[Question #11750] Fingering hiv concern menstrual blood

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12 months ago
Hello doctors. I am located in a European country and recently i had an encounter with a probable promiscuous female from latin America. We were on my car and i masturbated her putting my middle and index finger in her vagina for about 2 minutes. Afterwards she grabbed my hand and place my fingers in her mouth and licked them. 
Thing is i had a hangnail on my thumb finger which had a small wound with some blood trace. I tried not to touch as far i as i could her genitals with the thump to be safe. The thing is i believe she had her period starting at that time of fingering. 
Now iam afraid that maybe blood could have gone on my thump by fingering or by touching/licking my hand leaving blood trace on my hangnail and infected me with hiv. 
If we assume she has hiv am i at risk based on these events? Should i get tested or pep? Please iam into panic from this.
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H. Hunter Handsfield, MD
12 months ago
Welcome to the forum. Thank you for your confidence in our services.

Fingering and other kinds of hand-genital contact are little or no risk for STD, even in the presence of finger cuts and other wounds. And menstrual blood is no more risky for STDs (including HIV) than vaginal fluid itself. And "licking" your fingers (or any other contact of her mouth with your body) was no risk as well. Saliva rarely if ever transmits STDs or HIV.

In addition, I will remind you that in most European countries -- especially Western Europe -- the chance any particular sexually active woman has HIV is very low. Probably it is very unlikely your partner has HIV.

For those reasons, this was a zero risk event. You do not need testing. Of course you are free to be tested anyway if you would like the additional reassurance of negative test results.

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

HHH, MD
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12 months ago
I thought based on other posts here that i red, that hand genital contact was no risk at all not even little…
Hence i did not panic about that but for the hangnail on my thumb which maybe touched her fluids or mouth/ her hand because she did touched also her vagina. 
I would like to add that afterwards we kiss with lips closed and i used my “dirty” hands to take a pill into my mouth (for my stomach pain) without washing them. 
Is this pose some kind of transmission danger? I am thinking about transferring infectious vaginal/ or blood traces fluids from her mouth to mine or contaminated my hands and so the pill that i swallow. Am i exaggerate here or these action can transmit the hiv virus?
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H. Hunter Handsfield, MD
12 months ago
"I thought based on other posts here that i red, that hand genital contact was no risk at all not even little" Which is what I said above. 

The kissing an the oral contact with your own fingers were also no risk for any STD, including HIV.
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12 months ago
Thank you doctor you make it clear. As i have the chance to do another question for an incidence that happened to me today at work i would like your evaluation. 
Iam at medical field and i work in a private hospital. While i was using a first aid scissors / bandage shears 
(Like that one https://www.javysports.com/first-aid/255-first-aid-scissors-bandage-shears.html), to cut a bandage, i accidentally had a tiny minor cut (more of a scratch) on the basis of my index finger nail. I did not see any blood and when i tried to locate the cut but should be really tiny since i only feel a sting when i pass through my hand or stroke it, like a sting from splinter. I put alcohol and betadine on it. 
Now since this scissors its used to the outpatient department (the one that first see the patients) is it possible to have some blood trace of hiv from previous use and infect me by this accident? I notice that scissors did not seem bloody or with traces of other material but it is used for some time now for cutting bandages and stuff. Am i at risk for hiv transmission or do i need to have pep or test? 
Thank you for your patience 
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12 months ago
I also have to add that i did not use scissors to cut a bandage from a patience are or body, but a single bandage to place it somewhere else later. Furthermore i can not trace when the cut or scratch is by naked eye since it is minuscule. I only feel the stinging when i stroke the area at the base of my nail.
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H. Hunter Handsfield, MD
12 months ago
The opportunity for follow-up comments is for clarity or new details about the original question, not to raise new issues. However, nobody in the world ever caught HIV from the sort of contact you describe. And HIV cannot survive more than a few minutes on medical instruments. This is nothing to worry about. Given your medical work, you should educate yourself about infection control and safety; ask your supervisor if anything isn't clear. But no medical personnel ever gets HIV in the line of work unless and until they are injured with an instrument with wet blood, typically in the course of actually doing a medical procedure on an HIV infected patient. And even this is rare, with no reported cases in the US in many years. I imagine it's the same in Europe.

That concludes this thread. Best wishes and stay safe.
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