Important note: Information in this article was accurate in 2005. The state of the art may have changed since the publication date.



Question:

I have just begun stripping and went to a private bachelor party. I was recently tested for HIV and it was negative (before this evening). However at this bachelor party the men wanted to give me oral sex. I wouldn't let them because I know I am negative and don't want any risks. I did let the bachelor perform it on me over my bun shorts (little shorts) and g-string. So there wasn't skin to skin contact, but they were all wet when he was done. I pretended to get off (for the show) although his tongue/mouth never directly touched my vagina (only through the thin layer of clothing I was wearing) I was wondering if I should re-test for HIV, and if I am at risk for HIV from this one incident, or if I can put this freaky night behind me. I am a bit worried because I was just tested for everything and am negative for all STD's. I don't want to worry until I have another test and need some expert advice and opinion. I am looking for other work because this isn't really my cup of tea. An answer would be greatly appreciated.
Thank you, what you do is great!

Answer provided by:

Mark H. Katz, M.D.
Regional HIV/AIDS Physician Coordinator
Kaiser Permanente of Southern California


I can say with reasonable--although not absolute--certainty that the events of that night would not likely result in HIV transmission. (See enclosed table for some info on risk of transmission in different situations.) However, given your new line of work, I would venture a guess that this anxiety may creep into frequent encounters, all of which may be as safe as this one. It would be helpful for you to be clear to yourself, and then to your clients, about what degree of contact you are willing to engage in.

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For information about HIV exposure, the following chart (Table) from the below MMWR article indicates the estimated per-act risk for getting HIV, listed by exposure route, please see:

Table: www.aegis.org/pubs/mmwr/2005/r402a1t1.gif

MMWR article: http://www.aegis.org/pubs/mmwr/2005/RR5402-1.html



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