[Question #4510] Hiv transmition

29 months ago
Hi doctor 

2 weeks ago I have had a vaginal sex with 2 condoms on without any condom breakage. My concern is that I don’t know the person I had sex with had hiv or not. 

My question is am I at risk of hiv infection from vaginal sex with 2 condoms on BUT maybe her fluid touched the end of my shaft ?

Am I at risk ?
Edward W. Hook M.D.
Edward W. Hook M.D.
29 months ago
Welcome to our Forum.  I'll be glad to comment.  I think you may have a misperception about how HIV is transmitted.  When persons acquire HIV through sexual contact secretions containing the virus need to contact the proper sorts of cells.  For men, those are the cells in the inside of the penile urethra, not the cells on the shaft of the penis.  Thus when a man gets secretions from an infected partner on the outside of the shaft of the penis they are not at risk for infection.  Accordingly, when  condom covers the tip of the penis, even if it slides down during sex, the man is still protected from HIV.  Thus I would classify the events that you describe as being essentially no risk events.  I say this for multiple reasons which include:
1. Most women do not have HIV.
2.  Even when persons have unprotected sex with an infected partner, the risk for infections is low with infections occurring on average less than once every 1000 sex acts.
3.  You used a condom which is the most effective barrier to infection in the unlikely event that your partner had HIV.  
4.  You can be confident that your condom worked.  When condoms fail they break wide open leaving no doubt that they have failed.

For all of these reasons, I see the encounter that you describe as a no risk event with no need for testing.

BTW, I should also add that there is no need to use two condoms.  In fact, some experts suggest that condoms are more likely to break when two of them are used than when just one is used.

I hope that this information is helpful.  EWH
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29 months ago
Thank you doctor for your reply. 

So you mean even if she is hiv positive and her vaginal fluid reached the end of my naked shaft then still i am at no risk of getting HIV ? 
Edward W. Hook M.D.
Edward W. Hook M.D.
29 months ago
Correct, even if your partner had HIV and her vaginal fluid got onto the shaft of your penis, there would be no risk and no need for testing.  EWH---