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Sep 19, 1996

I recently had a mutual massage with a woman from an escort service. What are the likelyhoods of transmitting the HIV virus from: 1) massaging her breasts and masturbating myself (away from her) immediately after. 2) rubbing our FULLY CLOTHED gential areas together vigorously for several minutes? Is there any chance of vaginal secrection getting through our clothes? Finally, if so, can the virus infect a person through the entrance hole of the penis? Thank you.

Response from Mr. Sowadsky

Hi. Thank you for your question. What you were doing with the prostitute is considered mutual masturbation. Mutual masturbation is considered safer sex in regard to HIV, meaning there is a risk of infection, but it's an extremely low risk. In order to become infected with HIV, three things must happen:

You must be exposed to pre-cum, semen, vaginal secretions, blood, or breastmilk.

The virus must get directly into your bloodstream through some fresh cut, open sore, abrasion etc.

Transmission must go directly from 1 person to the other very quickly.....the virus does not survive more than a few minutes outside the body.

When you are massaging her breasts, the chances that you would be exposed to her breastmilk, and that breastmilk having a direct access to your bloodstream would be very small. Most women only produce breastmilk during pregnancy, and when they are breastfeeding their babies.

While you were masturbating yourself, you were not exposed to her body fluids so you would not be at risk. Whatever you do by yourself, you would not be putting yourself at risk of infection with this or other Sexually Transmitted Diseases (STD's).

If you have your clothes on, this would act as a barrier against her body fluids (listed above) and would act as a barrier against HIV entering your bloodstream.

If you are directly exposed to body fluids containing HIV, it must get into your bloodstream through some type of cut or open sore. These openings can include lesions from other STD's (like from herpes or syphilis), or from microscopic cuts and abrasions that can occur on mucous membranes (head of the penis, vagina, rectum, eyes, nose and mouth). These openings can be too small for you to see, but large enough for HIV to enter. Remember that HIV is smaller than a single cell, so an opening that is small to you, is large for HIV.

So, in summary, based on what you have told me, your risks of infection with HIV would be very very small. If you have any further questions, please feel free to call the Centers for Disease Control at 1.800.232.4636 (Nationwide). Rick Sowadsky MSPH CDS

Relation of Menstrual Cycle to Risk of Infection?
Transmittal from Woman to Woman

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