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What Are The Chances Of HIV Transmission Through Contact With Skin Abrasions?
Question: Hello Doctor, Actually my question is regarding touching of vagina fluid on my penis tip. one week ago i had this accident with a sex worker. I touched her Vagina with my finger for 3 seconds and felt vaginal fluid there, and soon after accidentally my penis (without Condom) got touched with her vagina lips or may be in between vaginal lips for 3-4 SECONDS only (NO ACTUAL RUBBING, ONLY TOUCH) and felt vaginal fluid was there , and the vagina fluid got touched with my penis tip or i should say that vaginal fluid was on my Penis Tip, then very very soon after (one second after) the girl started giving me oral, and at starting of giving me oral she released her SALIVA (in good quantity) from her mouth on my penis, that my penis was wet from her SALIVA. Please note no intercourse was performed at all, means my penis never went inside her vagina or anal.
Also to bring into your knowledge that exactly 14 days before this incident of mine with sex worker I had Cystoscopy (In Urethra) for Urinary Bladder Treatment, and Catheter was put in my Urethra for one day only (it was a minor surgery). But there was no irritation or burning in urethra on the day i was with sex worker (after 14 days of Catheter removal).
Is there a RISK of HIV. Your sincere advice in this matter is highly required.
Please reply soon
Thank You
Also to bring into your knowledge that exactly 14 days before this incident of mine with sex worker I had Cystoscopy (In Urethra) for Urinary Bladder Treatment, and Catheter was put in my Urethra for one day only (it was a minor surgery). But there was no irritation or burning in urethra on the day i was with sex worker (after 14 days of Catheter removal).
Is there a RISK of HIV. Your sincere advice in this matter is highly required.
Please reply soon
Thank You
Brief Answer:
No risk
Detailed Answer:
Thanks for your question.I am Dr Matin , and will be answering your queries.
For acquisition of HIV one needs a prolonged contact of your abraded skin or mucous membrane with infected body fluids mainly -blood, semen , vaginal fluid or milk.Since your contact was for a very brief period with no vaginal sex , the status of the sexual partner (sex work) was unknown and the procedure of cystoscopy is carried on under strictly aseptic conditions so there is no risk of HIV Oral sex is least risky for acquisition of HIV and theoretically possible, but in your scenario it is very unlikely .
Hope this helps.
No risk
Detailed Answer:
Thanks for your question.I am Dr Matin , and will be answering your queries.
For acquisition of HIV one needs a prolonged contact of your abraded skin or mucous membrane with infected body fluids mainly -blood, semen , vaginal fluid or milk.Since your contact was for a very brief period with no vaginal sex , the status of the sexual partner (sex work) was unknown and the procedure of cystoscopy is carried on under strictly aseptic conditions so there is no risk of HIV Oral sex is least risky for acquisition of HIV and theoretically possible, but in your scenario it is very unlikely .
Hope this helps.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Dear Doctor,
Thank you for your reply. You are right that status of the sex worker is unknown. But if she would be positive than what is the risk of HIV? Also, what do you say about the possibility of the vaginal fluid entered in my Urethra via pee hole under the complete scenario i mentioned in my first message, then is there a risk of HIV?
I read that Saliva disinfect and/or inactive the HIV virus, if true so when the girl released her SALIVA from mouth at the start of giving me oral, do you think if any virus in Vaginal Fluid (on my penis tip) would have got disinfected and/or inactive.
Please Please answer in detail, so that your advice could go in me head.
Thank you for your reply. You are right that status of the sex worker is unknown. But if she would be positive than what is the risk of HIV? Also, what do you say about the possibility of the vaginal fluid entered in my Urethra via pee hole under the complete scenario i mentioned in my first message, then is there a risk of HIV?
I read that Saliva disinfect and/or inactive the HIV virus, if true so when the girl released her SALIVA from mouth at the start of giving me oral, do you think if any virus in Vaginal Fluid (on my penis tip) would have got disinfected and/or inactive.
Please Please answer in detail, so that your advice could go in me head.
Brief Answer:
No risk
Detailed Answer:
Thanks for your followup.
It is difficult to predict the risk in your scenario in case the sex worker had been HIV positive as there is no such case that has been reported and medical science tells us that touching the vagina by finger or penis for few seconds (with no penetration) is not a a likely route for HIV transmission. People are primarily infected by vaginal and anal intercourse, through sharing of needles, from an HIV positive mother to her unborn child, and via breast milk.
Whether a sexual activity is safer or not depends on the chances of your partner's body fluids coming into contact with your blood and/or mucous membranes and duration of the contact .
Even assuming that the sex worker was a HIV positive, still there would require a lot of variables to effect a successful HIV infection like her Viral load . menstruation(viral load may be high),presence of any co-morbidity--like STDs or TB etc. and finally the contact has to be prolonged one .
HIV is not an easy virus to pass from one person to another. It is a fragile organism, and its survival outside the body is estimated by scientists to be just a fraction of a second.
You are correct about your information about saliva and HIV.The HIV would have died by the time she has applied her saliva over your organ.
Based on what you described in your question, it seems highly unlikely that HIV was passed to you, even if the sex worker would have a HIV positive Still . If you continue to be concerned, getting an HIV test may help ease your mind at 3 months of exposure.
Hope this helps.
No risk
Detailed Answer:
Thanks for your followup.
It is difficult to predict the risk in your scenario in case the sex worker had been HIV positive as there is no such case that has been reported and medical science tells us that touching the vagina by finger or penis for few seconds (with no penetration) is not a a likely route for HIV transmission. People are primarily infected by vaginal and anal intercourse, through sharing of needles, from an HIV positive mother to her unborn child, and via breast milk.
Whether a sexual activity is safer or not depends on the chances of your partner's body fluids coming into contact with your blood and/or mucous membranes and duration of the contact .
Even assuming that the sex worker was a HIV positive, still there would require a lot of variables to effect a successful HIV infection like her Viral load . menstruation(viral load may be high),presence of any co-morbidity--like STDs or TB etc. and finally the contact has to be prolonged one .
HIV is not an easy virus to pass from one person to another. It is a fragile organism, and its survival outside the body is estimated by scientists to be just a fraction of a second.
You are correct about your information about saliva and HIV.The HIV would have died by the time she has applied her saliva over your organ.
Based on what you described in your question, it seems highly unlikely that HIV was passed to you, even if the sex worker would have a HIV positive Still . If you continue to be concerned, getting an HIV test may help ease your mind at 3 months of exposure.
Hope this helps.
Above answer was peer-reviewed by :
Dr. Shanthi.E
Thank you doctor for the detailed reply.
I had this incident of Monday evening, and she was not having menstruation (periods) on that day. I went back to her on following Wednesday (just to ask her if she have any disease as I was worried)
On Wednesday when i went back to her, she told that she is having menstruation (periods), so based on this do you think that medically her viral load would be high on Monday (on day of this incident) and could risk HIV in my case OR the viral load is high when menstruation (periods) is actually happening. I know you have said that prolonged contact is very important, please give your expert advice on this.
And as you said that in medical science no case is reported for HIV transmission by touching vaginal fluid to penis for few seconds (with no penetration), same like in my case i've explained you before. Is it 100% sure, I am re-confirming this because reading it in your last message gave me a great relief.
Also is there any test I can do before 3 months of exposure, it is a long time to wait. Like I read somewhere that test can be done at 3 weeks of exposure, but i don't know how accurate it would be on 3 weeks. Also please advice which test i should do for reliable result. Please Please reply soon.
In addition to your expert advice on my questions in my last message also please give your expert advice on "possibility of the vaginal fluid entered in my Urethra via pee hole" where "I had Cystoscopy (In Urethra) for Urinary Bladder Treatment, and Catheter was put in my Urethra for one day only (it was a minor surgery). But there was no irritation or burning in urethra on the day i was with sex worker (after 14 days of Catheter removal)". please give your detail advice based on this information too.
Thank You
I had this incident of Monday evening, and she was not having menstruation (periods) on that day. I went back to her on following Wednesday (just to ask her if she have any disease as I was worried)
On Wednesday when i went back to her, she told that she is having menstruation (periods), so based on this do you think that medically her viral load would be high on Monday (on day of this incident) and could risk HIV in my case OR the viral load is high when menstruation (periods) is actually happening. I know you have said that prolonged contact is very important, please give your expert advice on this.
And as you said that in medical science no case is reported for HIV transmission by touching vaginal fluid to penis for few seconds (with no penetration), same like in my case i've explained you before. Is it 100% sure, I am re-confirming this because reading it in your last message gave me a great relief.
Also is there any test I can do before 3 months of exposure, it is a long time to wait. Like I read somewhere that test can be done at 3 weeks of exposure, but i don't know how accurate it would be on 3 weeks. Also please advice which test i should do for reliable result. Please Please reply soon.
In addition to your expert advice on my questions in my last message also please give your expert advice on "possibility of the vaginal fluid entered in my Urethra via pee hole" where "I had Cystoscopy (In Urethra) for Urinary Bladder Treatment, and Catheter was put in my Urethra for one day only (it was a minor surgery). But there was no irritation or burning in urethra on the day i was with sex worker (after 14 days of Catheter removal)". please give your detail advice based on this information too.
Thank You
Brief Answer:
No risk
Detailed Answer:
Thanks for your followup questions.
I don't see the vaginal fluid of sex worker entering into your urethra in any way with the duration of contact . It has been communicated already that it is the duration of contact with the infected body fluids and abrasion of skin/mucosa are the two most important variables for acquisition of HIV.Your scenario negates both the variables The process of cystoscopy has nothing to do with acquisition of HIV in your scenario. So there is no risk for getting HIV .Hope it helps.
No risk
Detailed Answer:
Thanks for your followup questions.
I don't see the vaginal fluid of sex worker entering into your urethra in any way with the duration of contact . It has been communicated already that it is the duration of contact with the infected body fluids and abrasion of skin/mucosa are the two most important variables for acquisition of HIV.Your scenario negates both the variables The process of cystoscopy has nothing to do with acquisition of HIV in your scenario. So there is no risk for getting HIV .Hope it helps.
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
Thank you for replying and clarifying my concerns, from my last message 3 points (mentioned below) are missed replying and require your advice please.
> HIV TEST - Also is there any test I can do before 3 months of exposure, it is a long time to wait. Like I read somewhere that test can be done at 3 weeks of exposure, but i don't know how accurate it would be on 3 weeks. Also please advice which test i should do for reliable result.
> MENSTRUATION - I had this incident of Monday evening, and she was not having menstruation (periods) on that day. I went back to her on following Wednesday (just to ask her if she have any disease as I was worried).On Wednesday when i went back to her, she told that she is having menstruation (periods), so based on this do you think that medically her viral load would be high on Monday (two days before, on day of this incident) and could risk HIV in my case, OR the viral load is high when menstruation (periods) is actually happening. I know you have said that prolonged contact is very important, please give your expert advice on this.
Once again thank you very very much for your help. Waiting for your reply on above two points.
> HIV TEST - Also is there any test I can do before 3 months of exposure, it is a long time to wait. Like I read somewhere that test can be done at 3 weeks of exposure, but i don't know how accurate it would be on 3 weeks. Also please advice which test i should do for reliable result.
> MENSTRUATION - I had this incident of Monday evening, and she was not having menstruation (periods) on that day. I went back to her on following Wednesday (just to ask her if she have any disease as I was worried).On Wednesday when i went back to her, she told that she is having menstruation (periods), so based on this do you think that medically her viral load would be high on Monday (two days before, on day of this incident) and could risk HIV in my case, OR the viral load is high when menstruation (periods) is actually happening. I know you have said that prolonged contact is very important, please give your expert advice on this.
Once again thank you very very much for your help. Waiting for your reply on above two points.
Brief Answer:
Find your answers
Detailed Answer:
Thanks for your questions.
Find your answers serially .
HIV Test : You can go for any HIV test any day after exposure but you have to do it again after 3 months of exposure too, as this is the protocol of testing. Test after 3 months of exposure covers the maximum 'window period' of HIV .This test @ 3 months exposure will be definitive of the status whether positive or negative .
MENSTRUATION We can't be speculative . Viral load can be done only for HIV positive persons. As she was of unknown HIV status, Viral load is not applicable to her and naturally we can't comment over here.
I understand we have discussed every aspect possible in your scenario and so I close this thread over here.
Thanks again .
Find your answers
Detailed Answer:
Thanks for your questions.
Find your answers serially .
HIV Test : You can go for any HIV test any day after exposure but you have to do it again after 3 months of exposure too, as this is the protocol of testing. Test after 3 months of exposure covers the maximum 'window period' of HIV .This test @ 3 months exposure will be definitive of the status whether positive or negative .
MENSTRUATION We can't be speculative . Viral load can be done only for HIV positive persons. As she was of unknown HIV status, Viral load is not applicable to her and naturally we can't comment over here.
I understand we have discussed every aspect possible in your scenario and so I close this thread over here.
Thanks again .
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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