[Question #3287] Hemorrhoids

38 months ago
Heloy doctor

My question is maybe  weird, but it still bother me a lot. 

I had unprotected exposure (anal) i was bottom and i had lot of tests after that. My doctor says im free of stds. 

But then i had this idea, is it possible that i got viruses (Hiv,HBV or HCV)  in my hemorrhoids (they might bleed at the time)and these viruses stay a live in there or one of these viruses. And infect me afterwards (not when had this exposure) So i should have much longer window period? 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
38 months ago
Welcome to the forum. Thanks for your question.

If I understand, you're asking if your hemorrhoids could serve as some sort of reservoir for viruses -- i.e. becoming contaminated in a way that the infection doesn't spread from there into your bloodstream and also would not be detected by standard testing. Nothing like this has ever been reported to happen, and there are a number of biological reasons why it cannot and almost certainly does not happen. Hemorrhoids are simply enlarged veins themselves, and they directly communicate with the rest of the bloodstream. The blood in them can be clotted (thrombosed hemorrhoids, a painful complication), but even then there is substantial continued blood flow into and out of the hemorrhoidal tissues.

In other words, having hemorrhoids for sure would not prolong the window period for testing for HIV or any other STD.

I hope this information is helpful. Let me know if anything isn't clear. Best wishes and stay safe--

HHH, MD

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38 months ago
Thank you, very much your  aswer, it was very clear and thats was i meant!

My hemorrhoids are painless and they just burst once or twice a week. But now i have treatment for hemorrhoids as well.  

I read somewhere that hemorrhoids does not really make difference risk having blood borne std (hbv,hiv,) ? 

But now i have learn my lesson and not put myself that kind of risk anymore.
38 months ago
I forgot, my main worry was HBV and HCV because they live so long in stored blood, but even those viruses would speard blood stream as fast as "normal" mucosal transmission?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
38 months ago
I agree there are no data that suggest people with hemorrhoids are at higher risk for HIV or any other bloodborne viral infection. Not sure what you mean by "stored blood".  That's an issue for transfusion, but of course there no longer are any transfusion related cases of HBV or HCV in the US or other industrialized countries; testing of donors is effective in eliminating contaminated blood from the system.

My reassurance above refers equally to any and all bloodborne viruses. Don't overthink it:  your hemorrhoids are absolutely not an issue in your risks for any such infections.

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38 months ago
I meant "stored blood" as stored in my hemorrhoids :) but you explained it as no risk already.

I had nice chat with you, and you were great help. Thank you! Bye
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
38 months ago
Thanks for the thanks. I'm glad to have helped.---