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Sexually transmitted diseases due to vaginal discharge - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Sexually Transmitted Diseases
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1698 Questions
User :   Hi
Doctor :   HI,
User :   I am from India, but currently in US
Doctor :   How Can i help you ?
Doctor :   Ok, please proceed
User :   i need particular info on hiv transmission
Doctor :   yes, i can help you with this
User :   oh k
User :   i visited a strip club multiple times
Doctor :   ok,
User :   single club
Doctor :   ok,
User :   every time i took lap dances
User :   previously i thought that hiv will transmit only thor blood/sex
Doctor :   proceed
User :   but after that i found that i can also transmit thro semen and fluids
User :   now i am extreamly scared and i cant able to do the day to day activities
Doctor :   yes,
Doctor :   May i know the reason ?
User :   in every lap dance she is rubbing her vagina with underwear on me
Doctor :   ok,
User :   each dance was about 5-10 mins..... in which i just kissed/rubbed her neck, between breast and some times butts and thigh
User :   but i never did that on any sexual region
Doctor :   ok,
User :   i rubbed my face on her body and butt and thigh
User :   but before that i had shaved my bear... 2-3 times it has some shaved cuts on my face
User :   i shaved on morning at 9 am
Doctor :   ok,
User :   lap dances were at 2-3pm
User :   i am scared that my cuts got exposed to her vaginal fluids or semen of previous customers whom she gave the lap dance
Doctor :   ok, Here it is , the HIV virus and most of the other viruses or bacterias , do not live in the body fluids for not more than 15 to 20 minutes if exposed to external environment
User :   body fluids? what all things?
Doctor :   and any minor narrow cuts about a centimeter or two will be plugged by platelets and fibrin( clot) within 5 to 7 minutes making it sealed
User :   my cuts are very minor ...less than .5 cm
Doctor :   yes, it applies to body fluids like semen , vaginal secretions , blood , discharge from wound etc
Doctor :   so since it had been hours after you had cut , i consider the transmission of HIV or any other infection fairly negligible
Doctor :   So , need not worry
User :   so i took lapdance after 4-5 hours of shaved cuts on face
Doctor :   thats a long time
Doctor :   negligible or nil chances of the infection
User :   you are telling it lives till 15-20 mins
User :   what if the fuild get it same or it dries quicker?
User :   outside body
Doctor :   yes, it may live for 15 to 20 minutes in body fluids exposed to external environment only if its favorable ( like not too hot or not too cold )
User :   in that club it was very cold...atleast for me
User :   what about contact with eyes?
Doctor :   the fluid dries in few minutes , and the virus dies and further more the cuts would have been completely sealed in the time gap from the shaving to exposure
User :   if i touched my eyes after the lap dance...where i touched her body..... not her vagina
Doctor :   i meant freezing cold
Doctor :   no ,
User :   ??
Doctor :   the eyes,
User :   so no infections thor eyes?
Doctor :   The chances are less through the eyes you touched , as it needs a minmum infective dose for the virus to infect a new body
User :   what is meant by "minmum infective dose"?
User :   i am confused on this
User :   i my thinking, even if one hiv cell enters the body, then its the hiv transmission
User :   *in my thinking
User :   is it true?
Doctor :   yes, infections can occur thro eyes only when there is splash of body fluid into it , also eye has a protective barriers , like conjunctiva , l;ids and ears which constantly wash the eye
Doctor :   no , not at all , minimum infective dose is in more than about a lakh viral copies
Doctor :   it needs atleast 5 to 10 ml of the infective fluid
User :   oooh... i dint know that before
Doctor :   you need not worry , according to your history i think you are at very negligible risk
Doctor :   you are anxious, and that happens to think over it more
User :   on every lap dance i cummed in my pant...... after that she was still rubbing my pant..... i wear thin pant and underwear all the time
Doctor :   not a chance
User :   about 10-15 secs after i cumed i stopped her to dance
Doctor :   your ejaculation is a outgoing one , there is no harm in her touching your semen
User :   so her vaginal fluids in contact with my pant
Doctor :   her vaginal secretions touching your pant and then entering your genitalia is a remote possibility
User :   whatever i explained...... i dint go further than that....considering my own limitations and risk
User :   but i took dance wit hmany girls
User :   *with many girls
User :   i think i went some 10-12 times.......
User :   once i come to know about other fluids....then i stopped and started fearing
Doctor :   the hiv infection through sexual route is like this , after a intercourse the vaginal fluids will get deposited in the foreskin of the penis , and stay there for long , and the environment there is much feavourable so that it takes a bit more time for the virus to die , meanwhile into the fresh cuts over the penis ( glans) which still are not plugged will act as inlets for the virus
Doctor :   and this route accounts for about 1 % to 5 % chances only
User :   ooh
User :   unprotected sex dont transimit hiv 100% if one of them is +VE?
Doctor :   no , not 100% chances
Doctor :   if a negative person has intercourse with a infected person for 100 times the chances of infection are about 1 to 5
User :   having cold drinks just before lap dance heals any traces of cuts?
User :   oh k
Doctor :   i do not think so
User :   oh k
User :   after the shaving i took hot water bath...and then hot coffee.... i this heals cuts?
User :   because drinking water helas bleeding quickly
User :   *heals
Doctor :   minor cuts heal by natural process within 7 to 8 minutes
Doctor :   but platelet and fibrin plug
User :   i dint get this "platelet and fibrin plug "
Doctor :   these are the blood components which form a blood clot
Doctor :   blood clot made of cell components called platelets and fibrin ( fiber )
User :   i always put some water which is cold after the lap tis washes ant traces of semen and baginal fluids comp[letely?
Doctor :   ya , that helps
User :   oh k
User :   so even if i took many dances over a period of a month, with my silent actions, there is no risk?
Doctor :   no, or negligible risk
Doctor :   Thanks for consulting me , kindly provide your feedback
User :   hi doctor...are you there?
User :   sorry for the interruption
Doctor :   Yes, i M with you
Doctor :   please proceed
User :   last time i visited the club is on 6th of this month
Doctor :   ok,
User :   after that i got extreamly scared with almost no day to day food etc.....
User :   i took a hiv rna test yesterday, but found that it may give a false i dont have enough courage to check the results
Doctor :   What test did you get exactly ?
User :   hiv rna pcr
User :   i searchied in website and went to a clinic...
User :   they told it needs atleast 4 weeks of gap of exposure
Doctor :   Its is very sensitive test and the results are accurate if after 2o days to one month after the exposure
Doctor :   yes, 3 to 4 weeks
User :   so what do you suggest me ...if i need to check the results?
User :   it has a possibility of giving false positive
Doctor :   no , problem go ahead and check
User :   some of your answers already kicked of my 50% fears
Doctor :   yes, it has but very low false positive after one month , so get the test repeated after one moth of exposure
Doctor :   and since you do not know the females HIV status the chances will still lower down
Doctor :   what if she is negative , then you are at risk
User :   any idea on % hiv status of people in USA?
User :   ?
Doctor :   and if it was due to other women you exposed to in least days other than than the recent one then the test would have picked it
User :   i dint get you doctor
User :   please simplify
Doctor :   i said if you caught infection by the older exposures then the test you got done this time would have shown the result
User :   yes
User :   but i am not sure....if i will going to check it
Doctor :   and since you do not know the status of the women you exposed recently the chances of infection will still go lower
User :   beacuse currently i am onsite now and mssing home a lot
Doctor :   i said if the last woman is negative then the chances of hiv are zero
User :   oh k
Doctor :   no, worriews , every country in the world do have the tools to test HIV RNA
Doctor :   worries *
User :   one more Q
Doctor :   Yes, please
User :   you told that hiv survival on tool much hot and hoo much cold.... can u pls explain more
User :   outside the body
User :   sorry for my english
User :   let me type again please
Doctor :   yes,
User :   you told that hiv survival on too much hot and hoo much cold...can u please explain more?
User :   *too much cold
Doctor :   yes, for every living thing there should be a optimum temperature to live , as the chemical reactions needed for the organism to live needs that optimum temperature to occur
Doctor :   hence in too hot temperatures and too cold temp , the reactions do not occur and the organism dies
User :   but somewhere i read that fluctuation in the temerature around +/- 5 degress is not an living environment for hiv?
Doctor :   yes, -5 degrees is very less , the optimum for the HIV is same as human body temp ie 37dgree
User :   i mean + or - of body temperature
Doctor :   and the tem like 50 degree or low like negative degree the virus will die
Doctor :   and the virus may not multiply if the temperature is =/-5 it means to the inside the body virus
User :   what about exposure to air/O2?
Doctor :   No effect
Doctor :   only drying by air can effect a bit
User :   oh k
Doctor :   Is there anything i can help you ?
User :   i am feeling lit bit good now
Doctor :   Fine
Doctor :   Do not worry you are at very low risk
User :   thanks for your help and information doctor......... do i need to do some more reasearch on the information you provided me?
Doctor :   not at al,
Doctor :   just leave it here, if you want then get a repeat test after one month , which think is needless
User :   sure thanks bye
Doctor :   Thanks for consulting me , kindly provide your feedback
Doctor :   Bye for now
Doctor :   TAKE CARE
User :   where i need to give my feedback?
Doctor :   you will be shown a window
Doctor :   after the end of the chat
User :   oh k .... bye thank again
Doctor :   Bye
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