[Question #13495] Follow up to 13438
1 days ago
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I’m sorry to be back. I have a lot of anxiety around this.
I have reason to believe that someone I was in contact with before using the restroom may have had hiv. I don’t remember touching them but likely touched surfaces they touched like the door handle, tables, pens etc. I worry that any fluid on my hand would only have been 1-2 min old, and that by retrieving my tampon with that finger, I was literally massaging the virus into my cervix/mucus membrane of vagina. As stated, this was ten years ago and I have no “serious” health issues like swollen glands, thrush, or am I sick a lot.
I just don’t understand how hiv just becomes not infectious on a surface after an instant.
Is there a percentage risk? Would my male partner have been sick or have gotten it if I had it for ten years? I have no other exposure.
I apologize for a follow up and anxiety over this.
1 days ago
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I forgot to add…what are the chances a test would be negative.
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H. Hunter Handsfield, MD
23 hours ago
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I'm sorry you found it necessary to return, but there's no need for apology; of course we understand anxiety and that persons' fears about HIV are not always rational. Still, you have a responsibility to yourself to think objectively and believe the science.
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It does not matter if someone using the restroom before you had HIV. You misunderstand a basic fact about HIV: infectiousness has nothing to do with whether or not HIV survives on surfaces or how quickly it might die. What's important is the amount of virus and its contact with certain kinds of cells, mostly deep inside the body. When a woman has sex with an HIV invected man who deposits billions of living viruses deep inside the vagina, her chance of become infected is only about one chance in a thousand. The kinds of exposures possible in a public restroom cannot transmit enough HIV for infection to take hold. In the 45 years of the international HIV/AIDS epidemic there must have been millions of situations in which public spaces, including toilets, were contaminated with HIV infected fluids -- and there is not a single known case in which someone apparently acquired HIV by using those facilities. Do you really fear you might be the very first?
As you also were informed last time, if you had acquired HIV back then, you would be very ill by know and maybe dead. Finally, you might like to know that in the 21 years of this and our preceding forum, with thousands of questions from persons worried about HIV, nobody has yet informed us they tested positive. If and when that finally happens, it will not be a zero risk situation like yours.
You should be tested for HIV. Not because there is any chance you have it, but because it's probably the only way you're going to believe you don't have it. And also consider professional counseling. This level of anxiety is not normal after the repeated, science-based reassurance you have had -- perhaps from your own doctors as well as on our forum.
Best wishes. Let me know if anything isn't clear.
HHH, MD
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12 hours ago
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Thank you for the kind response. In my “eyes,” I did do that by reaching so far into my vagina, at cervix, to retrieve the tampon.
I have minor health issues, but nothing that interferes with my day on a regular basis (not on medication, rarely miss work).
It could be me and my mental health, but I always believe I will be the exception to the norm. To me, it makes sense that if I did come in contact with a small amount of blood on a surface , why wouldn’t inserting it deep into my vagina transmit the virus? What about it makes it so fragile?
There are people that report not knowing how they got it. I also read that it’s possible to not have any symptoms for 10 years or more!
My male partner is not ill, and I’m hoping that I did not put him in a risky position. He has been with me
Since before the incident.
Again, thank you for your support.
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H. Hunter Handsfield, MD
8 hours ago
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I'm no psychologist, but "I always believe I will be the exception" certainly could suggest a psychological issue. And if you read and understand the scientific issues I mentioned, you have to know that there would be no measurable risk of HIV regardless of how deeply you fingered yourself tampon insertion etc.
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As for people who have HIV without knowing the source, all research on this is clear: almost always there has been a traditional exposure (sexual, needle sharing, etc). The issue isn't that non-intimate contacts spread HIV; it has to do with the fallibility of human memory, intentional or unintentional untruths, and so on. There also can be very potent denial; just think of the person who is absolutely convinced their partner has not had other sexual contacts but in fact is doing so. (One of the very first AIDS patients I knew back in the 1980s was a woman who absolutely had no risks --except she didn't know that for years her husband had been having sex with multiple male partners in San Francisco bath houses. He never admitted it to her and the day of her death a few months after she was diagnosed, she still "knew" it was all a mistake and that the source of her infection remained mysterious. Her husband insisted she not be told and because of medical confidentiality standards her doctors couldn't tell her. If she had been included in one of the reports you refer to, her HIV source would have been recorded as unknown.)
You continue to say nothing about getting tested for HIV. Your apparent resistance to it also increases my concern about underlying psychological issues.
Trust me on this: there is nothing you will think of that has any possibility of changing my evaluation and advice so please do not ask, and do not tell me any more reasons you think you might have HIV. I will be happy to discuss this one more time in a final follow-up comment if you decide to be tested for HIV and would like to tell me the result. But I will have no further comments or advice for you until then.
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