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Vigorous fingering followed by anal poke
Jan 29, 2011

Dear Dr. Frascino: I am a 58 year old bisexual marriend male. I foolishly went in a shower at my gym with a beckoning23 year old who turned out to be Guatemalan. After frottage, he fingered me fair deeply up my anal canal which hurt a little, for a few seconds(hair conditioner as lube), then somewhat forcefully turned me around and tried to insert anally. I moved so that only frottage on my perineum took place, but after a few seconds I felt a poke on my anus...not deep penetration, but a little shock, perhaps into the outer sphincter, which instantly made me get out of that position. I've never done anytbing like this before, and never will again. His uncircumcised penis appeared normal (I am a doc, believe it or not), without a lot of precum, and the water was running on us the whole time. I am sick with worry and guilt and am losing weight because of loss of appetite from fear, and even afraid to go near my wife. I asked the fellow after if he was healthy and he said he'd never done this before either, though I don't believe him. What is my risk? Should I have gotten PEP? Thanks so much.

Response from Dr. Frascino

Hi,

A 23-year-old Guatemalan gym-guy was suggestively beckoning a 58-year-old in the showers? Hmm. Now exactly where is this gym? I think many of our 50-something readers may be considering a change in their gym membership.

Your HIV-acquisition risk from your sexy-shower is exceedingly low, but not completely nonexistent. PEP (post-exposure prophylaxis) would not be warranted for this degree of minimal risk.

You are correct in assuming your anorexia and weight loss are due to anxiety and guilt.

I would recommend you level with your wife if you have not already done so. It's not only the best way to confront your guilt; it's also the right thing to do. You should use latex condoms with her for penetrative sex until your negative-HIV status can be reconfirmed. You'll need an HIV-antibody test at the three-month mark. The odds are astronomically in your favor that you did not contract HIV from this sexercise.

Good luck.

Dr. Bob



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