tested for combo test which came back negative today. Had the symptoms been of HIV then viral load would have been sufficient enough to get detected therefore I think it is not the hiv symptoms. So Dr can I now conclude I am free from hiv looking at my RNA test, combo test and the risk exposure.
doctor
Answered by Dr. Sankaranantham Murugan (2 hours later)
Brief Answer:
Your tests can't be considered as conclusive

Detailed Answer:
HI,
Welcome back.
HIV RNA test done on 9th day: HIV RNA PCR qualitative or quantitative? HIV DNA and RNA PCR can detect only HIV 1, not HIV 2. I will consider these test are conclusive by 3- 4 weeks not early that too for HIV1 and not for HIV 2.
HIV Combo 4th generation test - Once again it will be confirmative by 4 weeks for HIV 1 infection and confirmatory for both HIV 1 and 2 by 12 weeks after the exposure.
You don't need any HIV test, if you are confident about your sexual activities.
Unnecessarily wasting your time and money. I had ascertained many time.
Dr S. Murugan
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Saisudha Kotla
doctor
Answered by
Dr.
Dr. Sankaranantham Murugan

HIV AIDS Specialist

Practicing since :1974

Answered : 3110 Questions

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Can Transmission Of HIV By Handjob Method?

Sir, because of this incident I could not sleep properly last night as I am scared. And now since evening I am feeling feverish and little headache for which I took paracetamol. Sir, I am very worried, am I at a risk?