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My head and armpit lymph nodes are swollen after I fingered a massage therapist. Is it due to HIV?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Ashok Kumar

Medically reviewed by

iCliniq medical review team

Published At May 25, 2021
Reviewed AtDecember 19, 2023

Patient's Query

Hi doctor,

I touched the genitals of a massage therapist. There was no penetration or sex of any kind. I only touched her vagina, and she gave me a hand job. I have been getting some swollen lymph nodes on the back of my head and armpits. I also get a tingling and burning sensation in my legs and arms. I tested negative for HIV on day 42 from the contact. Can this be HIV?

Answered by Dr. Ashok Kumar

Hi,

Welcome to icliniq.com.

I read your query and understand your concern. From the available description, it appears that there was no mixing of body fluids. Touching of private parts does not cause mixing of body fluids in an otherwise healthy person. Without mixing body fluids, it is almost impossible to transmit HIV infection from one person to another. I would also like to inform you that prodromal symptoms after HIV (human immunodeficiency virus) infection like fever, lymph node enlargement, malaise often occur around two weeks of infection, and such symptoms appearing after one month is very unusual. It is also essential to add that currently available tests can detect HIV within 30 days. Non-reactive tests after 42 days of exposure rule out the possibility of HIV infection to a large extent. I hope this helps you. Feel free to write back to me if you have more questions.

Thanks and regards.

Patient's Query

Thank you Dr. ashok, I have been getting a lot of anxiety about it and stress. I did not get fever but did get swollen lymph node in back oh head around 1 month, and did test at 30 days and 42 days and it was negative in MaX lab. On the internet it is written that it need to be 4th generation test for it to detect in 30 days, and i am not sure which test max lab uses ? Is it a possibility that i touched her and then immediately touched my private parts ? Can that transmit ? Just trying to rule out options.
Answered by Dr. Ashok Kumar
Dear Raj, Thanks for follow up. First of all accept my apologies for the delay as the Covid situation is leaving no time to answer mail and calls. In regard to test you can post me the report so I can check what generation tests they offered for you. Generally speaking most of the labs across world are using fourth generation tests only over the last one decade. In regard to your question about transmission of HIV the possibility is next to nil. This is because HIV does not get transmitted by touching, hugging, dry kissing among others. There is need for mixing of body fluids and touching someone (including private parts) does not cause mixing of body fluids. I also like to inform you that the viral load required for transmission of HIV is generally high and for transmission to take place many viruses should be there which can not be there in general touching. Testing is the ultimate answer to your worries but the available details almost rules out possibility of HIV transmission. I hope this answers you. Feel free to write back to me if you have more questions. Thanks and regards

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ashok Kumar
Dr. Ashok Kumar

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