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Dear Doctor, Please Suggest Me What To Do Next, As
Question: Dear Doctor, please suggest me what to do next, as this situation requires urgent attention. I went for a massage yesterday and the female therapist offered me to touch her breasts. I fondled with the naked breasts for sometime, and then without washing my hand I masturbated myself. Just that before masturbation i applied oil on my hand and penis. I'm very worried now, is this a risk for Hiv or common STDs if the therapist's breast milk came in contact with my hand or fingers? Should i go for Pep as only 24 hours have passed? I did not allow her to touch me and we did not have any kind of oral, vaginal or anal sex.
Dear Doctor, please suggest me what to do next, as this situation requires urgent attention. I went for a massage yesterday and the female therapist offered me to touch her breasts. I fondled with the naked breasts for sometime, and then without washing my hand I masturbated myself. Just that before masturbation i applied oil on my hand and penis. I'm very worried now, is this a risk for Hiv or common STDs if the therapist's breast milk came in contact with my hand or fingers? Should i go for Pep as only 24 hours have passed? I did not allow her to touch me and we did not have any kind of oral, vaginal or anal sex.
Brief Answer:
Your HIV risk is almost"nil"
Detailed Answer:
Hi,
Welcome to HCM.
Thanks for posting your query.
HIV will be present only in body fluids of the infected persons and transmitted through exchange of body fluids. Mere touching will not be infectious.
Moreover HIV Transmission rate through breast milk is around 15-20% only.. That too, on prolong exposures of a child who was being fed on breast milk for months together. Just a single contact with breast milk, the HIV risk is negligible only.Moreover that lady would not remain in lactating period. So nothing to worry and forget the incident. There is no need for PEP in your case.
Have a great day!
Dr S.Murugan
Your HIV risk is almost"nil"
Detailed Answer:
Hi,
Welcome to HCM.
Thanks for posting your query.
HIV will be present only in body fluids of the infected persons and transmitted through exchange of body fluids. Mere touching will not be infectious.
Moreover HIV Transmission rate through breast milk is around 15-20% only.. That too, on prolong exposures of a child who was being fed on breast milk for months together. Just a single contact with breast milk, the HIV risk is negligible only.Moreover that lady would not remain in lactating period. So nothing to worry and forget the incident. There is no need for PEP in your case.
Have a great day!
Dr S.Murugan
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Your HIV risk is almost"nil"
Detailed Answer:
Hi,
Welcome to HCM.
Thanks for posting your query.
HIV will be present only in body fluids of the infected persons and transmitted through exchange of body fluids. Mere touching will not be infectious.
Moreover HIV Transmission rate through breast milk is around 15-20% only.. That too, on prolong exposures of a child who was being fed on breast milk for months together. Just a single contact with breast milk, the HIV risk is negligible only.Moreover that lady would not remain in lactating period. So nothing to worry and forget the incident. There is no need for PEP in your case.
Have a great day!
Dr S.Murugan
Your HIV risk is almost"nil"
Detailed Answer:
Hi,
Welcome to HCM.
Thanks for posting your query.
HIV will be present only in body fluids of the infected persons and transmitted through exchange of body fluids. Mere touching will not be infectious.
Moreover HIV Transmission rate through breast milk is around 15-20% only.. That too, on prolong exposures of a child who was being fed on breast milk for months together. Just a single contact with breast milk, the HIV risk is negligible only.Moreover that lady would not remain in lactating period. So nothing to worry and forget the incident. There is no need for PEP in your case.
Have a great day!
Dr S.Murugan
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you Doctor. This did indeed relieve my concerns and I wont go for PeP. I forgot to mention that I'd minor peeled off skin / cuts near the nails of my fingers.
1. Would this change your previous assessment?
2. Although the status of the therapist is unknown, would your advice change if she was found to be Hiv+ ?
3. I test for Stds regularly, including HIV. All come out negative. Considering this incident, can I have unprotected sex with my partner without any worry of infecting her?
1. Would this change your previous assessment?
2. Although the status of the therapist is unknown, would your advice change if she was found to be Hiv+ ?
3. I test for Stds regularly, including HIV. All come out negative. Considering this incident, can I have unprotected sex with my partner without any worry of infecting her?
Thank you Doctor. This did indeed relieve my concerns and I wont go for PeP. I forgot to mention that I'd minor peeled off skin / cuts near the nails of my fingers.
1. Would this change your previous assessment?
2. Although the status of the therapist is unknown, would your advice change if she was found to be Hiv+ ?
3. I test for Stds regularly, including HIV. All come out negative. Considering this incident, can I have unprotected sex with my partner without any worry of infecting her?
1. Would this change your previous assessment?
2. Although the status of the therapist is unknown, would your advice change if she was found to be Hiv+ ?
3. I test for Stds regularly, including HIV. All come out negative. Considering this incident, can I have unprotected sex with my partner without any worry of infecting her?
Brief Answer:
HIV transmission risk is negligible
Detailed Answer:
Hi,
Welcome back to HCM.
Even if you had peeling of skin or abrasion over your fingers, just touching the breast has no risk.
If the lady was HIV positive and if she was lactating, then the contact with breast milk with abraded skin of fingers, your HIV transmission risk becomes as negligible.(https://www.cdc.gov/hiv/risk/estimates/riskbehaviors.html)
If you have doubts about her HIV status, and if you had touched her breast secretions then it is better to have a HIV test and rule out the negligible possibility of HIV transmission before you resume unprotected sex with your sex partner. That will alleviate unnecessary mental tension.Till then safe sex is advisable.
If you have confidence that you had not contacted any secretions then you can resume your normal sex with your partner.
Dr S.Murugan
HIV transmission risk is negligible
Detailed Answer:
Hi,
Welcome back to HCM.
Even if you had peeling of skin or abrasion over your fingers, just touching the breast has no risk.
If the lady was HIV positive and if she was lactating, then the contact with breast milk with abraded skin of fingers, your HIV transmission risk becomes as negligible.(https://www.cdc.gov/hiv/risk/estimates/riskbehaviors.html)
If you have doubts about her HIV status, and if you had touched her breast secretions then it is better to have a HIV test and rule out the negligible possibility of HIV transmission before you resume unprotected sex with your sex partner. That will alleviate unnecessary mental tension.Till then safe sex is advisable.
If you have confidence that you had not contacted any secretions then you can resume your normal sex with your partner.
Dr S.Murugan
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
HIV transmission risk is negligible
Detailed Answer:
Hi,
Welcome back to HCM.
Even if you had peeling of skin or abrasion over your fingers, just touching the breast has no risk.
If the lady was HIV positive and if she was lactating, then the contact with breast milk with abraded skin of fingers, your HIV transmission risk becomes as negligible.(https://www.cdc.gov/hiv/risk/estimates/riskbehaviors.html)
If you have doubts about her HIV status, and if you had touched her breast secretions then it is better to have a HIV test and rule out the negligible possibility of HIV transmission before you resume unprotected sex with your sex partner. That will alleviate unnecessary mental tension.Till then safe sex is advisable.
If you have confidence that you had not contacted any secretions then you can resume your normal sex with your partner.
Dr S.Murugan
HIV transmission risk is negligible
Detailed Answer:
Hi,
Welcome back to HCM.
Even if you had peeling of skin or abrasion over your fingers, just touching the breast has no risk.
If the lady was HIV positive and if she was lactating, then the contact with breast milk with abraded skin of fingers, your HIV transmission risk becomes as negligible.(https://www.cdc.gov/hiv/risk/estimates/riskbehaviors.html)
If you have doubts about her HIV status, and if you had touched her breast secretions then it is better to have a HIV test and rule out the negligible possibility of HIV transmission before you resume unprotected sex with your sex partner. That will alleviate unnecessary mental tension.Till then safe sex is advisable.
If you have confidence that you had not contacted any secretions then you can resume your normal sex with your partner.
Dr S.Murugan
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Doctor,
Thank you for the reply. I'm trying to rationalize my thoughts. So request your help in clarifying few things:
1. Am I not at "No risk" because I did not have unprotected sex (oral/vaginal/anal)? Dont the medical practitioners classify this as a No risk for testing because it did not meet the criteria of unprotected sex, and additional risks like use of unsterilised needles, mother to new born (during birth or breastfeeding), all of which have not taken place.
2. I used oil for masturbation, after touching the breasts. Would using the oil deactivate the virus instantly. Or would exposure to air deactivate it.
3. On internet there are many cases of people who have sucked or licked the breast, and consumed drops of breastmilk. Would this be risky? Although I have not done that, just for comparison of risk does that put me in safe zone as I did not suck or lick the breast.
4. Have there been cases were people have been found at risk because they touched breastmilk which could be infected?
5. Is fingering considered as a risk?
In summary, the 2 things i found risky were:
1. Touching the breasts and therefore breastmilk. This breastmilk touching the skin of my finger would find its way through micro tears or cuts into the bloodstream.
2. Using the same hand to masturbate myself. Thus the breastmilk coming in contact with my penis thus further going through the micro tears or cuts or urethra into the bloodstream.
I'm struggling to understand if these two qualify as risks.
Thank you for the reply. I'm trying to rationalize my thoughts. So request your help in clarifying few things:
1. Am I not at "No risk" because I did not have unprotected sex (oral/vaginal/anal)? Dont the medical practitioners classify this as a No risk for testing because it did not meet the criteria of unprotected sex, and additional risks like use of unsterilised needles, mother to new born (during birth or breastfeeding), all of which have not taken place.
2. I used oil for masturbation, after touching the breasts. Would using the oil deactivate the virus instantly. Or would exposure to air deactivate it.
3. On internet there are many cases of people who have sucked or licked the breast, and consumed drops of breastmilk. Would this be risky? Although I have not done that, just for comparison of risk does that put me in safe zone as I did not suck or lick the breast.
4. Have there been cases were people have been found at risk because they touched breastmilk which could be infected?
5. Is fingering considered as a risk?
In summary, the 2 things i found risky were:
1. Touching the breasts and therefore breastmilk. This breastmilk touching the skin of my finger would find its way through micro tears or cuts into the bloodstream.
2. Using the same hand to masturbate myself. Thus the breastmilk coming in contact with my penis thus further going through the micro tears or cuts or urethra into the bloodstream.
I'm struggling to understand if these two qualify as risks.
Dear Doctor,
Thank you for the reply. I'm trying to rationalize my thoughts. So request your help in clarifying few things:
1. Am I not at "No risk" because I did not have unprotected sex (oral/vaginal/anal)? Dont the medical practitioners classify this as a No risk for testing because it did not meet the criteria of unprotected sex, and additional risks like use of unsterilised needles, mother to new born (during birth or breastfeeding), all of which have not taken place.
2. I used oil for masturbation, after touching the breasts. Would using the oil deactivate the virus instantly. Or would exposure to air deactivate it.
3. On internet there are many cases of people who have sucked or licked the breast, and consumed drops of breastmilk. Would this be risky? Although I have not done that, just for comparison of risk does that put me in safe zone as I did not suck or lick the breast.
4. Have there been cases were people have been found at risk because they touched breastmilk which could be infected?
5. Is fingering considered as a risk?
In summary, the 2 things i found risky were:
1. Touching the breasts and therefore breastmilk. This breastmilk touching the skin of my finger would find its way through micro tears or cuts into the bloodstream.
2. Using the same hand to masturbate myself. Thus the breastmilk coming in contact with my penis thus further going through the micro tears or cuts or urethra into the bloodstream.
I'm struggling to understand if these two qualify as risks.
Thank you for the reply. I'm trying to rationalize my thoughts. So request your help in clarifying few things:
1. Am I not at "No risk" because I did not have unprotected sex (oral/vaginal/anal)? Dont the medical practitioners classify this as a No risk for testing because it did not meet the criteria of unprotected sex, and additional risks like use of unsterilised needles, mother to new born (during birth or breastfeeding), all of which have not taken place.
2. I used oil for masturbation, after touching the breasts. Would using the oil deactivate the virus instantly. Or would exposure to air deactivate it.
3. On internet there are many cases of people who have sucked or licked the breast, and consumed drops of breastmilk. Would this be risky? Although I have not done that, just for comparison of risk does that put me in safe zone as I did not suck or lick the breast.
4. Have there been cases were people have been found at risk because they touched breastmilk which could be infected?
5. Is fingering considered as a risk?
In summary, the 2 things i found risky were:
1. Touching the breasts and therefore breastmilk. This breastmilk touching the skin of my finger would find its way through micro tears or cuts into the bloodstream.
2. Using the same hand to masturbate myself. Thus the breastmilk coming in contact with my penis thus further going through the micro tears or cuts or urethra into the bloodstream.
I'm struggling to understand if these two qualify as risks.
Brief Answer:
Your HIV risk is negligible.
Detailed Answer:
Hi,
Welcome back.
1. Simple! Only when there is an exchange of body fluid happening HIV can be transmitted. Certain secretions like urine, sweat, tears and saliva are not infectious. Breast secretions are least infectious.
2. HIV can not survive outside body fluids for not more than few seconds. It can not thrive in oil.
3. Only 15-20% of Children exposed to suckling the breast for months together are getting HIV infection. Others are still free from infection. In developing countries, where the mothers are not able to afford or not adequately educated, are advised to continue exclusive breast feeding (not mixed feeding). HIV transmission through Single exposure to breast milk is unheard.
4. No
5.Fingering has negligible risk for HIV transmission as per CDC, XXXXXXX
I already assured about all these things
Dr S.Murugan
Your HIV risk is negligible.
Detailed Answer:
Hi,
Welcome back.
1. Simple! Only when there is an exchange of body fluid happening HIV can be transmitted. Certain secretions like urine, sweat, tears and saliva are not infectious. Breast secretions are least infectious.
2. HIV can not survive outside body fluids for not more than few seconds. It can not thrive in oil.
3. Only 15-20% of Children exposed to suckling the breast for months together are getting HIV infection. Others are still free from infection. In developing countries, where the mothers are not able to afford or not adequately educated, are advised to continue exclusive breast feeding (not mixed feeding). HIV transmission through Single exposure to breast milk is unheard.
4. No
5.Fingering has negligible risk for HIV transmission as per CDC, XXXXXXX
I already assured about all these things
Dr S.Murugan
Above answer was peer-reviewed by :
Dr. Raju A.T
Brief Answer:
Your HIV risk is negligible.
Detailed Answer:
Hi,
Welcome back.
1. Simple! Only when there is an exchange of body fluid happening HIV can be transmitted. Certain secretions like urine, sweat, tears and saliva are not infectious. Breast secretions are least infectious.
2. HIV can not survive outside body fluids for not more than few seconds. It can not thrive in oil.
3. Only 15-20% of Children exposed to suckling the breast for months together are getting HIV infection. Others are still free from infection. In developing countries, where the mothers are not able to afford or not adequately educated, are advised to continue exclusive breast feeding (not mixed feeding). HIV transmission through Single exposure to breast milk is unheard.
4. No
5.Fingering has negligible risk for HIV transmission as per CDC, XXXXXXX
I already assured about all these things
Dr S.Murugan
Your HIV risk is negligible.
Detailed Answer:
Hi,
Welcome back.
1. Simple! Only when there is an exchange of body fluid happening HIV can be transmitted. Certain secretions like urine, sweat, tears and saliva are not infectious. Breast secretions are least infectious.
2. HIV can not survive outside body fluids for not more than few seconds. It can not thrive in oil.
3. Only 15-20% of Children exposed to suckling the breast for months together are getting HIV infection. Others are still free from infection. In developing countries, where the mothers are not able to afford or not adequately educated, are advised to continue exclusive breast feeding (not mixed feeding). HIV transmission through Single exposure to breast milk is unheard.
4. No
5.Fingering has negligible risk for HIV transmission as per CDC, XXXXXXX
I already assured about all these things
Dr S.Murugan
Above answer was peer-reviewed by :
Dr. Raju A.T
Thank you doctor. One last question. Do you think i should go back and ask her if she was lactating?
I see 2 options for me:
1. Forgot about it and move on.
2. Test at 6 weeks and 3 months.
I'm choosing second option to be sure. Let me know your views.
I see 2 options for me:
1. Forgot about it and move on.
2. Test at 6 weeks and 3 months.
I'm choosing second option to be sure. Let me know your views.
Thank you doctor. One last question. Do you think i should go back and ask her if she was lactating?
I see 2 options for me:
1. Forgot about it and move on.
2. Test at 6 weeks and 3 months.
I'm choosing second option to be sure. Let me know your views.
I see 2 options for me:
1. Forgot about it and move on.
2. Test at 6 weeks and 3 months.
I'm choosing second option to be sure. Let me know your views.
Brief Answer:
Ruling out HIV is the best option, in case of doubt.
Detailed Answer:
Hi,
Welcome back.
You can forgot and carry on your routine...But I am sure, with your disturbed mind, it will be very difficult to forget this incident... It will linger in your future at every small illness including ordinary head ache.
So you can prefer the second option to have a HIV test 12 weeks after this activity and move on to normalcy.
Dr S.Murugan
Ruling out HIV is the best option, in case of doubt.
Detailed Answer:
Hi,
Welcome back.
You can forgot and carry on your routine...But I am sure, with your disturbed mind, it will be very difficult to forget this incident... It will linger in your future at every small illness including ordinary head ache.
So you can prefer the second option to have a HIV test 12 weeks after this activity and move on to normalcy.
Dr S.Murugan
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Ruling out HIV is the best option, in case of doubt.
Detailed Answer:
Hi,
Welcome back.
You can forgot and carry on your routine...But I am sure, with your disturbed mind, it will be very difficult to forget this incident... It will linger in your future at every small illness including ordinary head ache.
So you can prefer the second option to have a HIV test 12 weeks after this activity and move on to normalcy.
Dr S.Murugan
Ruling out HIV is the best option, in case of doubt.
Detailed Answer:
Hi,
Welcome back.
You can forgot and carry on your routine...But I am sure, with your disturbed mind, it will be very difficult to forget this incident... It will linger in your future at every small illness including ordinary head ache.
So you can prefer the second option to have a HIV test 12 weeks after this activity and move on to normalcy.
Dr S.Murugan
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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