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What Are The Chances Of HIV Transmission Through Non Penetrative Sex?

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Posted on Fri, 13 Mar 2015
Question: I recently went on a trip to Manila in Noveber/December for a whole month. While there I had a massage from a lady who was offering the service from the street.
After the massage, she asked if I wanted body to body and I accepted. I have read that the possibility of contracting HIV from this is almost impossible. But I have also read something to the contrary that women could be at risk of being pregnant through vulva to vulva rubbing, so surely that would mean contracting HIV is possible also?

Anyway, the next day I had another massage this time I received oral sex from a different girl but from the same shop. ( I received body to body on 4th December and oral on the 5th at no point did I have penatrative vaginal sex with either girl)

One week after this occurred my wife came to visit me and we subsequently found out she was pregnant through an over the counter test kit.

Just to clarify I have had sexual intercourse with my wife on New Years day.

Since last week Wednesday, I have started to get symtoms. (Now 8 weeks after both massages)
I have a very large swollen gland under my jaw line. The right side is much larger than the left as its swelled up like the size of an olive. However both are tender to touch. Since yesterday I have been getting chills and I have quite a severe headache and a fever. My body right now as I'm writing this is extremely hot. Plus I have a sore throat which seems to be gettig worse.

I am losing my mind. It is now over 8 weeks ago since I was there am I at risk for hiv?
My wife went through a routine blood test at the end of December. (also for HIV) at the hospital after the first initial blood test was made to confirm the pregnancy. And everything came out normal.

I really don't know what to do. I now feel my wife needs to get tested again because of the baby and myself also just be sure. But she has not had any symptoms. I am losing it right now. Please Advise.

Many thanks.

doctor
Answered by Dr. Panagiotis Zografakis (51 minutes later)
Brief Answer:
Please provide more details

Detailed Answer:
Hello,

I've read your question and I understand your concerns. HIV transmission requires either introduction of the virus into the blood or through a mucosal surface (the area under the foreskin is the most susceptible to transmission).
Body to body (skin) touch cannot cause transmission.
So one very important bit of information would be to clarify whether you've used a condom or not and the kind of "body to body" contact. Did your genitals come into contact?

Swollen glands under the jaw, fever and sore throat are usual symptoms of pharyngitis and the most common pathogens are viruses and the streptococcus.

Please provide the details that I've asked for and I'll be glad to talk to you about the risks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (33 minutes later)
Hi

No condom was used in either massage encounter

She performed a rocking/sliding action where she would rub her genitals against mine. (more so indirectly) Her genitals would slide up the base and shaft of my penis.

I think the head of my penis would have come into contact with her vaginal walls and possibly her clitoris. At no stage was there any penetration but the rubbing action may well have caused some genital contact. I did not directly rub my penis around her vagina. (This is what i mean by indirectly)

I was more vulva to vulva rubbing and/or gliding action that took place. I thought this kind of massage would make it very unlikely to contract any STI's or HIV. But since i'm now having symptoms i'm really concerned. This is now i believe 9 weeks since the encounters to the point of getting swollen glands.

I have had swollen glands for a whole week. It's only since yesterday i have had a fever and chills, accompanied by a headache, which i'm taking paracematal/ibroprfen for every 4-5 hrs.

Thanks
doctor
Answered by Dr. Panagiotis Zografakis (10 minutes later)
Brief Answer:
Probably no risk

Detailed Answer:
Hi,

thanks for the input!
The skin cannot be penetrated by the HIV virus unless there is a wound. So the base of the penis is not susceptible to infection. The mucosal surfaces are in danger when coming into contact with an infected individual.
The risk for contracting the HIV is low even in unprotected vaginal intercourse, so just rubbing makes it even less likely.
If the oral sex was unprotected also, then there is some risk (still low) for HIV.
Since many days have passed since the incident, what you can do is test for HIV now and in 6 months after the incident to be sure that you're healthy.

HIV primary infection usually lasts for more than common infections, so if your symptoms last for 3-4 weeks, the HIV scenario could be more likely.

I've given you the information you needed to assess your risk but - of course - I cannot say for sure whether you've the HIV or not. Testing will make things clear. It's essential that you learn as soon as possible if you're positive or not because this may affect the fetus and your wife. Till then avoid any sexual contact, mucosal contact, blood contact with anybody to avoid spreading the virus to other people (just in case you've really got it).

Contact me again, if you have more questions on the subject.

Kind Regards!
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3819 Questions

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What Are The Chances Of HIV Transmission Through Non Penetrative Sex?

Brief Answer: Please provide more details Detailed Answer: Hello, I've read your question and I understand your concerns. HIV transmission requires either introduction of the virus into the blood or through a mucosal surface (the area under the foreskin is the most susceptible to transmission). Body to body (skin) touch cannot cause transmission. So one very important bit of information would be to clarify whether you've used a condom or not and the kind of "body to body" contact. Did your genitals come into contact? Swollen glands under the jaw, fever and sore throat are usual symptoms of pharyngitis and the most common pathogens are viruses and the streptococcus. Please provide the details that I've asked for and I'll be glad to talk to you about the risks.