Dr. Basti Bharatesh Devendra
Dermatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I had been to a spa for a body massage a week back. I was fingering the female massage therapist during the massage, and she also cummed on my fingers. I am unsure if I touched my penis with the cum, and there were no cuts on my fingers. However, I am worried about getting infected by HIV (Human Immunodeficiency Virus) and other STD (Sexually Transmitted Disease) infections now. Please advise if this activity is high risk for HIV and other STD infections.
Hello, Welcome to icliniq.com.
I understand your concern. The chances of transmitting the human immunodeficiency virus (HIV) by massage or fingering are zero unless there are bleeding wounds on the hand. If there are no bleeding wounds, the odds are nil. Skin-to-skin contact or kissing can transmit sexually transmitted illnesses such as the herpes simplex virus. The possibilities are higher if there are active lesions at contact. The chances are zero if they are negative for the herpes simplex virus.
Patient's Query
Hi doctor, Thank you for the reply.
Her body had no lesions. She was clean and healthy. I had no wounds or burns on my hand since I used hand sanitizer before the act. Should I get tested for HIV, syphilis, or herpes due to this exposure? If so, how long should I wait before taking these tests? Please let me know what you think.
Hello, Welcome back to icliniq.com.
I understand your concern. The chances of transmission of the human immunodeficiency virus (HIV) will be nil, as per the description. However, if she is positive for the herpes simplex virus (HSV), she is at risk of transmitting it. Therefore, you may now do herpes simplex virus (HSV) 1 and 2 antibody tests and human immunodeficiency virus (HIV) antibody tests. Also, take immunoglobulin M (IgM) and immunoglobulin G (IgG) antibodies testing. In addition, you should take another test after three months of exposure to relieve your anxiety completely.
Patient's Query
Hi doctor,
Thank you for the reply.
Since yesterday evening, I have had stomach pain, bloating issues, and loose stools. However, my urine is clear, and it is not yellow. So I am not sure if these are related to my spa exposure. Please advise what has to be done. Should I test for hepatitis?
Hi,
Welcome back to icliniq.com.
These are non-specific symptoms and can be due to any gastrointestinal infection (infection or irritation of the intestines) or gastritis. It need not be related to spa exposure. Consult your doctor for examination and management if it does not subside. You can also test for HBsAg (Hepatitis B surface antigen) and Anti HBc (Hepatitis B core antibody) antibodies now and one more test after three months of exposure.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply. After 30 days of Spa massage and fingering exposure, I had taken another set of comprehensive STD testing. Please consider their recommendations. I am hoping that the test will prove my exposure. However, I wanted to go on and forget about the whole thing. I wanted to be free of the HIV predicament and continue with my life. So my main issue is that I had a low-risk Spa exposure. Will the tests I have taken likely confirm it after 30 days? What exactly happened was that, two days ago, I went to a spa for a body massage. Of course, I had fingered the female massage therapist, and she had cummed on my fingers as well. I was unsure whether I had touched my penis with that hand. And none of my fingers were also injured. However, I am now concerned about HIV and other STD infections that I may get. Am I at a higher risk of developing it? Please advise as I am concerned.
Hello,
Welcome back to icliniq.com.
I understand your concern.
All your STD (Sexually transmitted diseases) related tests are negative. They are nearly definitive in terms of risk exposure. As a result, additional HIV (Human immunodeficiency virus) testing may not be required. After three months of exposure, you might undergo HSV (Herpes Simplex Virus) Type 1 and Type 2, IgM (Immunoglobulin M), and IgG (Immunoglobulin G) antibodies to reduce your worry.
Patient's Query
Hi doctor,
Thank you for the reply. To be safer, I have done another round of all STD testing three months after my previous Spa massage exposure. I have attached all the latest reports. Please check and advise. The Hepatitis B surface antibody (Anti HBs), serum chemiluminescence value is shown as 141.41. Kindly suggest what this value indicates. Does this mean I am Hepatitis B positive? Please advise on the same. Below is my exposure history. Three months ago. I had been to a spa for a body massage. In the course, I had given the female massage therapist fingering, and she also cummed on my fingers. I had pulled my foreskin back while the Spa therapist was giving me a handjob, and after I had made her cum I touched my exposed penis head with the same hand and pulled my foreskin back. I had some vaginal fluid on my hand, which I wiped off before adjusting my penis foreskin. I wiped out my hand, which I had the cum on, and then I am not sure if I had touched my penis with her cum, and there were no cuts on my hands or fingers. There was no penetrative sex. Then I felt her nipples with the same hands I had fingered her, and I also sucked her nipples for some time. I am worried about getting HIV. I performed the attached tests. HIV tests after 16 days, and STD tests after two days. Both these are negative. I discussed this with the spa massage therapist, who massaged me if she had ever tested herself for HIV, syphilis, herpes, or hepatitis viruses. She told me that one of her family members needed blood for an operation last year. She had donated her blood, and during that, she got herself tested. That was a year ago. However, she did not have to perform any testing this year, but she also mentioned that she does not offer sexual service to any client. I repeatedly asked the spa lady about her HIV status, and she was confident that she was HIV negative. Please, advise if these tests are sufficient for me to confirm that HIV and other STD inflection has not happened. And am I safe from HIV inflection? Please help.
Hello,
Welcome back to icliniq.com.
I understand your concern.
I have reviewed the attached reports (attachment removed to protect the patient's identity). STD (Sexually transmitted diseases) tests are negative, including HIV (Human immunodeficiency virus), HSV (Herpes Simplex Virus), etc. According to the information provided, it is done after three months of exposure. They are definitive. There is no need for additional tests if there is no further risk exposure. Also you do not have to do the HIV testing again. Hepatitis B antibodies can also be caused by Hepatitis immunization. You must have gotten it in your childhood or earlier. Just keep an eye on it. There is nothing to be concerned about.
Patient's Query
Hi doctor,
Thank you for the reply.
I have one more question to ask. Does the existence of Hepatitis B antibodies imply that I may infect or spread Hepatitis B to others? I had applied for a permanent resident visa in a few countries and wondered if the presence of Hepatitis B antibodies is acceptable for PR processing. Please suggest so that I do not have to worry.
Hello,
Welcome back to icliniq.com.
I understand your concern.
I do not think this could be a problem for your visa approval. You may state you received the hepatitis B vaccine. Therefore the antibodies present in your body are most related to that. If you genuinely want to know your status, you may test for HBsAg (hepatitis B surface antigen) and Anti HBc (Hepatitis B core antibody) antibodies. High titles denote recovery and immunity, as well as prior illness or vaccination. If you can recall, it will most likely be related to vaccination.
Patient's Query
Hi doctor,
Thank you for the reply.
Can I donate blood if I have Hepatitis B surface antibody and Anti HBc in my blood? If I have these in my blood, will I transfer the virus? As I understand it, Hepatitis B surface antibody and Anti HBc will appear in the blood after I have recovered from it, just like Corona antibodies will appear if I have tested positive for Corona Virus. Please let me know if my interpretation is correct.
Hello,
Welcome back to icliniq.com.
I understand your concern.
It is unknown if you had contacted the virus before or received the Hepatitis B vaccination. Hepatitis B antibodies are generated due to previous infection or Hepatitis B immunization. You can clear it up with a few tests such as HBsAg (Hepatitis B surface antigen) and Anti HBc (Hepatitis B core antibody) antibodies. It is good to keep a record of your previous infection and the immunization. Donating blood is not an issue if vaccination has caused it. If HBsAg and other tests come out positive, it might mean you have HBV (Hepatitis B virus).
Patient's Query
Hi doctor,
Thank you for the reply.
For the time being, I have received the HBsAg test results, which are negative. However, I am still waiting for the Anti-HBc antibody test results. What conclusions may be drawn from these findings? Also, are these tests recommended as screening tests for Hepatitis B?
Hello,
Welcome back to icliniq.com.
I understand your concern.
Yes, HBsAg (Hepatitis B surface antigen) is a Hepatitis B screening test. Negative findings indicate that there is no current infection. It is most likely related to vaccine immunity. Do you recall getting vaccinated for Hepatitis B?
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