HIV Risks: A Guide to Safe Practices and Concerns - Urology

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When it comes to understanding the risks associated with HIV transmission, it's essential to consider the specific activities involved and the context in which they occur. Based on your questions, let's break down the risks associated with each activity you mentioned.

1. Washing Her (the sex worker): The act of washing someone does not inherently carry a risk of HIV transmission. HIV is primarily transmitted through specific bodily fluids (blood, semen, vaginal fluids, and breast milk) and requires a direct route into the bloodstream or mucous membranes. As long as there are no open wounds or cuts on your hands that come into contact with her blood or other bodily fluids, the risk is negligible.

2. Oral Sex with a Condom (戴套吹): Using a condom during oral sex significantly reduces the risk of HIV transmission. While oral sex is generally considered a lower-risk activity compared to vaginal or anal sex, it is not entirely risk-free. If the condom is used correctly and does not break, the risk of HIV transmission is very low. However, if there are cuts or sores in your mouth or on the condom, the risk may increase slightly.

3. Licking Nipples (舔奶頭): Licking someone’s nipples carries a very low risk of HIV transmission. The virus does not survive well outside the body and is not transmitted through saliva. However, if there are any open sores or cuts on your mouth or the person’s nipple, there could be a slight risk, but this is still considered very low.

4. Lying on Her Bed: The risk of contracting HIV from lying on a bed that someone else has previously used is extremely low. HIV does not survive long outside the human body, and it cannot be transmitted through surfaces. Unless there is fresh blood or bodily fluids present on the bedding, the risk is negligible.

5. Using Her Towel: Using a towel that someone else has used does not pose a significant risk for HIV transmission. The virus does not survive well on surfaces and is unlikely to be transmitted this way. However, if the towel has visible blood or other bodily fluids on it, there could be a risk, but this scenario is quite rare.

In summary, the overall risk of contracting HIV from the activities you described is very low, especially since you used a condom during oral sex. The symptoms you are experiencing, such as feeling hot and having trouble sleeping, could be related to anxiety or stress rather than an HIV infection. It's important to remember that many other factors can cause similar symptoms.

Regarding your negative result from the saliva rapid test, it is a good sign, but keep in mind that testing at the right time is crucial for accurate results. If you are still concerned about potential exposure, consider getting tested for HIV through a blood test at a healthcare facility. This will provide you with a more definitive answer.

Lastly, if you are experiencing significant anxiety about these situations, it might be helpful to speak with a mental health professional. They can provide support and strategies to help manage your concerns. Remember, taking proactive steps to protect yourself, such as using condoms and getting regular health check-ups, is key to maintaining your sexual health.