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AIDS/Concerned after Lap dance

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Question
I went to a Strip Club & got lap dances.
I was only wearing thin cotton shorts - no underwear. Dancer was fully nude.
She grinded vigorously on me & said she 'came'. I could see that she was a bit wet.

1) Is there any chance of any STD/HIV contraction because of this ? i.e her fluids going into the shorts & reaching my penis.

2) Is it true that other than cuts, the only way in for HIV virus is the "Urethral Opening" at the Tip of the Penis ?

Please let me know. I've been freaking out last couple of days. Thanks in advance.
Jai.

Answer
Dear Jai:

Peace and all good things.  HIV risk is limited to the amount and duration of infected fluids to which you may be exposed - unless you were in direct contact with her blood or vaginal secretions, your HIV risk is nil - if in tiny amounts AND she is infected, your risk is tiny.  I am not an expert on other infectious STDs, but generally aware that your risk is at worst small from one exposure of limited amount and duration.

HIV can be transmitted at any point where the virus comes in contact with those blood cells that it uses to replicate.  Intact skin and mucous membranes provide an effective barrier to most infections, including HIV.  Breaks in the skin or membranes occur, often in the context of friction and pre-existing infections such as STD's.  Some membranes, such as the large intestine, actually serve a function such as drawing nutrients from human waste, and receptive unprotected anal intercourse might allow for passage of the virus from semen or blood directly through the membrane.  So, NO - the urethra is not the only possible site for HIV entry to the body, nor is it especially vulnerable compared to other membranes or skin.  The penis is not some magic area especially susceptible to infection - it is one of the skin and mucous membrane contained parts of the body, and is at as great risk and enjoys similar protections as the rest of you.

My opinion is that your risk is so small as to not warrant great worry or 'freaking out' but knowing your HIV and STD status is part of taking charge of your health.  I would recommend reading further at www.thebody.com and/or www.avert.org -  two excellent sites with interesting articles.  And consider a visit to a counseling and testing center to learn your baseline sexual health status and ask some questions face-to-face.  The best folks working in these settings are a wealth of information and have heard a wide array of stories - learning to be matter of fact and helpful as you assess your risk and prepare for responsible sexual health.

The best to you and yours, and thanks for your question.

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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