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I Would Like To Get A Risk Assessment From A

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Posted on Thu, 22 Aug 2019
Question: I would like to get a risk assessment from a HIV specialist regarding a possible exposure.
This is what happened.
I had a back massage in Russian high end hotel, that though not intended to be a sexual massage turned into one. As the therapist progressed through the massage (I was naked under a towel - he was clothed) the therapist started to pay particular attention to my buttocks (and to which I must I kind of encouraged him) rubbing vigorously my ass cheeks, crack and applying pressure to my anus. I don't think there was any in insertion of a finger, I only remember some tapping and applying pressure, but being all oiled up I am in hindsight not entirely sure that there was no shallow insertion or that it remained external (this is how I remember it and reviewing it shortly after the incident when my mind wasn't clouded over with anxiety yet). I tried to recreate amount of pressure that I remember, by pressuring my own finger against my anus, to see if that would constitute finger insertion). The problem is that my anus tends to bleed easily from wiping or toweling (almost always leaving a tiny red dot or mark on toilet paper or towel). I reckon that with the pressure used it might be torn, just as it would be when wiping.
At some point and while at it the therapist asked me something in Russian that I couldn't understand. He also locked the door. I now fear that he might have used spit or cum or even ejaculated on me while massaging. I didn't see him ever getting naked, but earlier his crotch brushed against my hand and I could feel he was aroused. My question now is and in a scenario that he did ejaculate on my buttocks or had sperm on his hands from masturbating or coming in his pants at some point and would have rubbed my torn anus with it or shallowly inserted a finger, what that would mean in terms of risk for transmission. At the same time I had 2 open blisters/ wounds on my ankles from wearing the wrong shoes the day before. they were covered with silicone bandaids of which one had come loose already. So there was another wound/broken skin there.

Again, I don't know for a fact that he would have used spit or ejaculate on me. I was face down all the time. But it really freaks me out now thinking that he might have. I had just done an HIV test early July in order to get my visum and now find myself worrying sick about a possible change in status.

This to the point that I flew home earlier to Belgium and went straight into emergency in order to get a PEP prescription. For that I aggravated the incident in order to make sure to qualify for a prescription. I am not proud of that. Please don't judge me for it but I felt I needed to do something with my panic. I took my first pill at 45 hours after the incident. That being said, I now find that the prospect of continuing a PEP treatment for a month to come is already mentally exhausting and not necessarily helpful for my anxiety. Can I please get your professional advise on this mess I brought myself in/your risk assesment?
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Follow up: Dr. Dr. Kakkar (0 minute later)
I would like to get a risk assessment from a HIV specialist regarding a possible exposure.
This is what happened.
I had a back massage in Russian high end hotel, that though not intended to be a sexual massage turned into one. As the therapist progressed through the massage (I was naked under a towel - he was clothed) the therapist started to pay particular attention to my buttocks (and to which I must I kind of encouraged him) rubbing vigorously my ass cheeks, crack and applying pressure to my anus. I don't think there was any in insertion of a finger, I only remember some tapping and applying pressure, but being all oiled up I am in hindsight not entirely sure that there was no shallow insertion or that it remained external (this is how I remember it and reviewing it shortly after the incident when my mind wasn't clouded over with anxiety yet). I tried to recreate amount of pressure that I remember, by pressuring my own finger against my anus, to see if that would constitute finger insertion). The problem is that my anus tends to bleed easily from wiping or toweling (almost always leaving a tiny red dot or mark on toilet paper or towel). I reckon that with the pressure used it might be torn, just as it would be when wiping.
At some point and while at it the therapist asked me something in Russian that I couldn't understand. He also locked the door. I now fear that he might have used spit or cum or even ejaculated on me while massaging. I didn't see him ever getting naked, but earlier his crotch brushed against my hand and I could feel he was aroused. My question now is and in a scenario that he did ejaculate on my buttocks or had sperm on his hands from masturbating or coming in his pants at some point and would have rubbed my torn anus with it or shallowly inserted a finger, what that would mean in terms of risk for transmission. At the same time I had 2 open blisters/ wounds on my ankles from wearing the wrong shoes the day before. they were covered with silicone bandaids of which one had come loose already. So there was another wound/broken skin there.

Again, I don't know for a fact that he would have used spit or ejaculate on me. I was face down all the time. But it really freaks me out now thinking that he might have. I had just done an HIV test early July in order to get my visum and now find myself worrying sick about a possible change in status.

This to the point that I flew home earlier to Belgium and went straight into emergency in order to get a PEP prescription. For that I aggravated the incident in order to make sure to qualify for a prescription. I am not proud of that. Please don't judge me for it but I felt I needed to do something with my panic. I took my first pill at 45 hours after the incident. That being said, I now find that the prospect of continuing a PEP treatment for a month to come is already mentally exhausting and not necessarily helpful for my anxiety. Can I please get your professional advise on this mess I brought myself in/your risk assesment?
doctor
Answered by Dr. Dr. Kakkar (3 hours later)
Brief Answer:
No risk of HIV

Detailed Answer:
Hello and welcome to ask a doctor service. I have gone through your question and noted your concern.

HIV virus is usually transmitted through sexual intercourse, either vaginal or anal. Even though receptive anal sex caries the highest risk of transmission fingering is absolutely safe. Even if he had ejaculate or precum on his hands (saliva is not infectious), there is hardly a risk because the virus cannot pass through minor bleeding scratches or tears in the skin. It had to be a fresh and actively bleeding deep wound like a laceration for the virus to gain access into the blood stream. On the other hand the trauma of actual anal intercourse is much more likely to transmit the virus due to much longer contact with infected genital surfaces and exchange of infectious fluids during the act of anal intercourse. I don't think you need a Prophylaxis. You just need to relax about the whole incident.

Hope I have answered your question. Let me know if you need any more assistance.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Dr. Kakkar (0 minute later)
Brief Answer:
No risk of HIV

Detailed Answer:
Hello and welcome to ask a doctor service. I have gone through your question and noted your concern.

HIV virus is usually transmitted through sexual intercourse, either vaginal or anal. Even though receptive anal sex caries the highest risk of transmission fingering is absolutely safe. Even if he had ejaculate or precum on his hands (saliva is not infectious), there is hardly a risk because the virus cannot pass through minor bleeding scratches or tears in the skin. It had to be a fresh and actively bleeding deep wound like a laceration for the virus to gain access into the blood stream. On the other hand the trauma of actual anal intercourse is much more likely to transmit the virus due to much longer contact with infected genital surfaces and exchange of infectious fluids during the act of anal intercourse. I don't think you need a Prophylaxis. You just need to relax about the whole incident.

Hope I have answered your question. Let me know if you need any more assistance.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Dr. Kakkar (16 minutes later)
Thank you very much for your answer. I am confused about how to define minor bleeding scratches, or actively bleeding. What if that frotting contact caused a tear that bleeds a needle pin amount of blood? Would it consist a fresh wound actively bleeding? What about a weeping (serous) little wound?
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Follow up: Dr. Dr. Kakkar (0 minute later)
Thank you very much for your answer. I am confused about how to define minor bleeding scratches, or actively bleeding. What if that frotting contact caused a tear that bleeds a needle pin amount of blood? Would it consist a fresh wound actively bleeding? What about a weeping (serous) little wound?
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Follow up: Dr. Dr. Kakkar (3 hours later)
Can i get a follow up on my subsequent question please
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Follow up: Dr. Dr. Kakkar (0 minute later)
Can i get a follow up on my subsequent question please
doctor
Answered by Dr. Dr. Kakkar (2 hours later)
Brief Answer:
Regarding HIV

Detailed Answer:
Hi.
A minor bleeding from a cut or an abrasion or other similar type of skin break does not provide access to the blood stream. Only a deep, profusely bleeding wound like during an accident or a needle stick injury can provide access to the blood stream. This is because the virus cannot survive outside the body for any length of time. Therefore transmission through skin is extremely rare, if at all and has never been reported to occur through a minor bleeding wound. Sexual transmission is the most efficient route for HIV. A small skin wound that is a few hours old is self sealing and the virus cannot pass through. Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Dr. Kakkar (0 minute later)
Brief Answer:
Regarding HIV

Detailed Answer:
Hi.
A minor bleeding from a cut or an abrasion or other similar type of skin break does not provide access to the blood stream. Only a deep, profusely bleeding wound like during an accident or a needle stick injury can provide access to the blood stream. This is because the virus cannot survive outside the body for any length of time. Therefore transmission through skin is extremely rare, if at all and has never been reported to occur through a minor bleeding wound. Sexual transmission is the most efficient route for HIV. A small skin wound that is a few hours old is self sealing and the virus cannot pass through. Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (12 hours later)
But if they wound occurs, meaning an existing abbrasions gets torn, because of the frotting movement, the massaging, it would consist a fresh and bleeding wound right? But it won't be deelp enough for transmission. It would not provide access to the bloodstream? Correct?
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Follow up: Dr. Dr. Kakkar (0 minute later)
But if they wound occurs, meaning an existing abbrasions gets torn, because of the frotting movement, the massaging, it would consist a fresh and bleeding wound right? But it won't be deelp enough for transmission. It would not provide access to the bloodstream? Correct?
doctor
Answered by Dr. Dr. Kakkar (21 hours later)
Brief Answer:
Regarding HIV

Detailed Answer:
Hi.
Yes, correct. Moreover, the virus doesn't survive outside the body for any length of time. Take care
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Dr. Kakkar (0 minute later)
Brief Answer:
Regarding HIV

Detailed Answer:
Hi.
Yes, correct. Moreover, the virus doesn't survive outside the body for any length of time. Take care
Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

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

Dermatologist

Practicing since :2002

Answered : 9612 Questions

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I Would Like To Get A Risk Assessment From A

I would like to get a risk assessment from a HIV specialist regarding a possible exposure. This is what happened. I had a back massage in Russian high end hotel, that though not intended to be a sexual massage turned into one. As the therapist progressed through the massage (I was naked under a towel - he was clothed) the therapist started to pay particular attention to my buttocks (and to which I must I kind of encouraged him) rubbing vigorously my ass cheeks, crack and applying pressure to my anus. I don't think there was any in insertion of a finger, I only remember some tapping and applying pressure, but being all oiled up I am in hindsight not entirely sure that there was no shallow insertion or that it remained external (this is how I remember it and reviewing it shortly after the incident when my mind wasn't clouded over with anxiety yet). I tried to recreate amount of pressure that I remember, by pressuring my own finger against my anus, to see if that would constitute finger insertion). The problem is that my anus tends to bleed easily from wiping or toweling (almost always leaving a tiny red dot or mark on toilet paper or towel). I reckon that with the pressure used it might be torn, just as it would be when wiping. At some point and while at it the therapist asked me something in Russian that I couldn't understand. He also locked the door. I now fear that he might have used spit or cum or even ejaculated on me while massaging. I didn't see him ever getting naked, but earlier his crotch brushed against my hand and I could feel he was aroused. My question now is and in a scenario that he did ejaculate on my buttocks or had sperm on his hands from masturbating or coming in his pants at some point and would have rubbed my torn anus with it or shallowly inserted a finger, what that would mean in terms of risk for transmission. At the same time I had 2 open blisters/ wounds on my ankles from wearing the wrong shoes the day before. they were covered with silicone bandaids of which one had come loose already. So there was another wound/broken skin there. Again, I don't know for a fact that he would have used spit or ejaculate on me. I was face down all the time. But it really freaks me out now thinking that he might have. I had just done an HIV test early July in order to get my visum and now find myself worrying sick about a possible change in status. This to the point that I flew home earlier to Belgium and went straight into emergency in order to get a PEP prescription. For that I aggravated the incident in order to make sure to qualify for a prescription. I am not proud of that. Please don't judge me for it but I felt I needed to do something with my panic. I took my first pill at 45 hours after the incident. That being said, I now find that the prospect of continuing a PEP treatment for a month to come is already mentally exhausting and not necessarily helpful for my anxiety. Can I please get your professional advise on this mess I brought myself in/your risk assesment?