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Hi Doctor, I Am 37 Years Old. I Went To

Posted on Wed, 21 Oct 2020

Question: Hi Doctor, I am 37 years old. I went to unprofessional massage centre today. There massage therapist was a female, who is doing massage for more than 5 years in different cities in Tamilnadu. My situation is she massaged me for 45 minutes and she did handjob for 5 minutes. No kissing and penetrative sex. I had a wound dried blood clot in leg finger, above the nails, which happen 2 days back. Assuming she is HIV positive and bleeding in her fingers and touched my leg fingers to massage. I saw her fingers and no visible bleeding in her fingers. Now I am worried and anxiety about my HIV transmission. I am married and have a kid.

Request you to answer my questions.

Does massage and hand job transmit HIV even if she is HIV positive?

Does HIV transmit through skin blood clot on my fingers? (Assuming she is HIV positive and bleeding in her fingers.)

Can I continue to have a sex with my wife?

Follow up: Dr. Sankaranantham Murugan (0 minute later)

Hi Doctor, I am 37 years old. I went to unprofessional massage centre today. There massage therapist was a female, who is doing massage for more than 5 years in different cities in Tamilnadu. My situation is she massaged me for 45 minutes and she did handjob for 5 minutes. No kissing and penetrative sex. I had a wound dried blood clot in leg finger, above the nails, which happen 2 days back. Assuming she is HIV positive and bleeding in her fingers and touched my leg fingers to massage. I saw her fingers and no visible bleeding in her fingers. Now I am worried and anxiety about my HIV transmission. I am married and have a kid.

Request you to answer my questions.

Does massage and hand job transmit HIV even if she is HIV positive?

Does HIV transmit through skin blood clot on my fingers? (Assuming she is HIV positive and bleeding in her fingers.)

Can I continue to have a sex with my wife?

Answered by Dr. Sankaranantham Murugan (5 hours later)

Brief Answer:
Your HIV risk is almost negligible only.

Detailed Answer:
Hi XXXXXXX
Happy to welocome once again to HCM.
Thanks for posting your query.
Transmission of HIV through massage without any other sexual activities is almost nil. Hand job is the safest sexula activity. There is every chance for the parlor girl could be a HIV negative individual. Even if we consider that she is a HIV positive individual, when she is on regular ART drugs, and if her viral load is undetectable, she will be no longer infectious. Odd possibility is that she had a fresh wound in her fingers. Even if we consider such a possibilty then also the possibility of HIV transmission is negligible only.
I don't find any reason to abstain from sex with your wife if all the statement mentioned by you are true.
Dr S.Murugan

Above answer was peer-reviewed by : Dr. Raju A.T

Answered by Dr. Sankaranantham Murugan (0 minute later)

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Sankaranantham Murugan (2 hours later)

Ok Doctor. Thanks a lot. The scenario is the same and 100% true. Do I need any HIV test based on my situation??

Follow up: Dr. Sankaranantham Murugan (0 minute later)

Ok Doctor. Thanks a lot. The scenario is the same and 100% true. Do I need any HIV test based on my situation??

Answered by Dr. Sankaranantham Murugan (1 hour later)

Brief Answer:
Your Hiv risk is negligible .

Detailed Answer:
Hi,
Welcome back.
Really you don't need any test for HIV in this situation.
If you want, You can have one after 12 weeks after this incident with 4th generation HIV test, only for your psychological satisfaction.
Dr S.Murugan

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Answered by Dr. Sankaranantham Murugan (0 minute later)

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Sankaranantham Murugan (47 hours later)

Thanks Dr. I will take test after 12 weeks. I am suffering from ED and here my sexologist prescribed L arginine XXXXXXX and tablet named Hemuria which contains ( L- arginine, hypericum perforatum, tribulus terrestris, withania somnifera, mucuna pritiens, ginko biloba, zinc sulphate momohydrate, and lycopene tablets) for 2 months. Also I am going for a jogging and gym for my fitness.

Request you to answer my below questions.

1. Does this medicine L- Arginine powder XXXXXXX and Hemuria tablet will affect and change HIV test result and it's window period?

2. Doing jogging and gym exercise will affect HIV test result and window period?

3. What type of medicine will affect HIV test results??

Thanks in advance.

Follow up: Dr. Sankaranantham Murugan (0 minute later)

Answered by Dr. Sankaranantham Murugan (19 hours later)

Brief Answer:
Immunosuppressive drugs can delay the seroconversion

Detailed Answer:
Hi,
Welcome back.
1. This will not affect the HIV test report.
2. No, these will have no effect on the outcome of test report.
3. Steroids and any other immune suppressive drugs like cytotoxic drugs (in the treatment of chemotherapy of cancer patients) and Cyclosporine (given fortransplant recepients) and some other immune suprresive drugs and antiretroviral drugs taken as PEP can delay the seroconversion.
Dr S.Murugan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Sankaranantham Murugan (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sankaranantham Murugan (10 hours later)

Thanks a lot . One final questions Doctor. Please help.

Eating garlic and ginger daily delayed HIV window period?

Does this affect HIV test result?

Can I ensure 12 weeks after test is conclusive?

Follow up: Dr. Sankaranantham Murugan (0 minute later)

Thanks a lot . One final questions Doctor. Please help.

Eating garlic and ginger daily delayed HIV window period?

Does this affect HIV test result?

Can I ensure 12 weeks after test is conclusive?

Answered by Dr. Sankaranantham Murugan (14 hours later)

Brief Answer:
HIV test done after 12 weeks is confirmatory

Detailed Answer:
Hi,
Welcome back.
Consuming ginger and Garlic will not affect the test report anyway and never delays the window period .
HIV test done 12 weeks after that incident will be reliable and conclusive.
Dr S.Murugan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Sankaranantham Murugan (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sankaranantham Murugan (8 days later)

Hi Doctor, I have some doubts on HIV testing method.

1.Why HIV testing specimen on serum mostly in India?

2. Which is best and more accuracy? Serum or plasma in terms of HIV?

3. Any specific window period for serum or plasma? Or does this affect window period?

THANKS

Follow up: Dr. Sankaranantham Murugan (0 minute later)

Answered by Dr. Sankaranantham Murugan (4 hours later)

Brief Answer:
Kindly consult a microbiologist

Detailed Answer:
Hi,
Welcome back.
Test with serum will be more accurate than with plasma as it contains more proteins which may cross react sometimes.
As far as I know there's no difference in window period with either plasma or serum.
Your questions could be answered with more authoritatively by a microbiologist rather than clinician.
Dr S Murugan

Above answer was peer-reviewed by : Dr. Yogesh D

Answered by Dr. Sankaranantham Murugan (0 minute later)

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Sankaranantham Murugan (45 minutes later)

Thanks a lot Doctor.
You are highly highly knowledgeable person in this field. Your answer is more than enough for me.

Follow up: Dr. Sankaranantham Murugan (0 minute later)

Thanks a lot Doctor.
You are highly highly knowledgeable person in this field. Your answer is more than enough for me.

Answered by Dr. Sankaranantham Murugan (1 hour later)

Brief Answer:
Your HIV risk is almost nil

Detailed Answer:
Hi,
Welcome back.
Not to worry. Your activities carry an almost 'nil' risk. Forget about the incident. Stay safe, have safe sex.
Dr S Murugan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Sankaranantham Murugan (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sankaranantham Murugan (44 hours later)

Hi Doctor,
One last question.

Dur to my anxiety, suddenly this thought came to my mind. Sorry if my question is silly.
1. I am using sanitizer for my hands regularly 8 to 10 times daily. Does using sanitizer daily, delayed producing antibody and delayed HIV test window period?

Follow up: Dr. Sankaranantham Murugan (0 minute later)

Answered by Dr. Sankaranantham Murugan (1 hour later)

Brief Answer:
Sanitizers will not affect the outcome of HIV test report

Detailed Answer:
Hi,
Welcome back.
Sanitizer has actions over the external surface of the skin over the body. It will not be absorbed through skin. Moreover even HIV virus, present over virus when exposed within seconds, also will be cleared by these sanitizers. Antibody production against virus is done by blood cells inside the body. Reaction by our immune system inside our body. Usage of the sanitizers will noway be affected the antibody formation and will not delay the window period of HIV infection.
Dr S Murugan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Sankaranantham Murugan (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sankaranantham Murugan (13 days later)

Hi Doctor,
Hi, Due to my negligence, the scissor which I used was accidently cut my friend's finger. Immediately, I apolgised him and sucked his fresh bleeding finger for 3 to 4 seconds. Immediately I took off his finger. Some of his blood came into touch my tongue. . I have some worry now., Does this transmit HIV? In case, if he is HIV positive am I at risk? Please help.

Follow up: Dr. Sankaranantham Murugan (0 minute later)

Answered by Dr. Sankaranantham Murugan (14 hours later)

Brief Answer:
When your friend has no HIV, Your HIV risk is 'NIL'

Detailed Answer:
Hi,
Welcome once again to HCM
Thanks for posting your query.
If we assume that your friend is HIV positive and you had come into contact with his fresh blood into your oral cavity, we cannot rule out the HIV risk totally.
1. If that friend is already on ART (Treatment for HIV) and if his viral load is undetecable, then the risk is almost nil
2. You have the risk of transmission of HIV, only if you have some ulcers in your mouth or some other Gum problems. Otherwise your risk is negligible.
When your friend is not HIV positive your HIV risk is almost 'NIL'.
You knew about your friend very well. Then why are you worrying?
Dr S.Murugan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Sankaranantham Murugan (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sankaranantham Murugan (1 hour later)

Thanks Doctor, I am worried because of my anxiety.

I don't have any fresh mouth ulcers or bleeding gums. Do I need a test?

After 12 weeks taking HIV test can rule out HIV totally?

Follow up: Dr. Sankaranantham Murugan (0 minute later)

Thanks Doctor, I am worried because of my anxiety.

I don't have any fresh mouth ulcers or bleeding gums. Do I need a test?

After 12 weeks taking HIV test can rule out HIV totally?

Answered by Dr. Sankaranantham Murugan (8 minutes later)

Brief Answer:
Your above mentioned activities do not need a test for HIV infection

Detailed Answer:
Hi,
Welcome back.
You don't need any blood test for HIV with regards to this incidence and your massage parlor experience also does not warrant a HIV test.

HIV test 12 weeks after the exposure (4th generation COMBOtest 99% reliable and others 97% or more reliable).

Dr S.Murugan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Sankaranantham Murugan (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sankaranantham Murugan (2 hours later)

Thanks Doctor. One final and last question.

Does applying boric acid powder on wounds for stop bleeding blood in finger and leg can delay hiv test? Does boric acid delayed antibody production for HIV?

Follow up: Dr. Sankaranantham Murugan (0 minute later)

Answered by Dr. Sankaranantham Murugan (1 hour later)

Brief Answer:
Boric acid application will not cause any delay

Detailed Answer:
Hi,
Welcome back.
Not at all. Boric acid application will not delay the window period.
Actually the window period for HIV is around 4 to 8 weeks only. 12 weeks for some rare delay in immune system of some individuals. Boric acid powder application is not causing any delay in the antibody production in HIV infection.
Dr S Murugan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Sankaranantham Murugan (0 minute later)

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar