First of all I want to wish you a very happy New Year and say many thanks for organising this forum.
Secondly (and unfortunately), I have to seek your help again in respect of my foolish activity which I have decided to finish with since don't want to put myself at any risk any more and pray that is not too late!
A few days ago I visited a Chinese parlour where while receiving a massage from a Chinese lady decided to touch her breasts and nipples. At one moment I found her nipples wet and was quite surprised by that but did not pay much attention and continued touching them by my fingers. Moreover, I occasionally touched one of her nipples by my palm near to my thumb (further I will explain why I pay so much attention to that fact).
I forgot about this episode but today I reverted to it and realised that the lady was lactating and I touched her breast milk which may contain HIV. The problem is that the skin on my hands (on the palms especially close to my thumbs) is usually quite dry and rough but during cold weather the skin becomes much drier and rougher and cuts appear which may even bleed. Unfortunately, when I returned home after visiting the parlour and started washing the hands I noticed that the skin on the hands was extremely dry and there was even the clotted blood on the palm by which I touched her nipple (not a very big spot of the clotted blood but unfortunately it was...)
Dear Doctors, please advise what is my HIV risk re this episode, how accurate is a HIV RNA PCR test and when I should be tested if the episode took place in the evening of the 2nd January 2011?
I personally would not worry about this - perhaps not the most savoury of experiences but I don't believe a particular or significant risk of HIV ( or anything else).
An HIV RNA PCR test would be greater than 99% accurate at 7 plus days. The test itself takes up to 5 working days to be returned to us so you would need to factor that it. In general, we find that the lab returns samples sent on a Monday morning much faster.
As I say though, I think I would relax and not worry too much.
The only thing I would ask you to bear in mind though is that I really do believe from what you have said that you have not had an HIV risk and you, in my opinion, really do not need to do the test.
Obviously we'll leave it to you but in these austere recessionary times I'm sure there's a better use for £275 quid!!