[Question #12749] Risk Assesment - 2nd Opinion
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5 months ago
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Dear Doctors,I hope you are doing well. First, let me apologize for using a different account—unfortunately, I lost access to my previous one.
I find myself back here seeking your opinion on a recent situation that has been concerning me.
Ten days ago, I visited a CSW and engaged in completely protected oral and vaginal sex for about 1–2 minutes. The condom remained intact during and after intercourse.
However, what brings me here is that I had a small pimple/lump at the base of my penis, which may or may not have been covered during sex. Unfortunately, I am not entirely sure. Additionally, the pimple may have had a very small patch of blood (perhaps the size of a tiny needle point), but it was not actively bleeding at the time of intercourse.
My doctor reassured me that this was a zero-risk exposure since there was no significant open wound with active bleeding,
and therefore, no testing was necessary.
I have a few questions regarding this:
1 - Given that this pimple might have come into contact with vaginal fluid, should I undergo testing for anything?
What are the chances of contracting HIV in this scenario? Do i need to be worried?
2 - My doctor explained that small cuts or abrasions are not effective entry points for HIV, as the virus needs to be introduced deep into tissues to cause an infection—mere superficial contact is insufficient. Even in the unlikely event that my partner had untreated HIV, this would not be a viable transmission method. Do you agree with this assessment?
3 - About 4–5 days after the encounter, I developed a sore throat, nasal congestion, and some sneezing. Based on what I have learned, these are not typical symptoms of acute retroviral syndrome (ARS), and they appeared too soon to be related. Is this correct?Now, 10 days later, these remain my only symptoms.
5. Can I carry on having unprotected sex with my wife?
Truly appreciate your time and expertise.
I find myself back here seeking your opinion on a recent situation that has been concerning me.
Ten days ago, I visited a CSW and engaged in completely protected oral and vaginal sex for about 1–2 minutes. The condom remained intact during and after intercourse.
However, what brings me here is that I had a small pimple/lump at the base of my penis, which may or may not have been covered during sex. Unfortunately, I am not entirely sure. Additionally, the pimple may have had a very small patch of blood (perhaps the size of a tiny needle point), but it was not actively bleeding at the time of intercourse.
My doctor reassured me that this was a zero-risk exposure since there was no significant open wound with active bleeding,
and therefore, no testing was necessary.
I have a few questions regarding this:
1 - Given that this pimple might have come into contact with vaginal fluid, should I undergo testing for anything?
What are the chances of contracting HIV in this scenario? Do i need to be worried?
2 - My doctor explained that small cuts or abrasions are not effective entry points for HIV, as the virus needs to be introduced deep into tissues to cause an infection—mere superficial contact is insufficient. Even in the unlikely event that my partner had untreated HIV, this would not be a viable transmission method. Do you agree with this assessment?
3 - About 4–5 days after the encounter, I developed a sore throat, nasal congestion, and some sneezing. Based on what I have learned, these are not typical symptoms of acute retroviral syndrome (ARS), and they appeared too soon to be related. Is this correct?Now, 10 days later, these remain my only symptoms.
5. Can I carry on having unprotected sex with my wife?
Truly appreciate your time and expertise.
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Edward W. Hook M.D.
5 months ago
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Welcome back to the Forum. The encounter you describe was a no risk event. The presence of a pimple at the base of your penis in no way changes this. Thus, in response to your questions"
1 - Given that this pimple might have come into contact with vaginal fluid, should I undergo testing for anything?
What are the chances of contracting HIV in this scenario? Do i need to be worried?
What are the chances of contracting HIV in this scenario? Do i need to be worried?
Condom protected sex, as you've been told in the past, in a no risk event. The pimple dose not change this, even if it had been broken. There is no need for testing.
2 - My doctor explained that small cuts or abrasions are not effective entry points for HIV, as the virus needs to be introduced deep into tissues to cause an infection—mere superficial contact is insufficient. Even in the unlikely event that my partner had untreated HIV, this would not be a viable transmission method. Do you agree with this assessment?
2 - My doctor explained that small cuts or abrasions are not effective entry points for HIV, as the virus needs to be introduced deep into tissues to cause an infection—mere superficial contact is insufficient. Even in the unlikely event that my partner had untreated HIV, this would not be a viable transmission method. Do you agree with this assessment?
I agree with your doctor
3 - About 4–5 days after the encounter, I developed a sore throat, nasal congestion, and some sneezing. Based on what I have learned, these are not typical symptoms of acute retroviral syndrome (ARS), and they appeared too soon to be related. Is this correct?Now, 10 days later, these remain my only symptoms.
3 - About 4–5 days after the encounter, I developed a sore throat, nasal congestion, and some sneezing. Based on what I have learned, these are not typical symptoms of acute retroviral syndrome (ARS), and they appeared too soon to be related. Is this correct?Now, 10 days later, these remain my only symptoms.
Correct. No only are these not symptoms of HIV but they began too early to be HIV
5. Can I carry on having unprotected sex with my wife?
5. Can I carry on having unprotected sex with my wife?
Yes
Please don't worry. EWH
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5 months ago
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Thank you for your reply Dr. Hook.
I take by your answer that the probability of testing positive on something like this would be zero correct?
One important aspect i forgot to mention was that the CSW insisted on using condom even before i asked to do so, so i believe that she must be very aware of her health.
Nonetheless you probably understand why sometimes these type of situations can send us through the rabbit hole, as expressions on the internet use words like "unlikely" or "improbable" for my "exposure"
Once again i wont bother you with repetitive questions, just wanted to thank you for your valued insight on this.
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Edward W. Hook M.D.
5 months ago
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Correct.
That your partner insisted on a condom is a good thing and endorses the low risk of the encounter.
I do understand the anxiety that often follows such encounters. EWH
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