|2nd Try at Getting An Answer: Please Help me!
Aug 6, 2010
Dear Dr. Bob,
Please help me, I have OCD and have been very worried! I'm a gay guy who twice fooled around with a guy whose HIV status is unknown to me. He gave me a handjob, and then proceeded to rub my butthole a bit through my boxers. My fear is that he may have had some of his precum on his hands. Since I was wearing boxers, he wasn't able to insert his fingers far (if at all - it was a few months ago, and I don't remember if he just touched the outside of my hole). I understand that this is low-risk, but I read there was a new study in the journal PLoS Pathogens suggesting that HIV could be transmitted through mucous membranes, even without any tears (cf. http://www.aidsbeacon.com/news/2010/05/04/study-finds-that-hiv-breaks-mucosal-barriers-during-transmission/).
Also, I have what might be genital warts (the doctor wasn't sure, and suggested I wait to see if they spread or grow to confirm). On another occasion with the same guy as above, I masturbated and may have had his precum and/or semen on my hand (I jerked him off through his shorts first, and while I don't think he came, I don't know for sure). If I have warts, they're on my penis shaft, are untreated, and weren't bleeding.
My questions: 1) Could I have gotten HIV from either of these incidents? 2) I may get tested to put my mind at ease, but do I need to get tested, in your opinion?
I have OCD, and these things are worrying me. Please tell me what you think! Thank you for your advice, and I will support your charity!
| Response from Dr. Frascino
1. No, absolutely not.
By the way, HIV can indeed permeate across an intact mucous membrane. This is not news. We've known this for at least a decade.
Regarding your possible genital warts, I would not wait to see if they spread! I would suggest you go to a dermatologist and have them properly diagnosed and treated without delay.
Good luck. Be well.
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