[Question #11203] Vaginal fluid on urethra and possible hiv exposure

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16 months ago
Hello
Im a 45 years old male from europe so first of all pardon my english.
I have had a sexual encounter with a woman with unknown status.
We had protected sex with condom and during the intercourse condom was not very tight. I noticed that there were some vaginal fluids at the base of the condom on my penis and possibly some fluids entered inside the condom too because it was slightly loose. 
To be safe, I decided to withdraw from the sex and I asked her to just do handjob for me. Unfortunately I forgot  to wash my penis before handjob and her vaginal fluid was already on my penis when she started doing it. During handjob ,she did touch her vagina several times and used her vaginal fluid for lubrication. Also during hand job , her hand was touching the urethra very rough and definitely her vaginal fluids did touch urethra area with friction. I dont know why I allowed such stupid thing to happen . 
Finally the questions
1-is there a chance that I will get hiv from this act?
2- do I need to test for HIV for this type of handjob
I appreciate if anyone can answer my question
Have a great day

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Edward W. Hook M.D.
16 months ago
Welcome to our Forum. thanks for your questions.  I'll be glad to comment.  The encounter you describe was NO RISK for HIV.  Statistically the likelihood that your partner had untreated HIV is low, in the neighborhood of 1% if not lower.  Further, as long as the condom covered the tip of your penis, you were protected.  That vaginal fluid may have entered the based of the condom does not change this in any way.

Similarly that some of her vaginal secretions may have been present when you received masturbation is a no risk event.  The WHO, CDC, and experts all agree that, even when partners get each other's genital secretion's on each other during the process, receipt of masturbation is a no risk event.

I would not be worried at all and see no need for testing related to the exposure you describe.  EWH
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16 months ago
Thank you doctor for your response
Just one follow up question 
Even though the vaginal fluid was touching the urethra and she was rubbing that area rough, is it possible the fluids enter the urethra ? If yes still no risk?
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Edward W. Hook M.D.
16 months ago
Correct, this is still no risk. These sorts of exposures occur commonly yet they do not lead to HIV infection. Please don’t worry. EWH.---
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16 months ago
Thank you doctor. This website allows me to ask two follow up questions after the original response. I wanted to use that opportunity to ask you one more follow up question  before closing if thats ok with you. 

I was tested positive for hsv2 but i never had active outbreak experience.or maybe i dont remember.  
Based on your valuable responses to other questions here, you mentioned in the past that even asymptomatic hsv lesions increases the chance of contracting hiv.

can rubbing the fresh vaginal fluid on hsv2 lesions on penis during handjob increase hiv risk too?Specially when these vaginal fluids were not dried and  came from deep tissue inside the vagina during intercourse.
I really appreciate and sorry again for my long questions
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Edward W. Hook M.D.
16 months ago
As I mentioned in my original response, participating in masturbation during which you get a partner’s genital secretions on your own genitals is classified as a no risk event by all sources of expert opinion. This is true for persons who have HSV, whether lesions are present or not.as well.  Please don’t worry.

As you know, this completes this thread. EWH.
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