[Question #2708] semen on cut

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95 months ago
Dear Dr.

I have read some semen-in-cut related topics but I still don't feel good about that.

I gave a guy a handjob until he ejaculated and continued to wank after that. I had a cut on my finger that I made at work with a rotating machine 6-7 hours before. It looked like a 7-8 mm diameter circle and was pink when I wanked. 

I went to the ER and the Dr told me that the risk was low (less than 1%) and she would not recommend pep but I could get it if I wanted. I listened to her as I don't have any medical background. 

I heard that hiv dies as soon as it gets out of the body and cannot infect anymore. But I am still puzzled.

Even though I keep telling myself that the risk is low, I am still very worried because of the cut. I may have gotten the semen into the cut when wanking. Same with precum as there was a lot. 

When can I get tested? The hospital has antibody and antigen p24 tests. I am an EU guy living in the US. In France they say that a test at 4 weeks post exposure is very reliable with 4th gen test and is conclusive at 6 weeks.

Thank you for your answer. 
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Edward W. Hook M.D.
95 months ago
Welcome to the Forum.  I'll try to help. Let many of our clients, you seem to thing that HIV is widespread and that it is easily transmitted.  Neither of these statements is true however.  Most people, including most men who have sex with other men do not have HIV.  Further, only a tiny proportion of exposures to infected partners lead to infection and with regard to exposures, some exposures are higher risk than others.  For instance, IF your partner had HIV (statistically unlikely), and IF he was untreated (also unlikely), unprotected receptive rectal sex would result in infection less than 1% of the time.  Other activities, like mutual masturbation in which partners get each others' genital secretions on each other are considered NO RISK events.  Recent abrasions or cuts on the hand do not change this still no risk.  Despite the thousands and thousands of reports on how HIV is spread, in the over 35 years since this epidemic started, there has NEVER been a case proven to be spread through the sort of exposure you report- not one. 

thus I would disagree with the doctor you spoke with- this was not a low risk event, it was a no risk event.  No testing is needed.  If you feel you must test, nearly all recent infections would be detected by a combination HIV antigen/antibody test 4 weeks after exposure.  the CDC has recently revised its recommendations to state that a small proportion of infections are not detected 4 weeks after exposure but that number is tiny-probably substantially less than 1% of all infections.

Please don't worry.  There is no medical or scientific reason to worry.  EWH
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95 months ago
Thank you Dr Hook for your answer. I appreciate it and I am on my way to do what you have recommended: not worrying.

Before closing the topic,  I would like to follow up with this comment and questions.

I understand that it is a no risk event. I stressed out when I read the CDC website dedicated to HIV:
There's little to no risk for getting or transmitting HIV from touching. Any risk you may have is lowered if an HIV-positive partner's body fluids don't touch the mucous membranes or damaged tissue of someone who's HIV-negative. Mucous membranes can be found inside the rectum, the vagina, the opening of the penis, and the mouth. Damaged tissue could include a cut, sore, or open wound.To further reduce this risk, make sure you and your partner don't have open cuts, wounds, or sores on the hands or fingers.

I was confused that the CDC says that a cut, a sore, or open wound increase the risk. The cut I had was 8 hr old cut and was pretty large: circle of 7-8 mm diameter. I wanked him after coming so i may have forced the semen into the damaged skin. You're till on a no risk event?

I am sure I dont understand 
- how damaged skin heals, 
- how it closes up, 
- how it can prevent hiv other stuff to get into the body once it stops bleeding
- how deep is the bloodstream (we bleed when we cut ourselves), 
- how quick hiv is damaged outside the human body...
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Edward W. Hook M.D.
95 months ago
The CDC is a governmental agency which provides general information is a way in which they will not be wrong. As such, their statements are conservative and generalized.  From a theoretical perspective an open cut or scrape can represent a potential site for HIV to enter the body (just as there is a theoretical chance you'll be struck by a meteorite from space today) but as I said above, there are no proven instance in which HIV has been shown to be transmitted through contact with genital secretions in the course of mutual masturbation, even in instances in which a recent cut was present.  You are not going to be the first.

When persons get cur or scraped blood vessels seal off and the healing begins as the blood stops flowing.  At time, contact with secretions are no longer infectious. 

Further HIV becomes non-infectious virtually immediately upon exposure to the environment. 

My assessment of your risk is not going to change just because you have asked the question again.  time for you to relax and move forward without concern.  EWH


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94 months ago
Thank you Dr Hook for your answer. I understand what you said.

I believe that fingering and mutuel masturbation when there is scratch, cut or wound are kind of concerning to me. I am still working on it.  I appreciate that experts like you take some of their time to educate people like me.

Even though before having a sexual relation, I  tell myself : "no risk for mutual masturbation, no risk for fingering," I end up checking my fingers, my hand for cut and scratches and I start to panic. 

To conclude this topic:
- Mutual masturbation : no risk at any time, whether there is a recent cut/scratch/wound/sore. Whether or not semen of the partner comes into the cut/scratch/wound. No recorded case since the epidemic started.
- Fingering : no risk even if rectal fluids come into the cut/scratch. (Btw: are rectal fluids more infectious than semen ? Just for my info)

The body seals a cut / superficial wound very quickly after it occured. Once blood stops coming out, the cut is totally sealed and impermeable even tho it can be reddish or still painful. Therefore external fluids cannot enter the body.

Finally, HIV is destroyed nice it gets out of the body and is no lobger infectious.

Are you fine with that? Do you have and comment or things you would like to add?

Thank you Dr Hook. 




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Edward W. Hook M.D.
94 months ago
Final responses:
Correct, mutual masturbation (and "fingering" is a form of masturbation) are not risk events, even if rectal or genital secretions get on you and even if a recent cut or scratch are present.  There are no know difference between rectal and genital secretions.

HIV becomes non-infectious outside of the body. 

This will end this thread.  let me remind you, the forum does not permit repeated anxiety driven questions by the same users. This will have to be your last one; future new questions on this topic will be deleted without reply and without refund of your posting fee. This policy is based on compassion, not criticism, and is designed to reduce temptations to keep paying for questions with obvious answers; because experience shows that continued answers tends to simply prolong such anxieties, when the real answer normally should be professional counseling; and because such questions have little educational value for other users, one of the forum's main purposes. I trust you will understand.  EWH



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