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AIDS/Possible risk at a massage parlour

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Question
Hi Terry,

Recently I went to a massage parlor. I was taken to a room where I had to wait for about 3 to 5 min. for the masseur (lady) to show up. The facts are the following: I caressed her breast on top of her blouse as well as her hair for about 1 min., during that time she rubbed my penis on top of my jeans. I felt it was a bit risky so I stepped back and rubbed my own penis on top of my jeans for about 2 min. while she was touching herself on top of her clothes  (jeans and blouse).

After this, I took out my penis, put on a condom and self-masturbated till orgasm.

My concerns:

1. I think she went to the bathroom before entering the room where I was. Say she had contact with any of her fluids and didn't wash her hands (she had long nails), then she touched her hair or blouse. Am I at risk for touching that hair or blouse and afterwards having some contact with the lateral side of my penis while putting on the condom?
2. Similarly, if I touched my jeans 1 min. after she touched them (suppose there were residual fluids in her nails) am I at risk?
3. If my own fluid inside the condom reached the area that I touched while putting the condom on, is it possible for the virus to "crawl" through that fluid to the urethra and enter the blood stream?

Four days after the possible exposure I had a temp of 98.4 and a stiff neck for a few days afterwards; additionally, in week 4 (last week) I had a mild diarrhea (if I can call it so) that lasted two days and some mild headaches. No rashes, flu or white dots in the mouth.

Even though there was no skin-skin contact. I am FREAKED OUT, should I take a test? Thank you in advance.


Answer
Dear Ed:

Peace.  

In reading your questions, I think it expedient to simply say there is no evidence that you were in direct contact with any significant amount of her blood or vaginal secretions.  If you were sharing injection equipment with her, there might be some risk, but you have nothing here that represents significant risk.  

Additionally, symptoms are not good indicators of HIV infection; only testing will help you learn your HIV status.  Because I see no risk, I don't think testing is indicated, unless you wish to pursue same for your peace of mind.

Best to you and yours,

Terry

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Terry B

Expertise

Help in assessing personal and professional risk of HIV transmission; tips in teaching about HIV/AIDS; cultural competency for teaching about HIV/AIDS in Catholic settings; considerations in US and overseas HIV/AIDS programs and education for health and other professionals. Specific questions about treatment should be referred to your health provider; opinions and information offered are not meant to replace medical advice

Experience

Seven years with academic medical center and national AIDS education and training center, seven subsequent years with focus on international HIV/AIDS in East and South Africa. Former clinician, bioethics preceptor at an academic medical center and presenter in wide range of fora including international AIDS conference.

Organizations
Disabled American Veterans American Public Health Association MENSA AA

Publications
Human Variety, EC Sociological Society Proceedings of the International AIDS Conference, Durban, South Africa "HIV and Primary Care"

Education/Credentials
BS Psychology MPH Master of Public Health PhD studies underway

Awards and Honors
Naval School of Health Sciences, Hospital Corps with Highest Honors, Neuropsychiatry with Honors and High Distinction

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