[Question #4409] HIV/STD risks?

29 months ago
Hi

2 days ago I had a casual sex with a random girl and I fingered her with one finger for few seconds.

Few minutes later I touched the condom a bit in the inner side with the finger that I used for fingering, when I was putting condom on.

I have no open cuts on my finger.

I am uncircumissed.

I had a tiny cut on my foreskin 2-3 weeks ago but it is healed and not open by now.

What are the odds of HIV or STDs??
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
29 months ago
Welcome to the forum. Thanks for your question.

The important thing is that you used a condom for vaginal sex. Fingering does not transmit HIV or other STD, and handling a condom or touching your penis after fingering also is completely risk free, regardless of cuts or other skin lesions on the fingers, penis, or anywhere else.

You don't say anything about your partner and the likelihood she might have HIV or STDs. This depends on things like geography (what city or country you're in), whether she is a sex worker, where and how you met (bar pick-ups more risky, for example), and so on. But in most of the world, well under 1% of sexually active women have HIV; and at any point in time, most don't have other active STDs either. And when a woman is infected, most exposures do not result in infection of the male partner, even with unprotected vaginal sex. (For example, if she had HIV, even without a condom the chance of transmission is about once for ever 2,500 exposures.) Considering these factors plus using a condom, it is very unlikely you were infected.

In fact, your risk is low enough that you don't need HIV/STD testing. However, you might want to be tested anyway. Negative test results often are more reassuring than expert advice, so you may sleep better after being tested. If you do so, you can have a valid urine test for gonorrhea and chlamydia any time more than 4-5 days after exposure. For syphilis and HIV blood tests, wait until 6 weeks after the event. But stay mellow in the meantime. The chance you caught anything is very, very low. (Another possibility, if you can contact your partner, is for both of you to be tested at this time. If both of you have negative results, then obviously neither of you is at risk.)

Final comment:  What's the deal with a "cut" on your foreskin? If you didn't have a known injury that bled at the time, the most common cause of penile "cuts" is genital herpes. This might be something for you to check out, especially if similar "cuts" reappear in the future.

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

HHH, MD
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29 months ago
Hi, thanks for your answer! 

The cut I am talking about was a torn frenulum (small ~1mm) that happened about a month ago. There was no bleeding back then, just pain when erect. After 2 weeks pain's gone.

The girl I am talking about was a casual encounter from Russia, I know there is pretty high std rate, I asked her afterwards, she said that she checked up 2 weeks ago and shes ok, but i have no reason to believe her etc.

The only thing I am very concerned about is that I could pass bacteria/virus from my hand to condom and after from condom to penis. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
29 months ago
Thanks for the clarifications, but they don't change my opinions or advice You also have "no reason NOT to believe her". Most people don't lie about STD/HIV status or testing when asked directly. And as I said above, even if she has HIV, the chance you were infected -- considering the low inherent risk plus condom use -- is under 1 chance in maybe a million.

As I said, bacteria/viruses are not transmitted hand to condom to penis. It doesn't happen. For HIV and other STDs, it is not sufficient to get exposed to a tiny amount of virus. The exposure must be large -- too large to be carried in this way. In other words, don't overthink it:  nobody in the world has ever caught HIV in the way you are worried about. It's simply nothing to be worried about. (Even if your partner is infected, which it seems she was not.)

Glad to hear you have a definite history of injury causing the cut to your frenulum. Probably no worries about herpes. And since it was healing before this exposure, it didn't increase your risk.
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29 months ago
Thanks much, you helped me a ton!!