the Risk of HIV Transmission in Non-Sexual Encounters - Urology

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What is the likelihood of contracting HIV?


On October 4th, I went for a massage, and I had a deep kiss with the therapist (about 10 seconds of tongue contact).
I also touched her breasts (without penetration) and did not have sexual intercourse.
What is the risk of HIV infection? On October 12th, I had a sore throat, and the next day I had phlegm (I’m not sure if it’s related to eating hot pot).
PS: I have periodontal disease.

CK, 20~29 year old female. Ask Date: 2013/10/14

Dr. Li Yilun reply Urology


The risk of transmitting HIV without contact with bodily fluids is quite low.
If there is a history of potential exposure, one can undergo HIV testing at a medical facility.

Reply Date: 2013/10/14

More Info


When it comes to understanding the risk of HIV transmission, especially in non-sexual encounters, it is essential to consider the modes of transmission and the specific circumstances of the encounter. In your case, you mentioned engaging in deep kissing with a massage therapist and touching her genitals without penetration. Let's break down the risk factors involved.


Modes of HIV Transmission
HIV is primarily transmitted through three main routes:
1. Sexual Contact: This includes vaginal, anal, and oral sex. The risk of transmission varies depending on the type of sexual activity and whether protective measures (like condoms) are used.


2. Blood Exposure: This can occur through sharing needles, transfusions with contaminated blood, or through open wounds.

3. Mother-to-Child Transmission: This can happen during childbirth or breastfeeding.


Kissing and HIV Risk
Deep kissing, especially when there is an exchange of saliva, is generally considered to have a very low risk for HIV transmission. The virus is present in saliva, but in much lower concentrations than in blood, semen, or vaginal fluids. The presence of cuts or sores in the mouth can theoretically increase the risk, but the overall likelihood remains low.


Touching and HIV Risk
In your situation, touching the technician's genitals without penetration also poses a low risk for HIV transmission. The virus does not survive long outside the human body, and it requires direct access to the bloodstream to establish an infection. Since you did not engage in penetrative sexual activity, the risk remains minimal.


Symptoms and Their Implications
You mentioned experiencing a sore throat and phlegm a few days after the encounter. While these symptoms can be concerning, they are not specific indicators of HIV infection. Many factors can cause a sore throat and phlegm, including viral infections (like the common cold or flu), allergies, or even irritation from spicy foods, such as hot pot.
Given that you have periodontal disease, it is also possible that your oral health condition could contribute to throat discomfort or other symptoms. Periodontal disease can lead to inflammation and infection in the mouth, which might explain some of your symptoms.


Conclusion and Recommendations
Based on the information provided, the risk of contracting HIV from the described encounter is very low. However, if you are experiencing persistent symptoms or have concerns about your health, it is advisable to consult a healthcare professional for a thorough evaluation.
If you are still worried about HIV or other sexually transmitted infections (STIs), consider getting tested. Testing is the only way to confirm your HIV status, and many clinics offer confidential or anonymous testing options. Regular testing is a good practice, especially if you engage in activities that may pose a risk.

In summary, while your encounter involved some intimate actions, the likelihood of HIV transmission is minimal. However, staying informed and proactive about your health is always a wise approach.

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