[Question #4415] HIV

29 months ago
Last night I had sex with a girl I used a condom for protection to be on the safe side even though she’s on the implant but when I cummed and then obviously pulled out there was blood on the circle rim of the condom now I know hiv can’t survive outside the body for long but I took it off literally 3 seconds after pulling out I’m extremely worried of when I pulled the condom off some of her blood might of entered the hole of my penis if this was the case would i be at risk of contracting hiv if she has it? Do you think I should get PEP to be on the safe side? could hiv die within the 3 seconds of exposure to the air? I’m just paranoid if some of her blood did enter penis then would I be at risk? 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
29 months ago
Welcome to the forum and thanks for your question.

Congratulations for using a condom. It's always smart to "be on the safe side" with a new partner or one whose sexual history isn't known, even if s/he seems very unlikely to have any STD. Also, it is very unlikely any particular sexually active woman has HIV, so your partner probably does not. But even if she does, this was a low risk exposure. Even without a condom, sex during menstruation and contact with blood in the vagina does not increase the risk of HIV transmission. The amount of virus in blood is no higher than in genital fluids. And having blood or genital fluids on your skin of your penis -- e.g. above the rim of the condom -- is no risk for HIV.

So this was a zero risk exposure for all practical purposes. If you have been sexually active with this and other partners and have not been tested for HIV and STDs in the last year or two, perhaps you will want to do that, since all sexually active persons (outside monogamous relationships) should be tested from time to time. But not because of this event.

Another option, which might lessen your worries about it, is to speak with your partner and perhaps for the two of you to go for testing together. You may find she is just as worried about HIV and STDs from you as you are from her. If you both test negative at this time, you will both know you were not at risk. 

I hope this information is helpful. Let me know if anything isn't clear.

HHH, MD
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29 months ago
Thank you for replying to me I forgot
To add this into my message when I took the condom off which had blood on it i have an open cut on my hand it looks like it’s at the stage of healing up but you can still visibly see the opening of the cut and a tiny bit of my blood inside it if when I took the condom off abit of her blood entered my cut would this put me at risk? or blood under the fingernail? I’m more worried about the cut to be honest would you consider a PEP to be on the safe side or is this a zero risk exposure 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
28 months ago
For some reason I missed your follow-up question, and found it only in preparing to close the thread as is normal after 4 weeks. My apology. I'll reply, and will leave the thread open for a few more days in case these comments make you think of another follow-up question.

Exposure of existing cuts to HIV infected blood, genital fluids, etc carries little or no risk of HIV. There have been no reports of anyone ever catching HIV in this manner. And that's despite the fact that there must have been millions or even billions of such exposures. Healing cuts of the fingers, inflammation from hangnail, and that sort of thing are very common; and it's fair to assume that they are commonly exposed to genital fluids, menstrrual blod, etc when condoms are removed. And by the way, blood is probably no more infectious for HIV than genital fluids. In HIV infected persons, the amount of virus is the same or even higher in genital fluids compared with blood -- so even if there were some miniscule risk from this event, the presence of blood doesn't raise the risk compared with vaginal fluids.

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