[Question #3694] Shaving Cut

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87 months ago

Hi Dr.

Months back I had an exposure with a woman who is not a worker but by her admission very promisquous. On the surface, according to both Doctors here, there was no HIV risk from what I did (lots mutual masturbation (exchange of fluids but no penile penetration).

I've noticed some small lymph nodes in my neck and even had them checked out by a Doctor who said they weren't swollen and wasn't concerned. I kind of put it out of my mind.

However, I now recall that I had a small shaving incident that morning (say 7am). I was shaving my pubic region which was bad luck because this wasn't a planned rendezvous and had some cuts. Due to the fact that I was in the shower they bled a decent amount. I washed them with soap but didn't cover with any bandaids or anything. I continued my day. The 'exposure' occurred between 7-8pm later that night. If her fluids touched the region that was cut (above the pe nis), would their be any risk to contracting? I'm hoping that the 10-11 hours was long enough that the cuts would have sealed? Of course I noticed no bleeding and I'm sure I went to the bathroom throughout the day and noticed nothing, but it was very dark where we were so I can't be sure.


Hoping for your reassurance. Thank you.

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Edward W. Hook M.D.
87 months ago
Welcome to the Forum.  I'll be glad to comment.  Even with recent cuts and abraisions, any direct contact with genital secretions which might occur during mutual masturbation would have not been expected to lead to infection with HIV or any other STI.  I.e., the situation yu describe would still qualify as safer sex.  I see no reason for concern and no need for testing related to the events you described above.  lease don't worry.  EWH


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87 months ago

Dr.,

Thanks for getting back to me within 2 hours. THat's pretty quick for someone who I assume is very busy. I was refreshing every 5 minutes because the second you ask a question like this your anxiety starts going a mile a minute, if that makes sense. I went from thinking my risk was low to thinking I had HIV just waiting for your reply.

Anyway, would it be possible to get a little more info so I can try to put this to bed in my mind? IE why is it not a risk? I had a decent amount of small cuts (lets say 5) and they all bled. 10 hours later her fluids are on my hands OR hers and they touch those cuts. No risk?


A few more questions now that I got anxious.


1. I'm not married but have a small boy. A month ago, I was putting together a toy house for him and cut myself decently while I was hammering it (he was with me). I cleaned myself up but didn't realize until I got back that some blood was on his hands. I think that's really when I started thinking about this incident. He still sucks his thumb a lot. I quickly cleaned his hands off but I wasn't with him for a few minutes. If he had some of my blood on his thumb and sucked it off, would he be at risk (of course if I was infected, if you don't mind)?

2. The lymph nodes. I don't really know when they first appeared I just know when I felt them. I already mentioned the Dr. wasn't concerned about them but when I google their location they seem to be very consistent with where HIV lymph nodes are located (posterior triangle?). I have about 4 on my right side and 2 on left. I've read through a lot of posts about how they would be generalized and not just in neck which is relatively reassuring, but my question is if they were related to HIV would they persist for 4/5 months as these have? They've had no change in that time.

3. I took 2 oraquicks this week since I read about false negatives I wanted to take 2. ONe at 173 days post exposure and one at 175. Would them being negative be enough, despite these lymph nodes?


Thanks VERY much.

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Edward W. Hook M.D.
87 months ago
thanks for your thanks.  I'm glad that my comments were helpful.  I would put your risk as being lower than "low".  We have never heard or seen someone who because infected through mutual masturbation, no matter what the modifying situations.

Regarding your follow-up questions:
1.  There is no reason to think you are infected. Even if you were however, ingesting your blood would not lead to infection in him.  Infections like HIV are just not that easy to transmit.  they are only transmitted through DIRECT penetration sexual contact of injection of infected material deep into tissue. Casual and/or surface contact with infected material do not lead to transmission.

2.  Google is not your friend and will mislead you and amplify any anxieties you have.  I urge you to stay off Google for information on HIV and STIs.  Swollen lymph nodes are non-specific.  A good clinician can find them in nearly everyone.  While HIV-related lymph nodes swelling can be present for prolonged periods, so can nodes due to other causes. . 

3.  If your swollen lymph nodes were due to HIV your OraQuick would be positive.  your two negative tests are reliable and should be believed.

Please don't over think this.  Nothing you have said suggests any reason to worry about HIV and your test results, as well as the virtually no risk nature of your encounter give you lots of reasons to be confident that you do not have HIV, really.  EWH

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87 months ago
Thanks again Dr. I see I only have one follow up left so I need to make it count. 

1. I appreciate you insight and expertise, but I'm getting more and more paranoid. Is there a scientific reason why her fluids on my cuts from 10 hours ago wouldn't infect
Me, 

2. Thanks for the comments on my son. That's what truly has me through a loop. At this point I'll deal with HIV as long as he doesn't have it. He's only 2. Appreciate that if he ingested it it's no risk. What if he had a cut on his hand or in his mouth? Any risk there? I'm
Super concerned because last week he came down with a funky rash.  Pediatrician said dry skin but it's red and looks pimply, I've never seen dry skin look like that. It's on his stomach and thighs and arms. Doesn't seem to bother him. His mother said he has some irritation behind his kneecap too.  I know you're not a pedi but this has me very concerned of course. 

3. Lymph nodes - these are the only real reason I'm concerned. Again, my doctor said they're of no concern to him at all and they're not even swollen. I never noticed them before. I've read that ars symptoms don't last that long so I was hoping these lymph nodes wouldn't be that. Is there a general size or description of HIV lymph nodes,

Thanks again
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87 months ago

Sorry - I hope this can count towards the third reply and part of #3. I forgot to add:

My dr. said they're not a sign of any disease or infection. Do you agree that's possible? Again, according to dr. google, lymph nodes shouldn't be 'palpable' unless there is some kind of infection. There's one of the 5 or 6 that is clearly bigger than the rest, but he says it's under 10mm and still not a concern.

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87 months ago
I should note that I haven't been sick at all since just before the 'exposure'
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87 months ago
and oraquick was the self test swab fyi. sorry for all the comments
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87 months ago
And what's bothered me about the lymph nodes is for a few months there was like 3 or 4 and just recently I discovered a few more really small ones. The other ones have stayed the same. what else would make new ones disappear if they were old or 'left over from an old infection'?
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Edward W. Hook M.D.
87 months ago
You need to get a grip on yourself.  You had a no risk exposure.  You have used an FDA approved test on two separate times to test for HIV at times when results are completely reliable and had negative tests, PROVING that you did not get HIV from the encounters you described.  Yet you continue to worry inappropriately about having HIV, about transmitting an infection you have proven you do not have to others through routes that the infection is NOT transmitted by, and to worry about normal lymph nodes that a trained professional has told you are not pathological and, by virtue of your test results, cannot be due to HIV.  What's wrong here?  Accept your test results and put this behind you or, if you cannot, then my advice is to seek mental health counseling to help you move forward.  By virtue of the fact that you appear to hover over the computer waiting for replies about repetitive, internet-fueled misperceptions and questions about HIV cannot be good for you or how you live your life. 

As answers to your five follow-up questions:
1.  See above, your paranoia is unwarranted and inappropriate.  Cuts of the sort seal off within minutes of occurrence and do not provide a way for surface contamination to get into the circulation to cause infection.  This is validated by literally millions of such exposures in which infections have not occurred and for which there are NO convincing reports of acquisition of infection n this way.

2.  See comments bout cuts and scrapes above.  Kids get rashes.  Your pediatrician is not concerned.

3.  You haven't noticed them because you haven't looked in the same way before.  Further, repeated examination can cause existing lymph nodes to become inflamed and more easily detected.  Stop your self examination.

Yes I agree with your doctor.  I already told you above "Swollen lymph nodes are non-specific." and are not necessarily pathological.  Believe your doctor.

This will end this thread.  Further, I must warn you that further repetitive, anxiety-driven posts may not be answered but can be deleted without a response and without return of your posting fee.  There will be no further posts as part of this thread which will be closed shortly.  You need to get some help sorting out your inappropriate, perhaps guilt-driven fears.  You do not need further testing related to the encounter you described. I say this out of concern for you, nothing more.  EWH
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