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Can HIV Be Contracted Through Non-penetrative Sexual Activity?

Posted on Mon, 2 Feb 2015

Question: I am a male and I recently visited a massage parlor, the guy first played with my nipples hard and then he started sucking for few minutes... I felt awkward and asked him to stop (I mean we did nothing more) when I came home I saw that surrounding my nipple... In the Areola region I had few very small non bleeding cuts caused by his nails .... Am I at HIV risk ?

Answered by Dr. Bharatesh Devendra Basti (40 minutes later)

Brief Answer:
Least or no risk of HIV transmission.

Detailed Answer:
Hi
Thank you for query.I am Dr Bharatesh D Basti answering your query.

Skin is an effective barrier for HIV transmission.
As there is no bleeding or open wound , The chances of HIV transmission is less.
Just cuts without bleeding is not a risk.
Moreover the transmission by saliva is also rare.

The person may be negative too.

So I would rate this as least risk or no risk.
You can get back for any clarification.
Thank you
Dr Bharatesh D Basti
Dermatologist and venereologist

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Bharatesh Devendra Basti (8 minutes later)

Should I get tested ?

Answered by Dr. Bharatesh Devendra Basti (36 minutes later)

Brief Answer:
Get tested only to relive your anxiety.

Detailed Answer:
Hi
Thank you for follow up query.

I do not see any need for testing.
If you are too anxious you can get tested for HIV depending in time since exposure.

HIV RNA PCR if in days or Antibodies test if more than 3 months exposure.
You can get back for any clarification.
Thank you
Dr Bharatesh D Basti
Dermatologist and venereologist

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Bharatesh Devendra Basti (1 hour later)

It happened yesterday

What is earliest test I can do and when for accurate results

Answered by Dr. Bharatesh Devendra Basti (1 hour later)

Brief Answer:
HIV RNA PCR after 10 days

Detailed Answer:
Hi
Thank you for follow up query.

There is no need for any test as there is no risk.

To relieve anxiety HIV RNA PCR test is 99% sensitive after 10 days exposure. You can go for it after 10 days.

Conclusive test is antibodies test after 3 months

You can get back for any clarification.
Thank you
Dr Bharatesh D Basti

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Bharatesh Devendra Basti (6 minutes later)

Thank you Doctor

Answered by Dr. Bharatesh Devendra Basti (1 hour later)

Brief Answer:
Wish you good health.

Detailed Answer:
Hi

Welcome.
Wish you good health.
You can get back for any clarification else please close the discussion and rate.

Thank you
Dr Bharatesh D Basti

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Bharatesh Devendra Basti (11 days later)

Dear Doctor,

I had visited recently a VD specialist.... And he asked me to go for HIV 1 RNA Qualitative Real Time PCR after 48 hrs of Exposure .... I had taken both HIV RNA Qualitative Real Time PCR testing for both HIV 1 and 2 after 48 hrs of Exposure... And it turned out to be Negative ..... Are these test reliable ??

Answered by Dr. Bharatesh Devendra Basti (5 minutes later)

Brief Answer:
Reliable after 10 days.

Detailed Answer:
Hi
Thank you for follow up query.
It is good that it is negative for both HIV 1&2 .
The test can detect HIV as early as 3 days, But it is best after 10 days exposure.
You can go for test again after 10 days exposure.
You can get back for any clarification.
Thank you
Dr Bharatesh D Basti

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Bharatesh Devendra Basti (56 minutes later)

How reliable is it After 10 days of Exposure .... As Today is 12 th Day .... If I get tested Tomorrow .... Is it Reliable ?.... Coz I am Suffering from Severe Anxiety and More Testing will cause me more Mental Pressure and Trauma

Answered by Dr. Bharatesh Devendra Basti (6 hours later)

Brief Answer:
Almost conclusive at this stage.

Detailed Answer:
Hi
Thank you for follow up query.

It is > 99% sensitive after 10 days.This is the best test at this stage.
You can be almost sure of negativity.
There is no need of any test as the risk you mentioned is low.
After 3 months another antibodies test will finally help to reconfirm the results.
You can get back for any clarification.
Thank you
Dr Bharatesh D Basti

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Bharatesh Devendra Basti (36 hours later)

HIV 1 RNA Qualitative RT PCR is negative on 13th Day

Answered by Dr. Bharatesh Devendra Basti (1 hour later)

Brief Answer:
Almost conclusive.

Detailed Answer:
Hi
Thank you for follow up query.

I would rate it as almost conclusive as there is no risk.
HIV 1 is most common. HIV2 is rare.If HIV 2 PCR is also negative you can take it as conclusive.
You can allay fears of HIV.
You can get back for any clarification.
Thank you
Dr Bharatesh D Basti

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Bharatesh Devendra Basti (43 hours later)

HIV 2 Qualitative RT PCR is also negative

Answered by Dr. Bharatesh Devendra Basti (6 minutes later)

Brief Answer:
Allay fears of HIV .

Detailed Answer:
Hi,

Thank you for follow up query.

It is good that HIV2 RNA PCR is also negative.
I would rate it as conclusive with the given history.
I do not find any risk too.

You can allay fears of HIV from this episode.

Please take care of your health.
Wish you good health.
You can get back for any clarification.
Thank you
Dr Bharatesh D Basti

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Above answer was peer-reviewed by : Dr. Ashwin Bhandari