[Question #11696] Wound and hiv exposure

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12 months ago
Hi again.
I know maybe iam paranoid but i had an incident last night that i keep question the possibilities.
I had a lap dance with a striper in a club some hours ago. Fully clothed and just woman dance on me. I have a scaly skin on my nose right in columella area probably from allergy or dermatitis which is inflamed and red. During dancing the girl licked  several times my nose there and placed her boobs rubbing them on my face. Later i discovered that i had a tiny red wound from cracking skin like paper cut which seemed that have bled before. 
Now is this possible to have an exposure to hiv, if for example the girl has hiv and assume the worst scenario that had some blood on her cavities or oral issues that can transmit it through her tongue and saliva?
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H. Hunter Handsfield, MD
12 months ago
Welcome back to the forum, but I'm a bit sorry (and surprised) you found it necessary. Looking back at your 5 previous questions, it might have been clear to you that these events were entirely risk free for HIV. Neither HIV nor any other STIs can be transmitted by oral contact (saliva kills HIV) or by exposure of any kind to minor cuts, scratches and skin irritation. These events were entirely risk free.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD
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12 months ago
Thank you for your quick response. Iam surprised that you manage to answer all these questions so fast!
So i understand what you advised me about my incident although im a bit sceptical about the oral transmission since there have been some cases from deep kissing with tongue that led to infection. 
I wonder how this applies to saliva since it works as an inhibitor to hiv virus? I know it requires sufficient virus amount for transmission to happen but if there are incidents from kissing (rarely?) why makes it impossible for an occasion like mine to be at risk for infection? 
I hope you dont find bothersome to answer such questions.
Much appreciated.
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H. Hunter Handsfield, MD
12 months ago
The kissing cases are rare and, to my knowledge not scientifically proved, if they have occurred at all. I won't speculate about the biological mechanisms.

Be clear:  I'm not saying kissing or receiving oral sex never transmit HIV. But the virtual lack of proved cases does mean that if it occurs, it is exceedingly rare. There is complete consensus on this among HIV and public health experts.
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12 months ago
Just a correction, by writing oral before i meant kissing not oral sex (fellatio or cunnilingus). What about kissing only lips without tongue? Is this consider dangerous at your standpoint?
To conclude there was no kiss or anything more than the situation i described in the first message. Just wondering if there are any odds for transmission with this kind of abrasion on my nose based on hypothetic contaminated saliva from her tongue. Sorry if i repeat myself but i think an open little wound is like an entry point for the virus to enter hence why i am anxious. Do you consider this event totally risk free for hiv transmition?
Thank you
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H. Hunter Handsfield, MD
12 months ago
I meant my comment above to apply equally to your partner's tongue contact with your skin, regardless of any cuts or skin defects at the time. I would judge the "odds for transmission with this kind of abrasion" as zero -- at least low enough that the risk can and should be disregarded. The notion that exposure of "open wounds" result in HIV is probably entirely wrong'; there has never been a reported case of such HIV infection. In other words, yes:  I do " this event totally risk free for hiv transmition".

That concludes this thread. Please note the forum does not permit repeated questions on the same topic or exposure.This is your sixth forum question and your third about HIV fears from exposure of wounds, scratches, etc. so it will have to be your last; future questions along these lines will receive no reply and the posting fee will not be refunded. This policy is based on compassion, not criticism, and is intended to reduce temptations to keep paying for questions with obvious answers; you can be certain that our advice about any future exposures of this sort will be no different than the past three. In addition, experience shows that continued answers tend to prolong users' anxieties rather than reducing them. Finally, such questions have little educational value for other users, one of the forum's main purposes. Thanks for your understanding. 

Best wishes and stay safe.

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