[Question #13744] HIV: touching

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30 days ago
I will start off admitting that I have been seeing a counsellor for 2 months. I have a phobia of HIV after I discovered that my ex-wife was positive from having an affair.

We separated 6 months ago and I was tested 3 months ago. Thankfully my result was negative. I have not had sex since.

I have reviewed this forum and understand that A) unprotected vaginal / anal sex B) blood transfusions C) mother-baby; and D) shared needles are the only transmission risks for HIV.

I suffer flare ups with my acne when stressed and frequently have burst spots. I also sometime pick / pop my spots and bite my nails.

Q1) If sexual fluids were on surfaces such as my keyboard, door knob or parcel deliveries and I put my fingers in my mouth afterwards or picked my spots, is this a risk? (obviously I would know if my hand was dripping. I am talking small doses)

Q2) Do I need HIV testing from touching my bleeding spots / scabs and fingers in my mouth,

Q3) Can I start unprotected sex with my new GF? (she has shown me her negative STI results).

Thank you for assisting in my recovery.
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H. Hunter Handsfield, MD
30 days ago
Welcome to the forum. Thank you for your confidence in our services. Thank you as well for reading previous discussions about HIV exposure risks etc.

The questions you ask indeed are consistent with your self-described HIV phobia. I'm glad to hear you recognize it and are in counseling.

A few general comments and then to your specific questions. HIV is not transmitted other than by the mechanisms you list, and maybe a few others on rare occasions -- such as massive blood exposures while attending HIV infected persons in situations like vehicular accidents, gunshot wounds, and so on. There has never a case known to have resulted from exposure to HIV infected blood or body fluids in the environment; or by the household members of HIV even after years of sharing toilets, kitchens, eating utensils, and (obviously) contacting surfaces like doorknobs, tablet tops, etc. And also regardless of acne or other skin wounds etc in potentially exposed persons. 

Those comments pretty well cover your specific questions, but to assure no misunderstanding:

Q1 ) No risk at all, even if someone's HIV infected blood or sexual fluids were on these surfaces.
Q2) You definitely should never be tested until or unless you have sexual exposures or very large blood exposures to potentially infected persons -- and certainly not on account of your scabs, "bleeding spots" or fingers in mouth
Q3) From an HIV standpoint, there is no reason you cannot safely have a sexual relationship without condom protection.

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

HHH, MD
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30 days ago
Thank you for your comforting reassurance, Doctor.

So as I understand overall:

1. There is never a risk from HIV blood or genital secretions outside the body unless there are HUGE amounts? (e.g. in the traumatic example circumstances you provide; and not from potentially touching a few drops on a door handle or parcel etc.)

2. Touching weeping scabs, bleeding spots, bleeding scratches after touching items in the environment which may have had drops of HIV blood or genital fluids on them is NO RISK? (since the fluids have been outside the body)

I should have added that my only ‘sexual’ exposures since my negative HIV test was deep kissing and fingering with a girl I was briefly dating before my current GF. I did not know her HIV status as we never discussed having intercourse. However, I note from other replies that both yourself and Doctor Hook say that these are both no risk events for HIV anyway.

Thank you for your help.
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H. Hunter Handsfield, MD
30 days ago
Both these statements of understanding are correct. And both kissing (however "deep") and fingering are zero risk for all practical purposes.


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