[Question #5913] risk of hiv

19 months ago
hallo dr. 
1 week ago ive been to laser hair removal for the bikini area and full body , after the lady finished from the bikini area she use cotton or gauze to clean my penis from the precum , i didnt check that cotton is it clean or it has some blood on it , my q if there was a blood from her hand in the cotton or gauze and she clean the top of my penis is it gonna be risk of hiv if her blood has the virus ?? 

and i have some pimples on my back maybe during the laser it become open , will it be risk of hiv transmetion if the blood on her hand touch it ??

im really worried about that case , ive heard top of the penis could transmit the hiv if the blood touch it !! 

thank you dr.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
19 months ago
Welcome to the forum. Thanks for your confidence in our services. (I'm not sure why your question was posted twice, 3 hours apart. I deleted the first -- they appeared to be identical.)

I'm going to start with a blog-like reply that I can use in future replies to questions like yours. Please bear with me.

You have a basic misunderstanding about blood exposure and HIV risk. This may be the result of poor public education. Both health experts and school health education tend to just say "blood contact" is risky, and to emphasize the importance of avoiding it -- but without enough detail about the kinds of blood contact that can transmit HIV or other blood borne viruses. Getting blood on intact skin carries no risk at all, and there has never been a case of HIV known to have resulted from contact with blood in the environment. Even unprotected sex with a menstruating, HIV infected woman is no higher risk than without blood contact (1 chance in 2,500 for each exposure). The kinds of blood exposure that carry actual risk are sharing durg injection equipment (with direct injection of HIV infected blood into another person's bloodstream) and direct injury with a blood contaminated sharp instrument, e.g. among health care providers. If you had massive blood exposure, such as helping in a bloody auto wreck or gunshot wound, with blood all over your hands and perhaps into your mouth or eyes, there would be some risk if the victim had HIV. Even then, the chance =woudl be low.

To your specific question:  Nobody in the world ever acquired HIV from events like you describe and you will not be the first. You are at no risk at all for HIV from the hair removal procedure. As described above, contact of blood with your skin -- including skin of the penis -- carries no risk of HIV. And if you didn't see actual blood on her hands, not enough was there to be a risk.

But what's the business about pre-cum? Were you sexually aroused? Why? Did the procedure include sex of some sort?

Assuming no sex occurred, this was a zero risk experience and you should not be HIV tested.

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

HHH, MD
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19 months ago
thank you dr. for your time and reply 


your answer is very helpful for me to understand 

the pre-cum is because when she was cleaning the bikini area my penis was standing just because the touch of that area and around to clean after we finish the laser , so she just clean the top of my penis using that gauze to remove the pre cum ... no sex nothing i just felt it like sensual touch while she is cleaning thats why i had pre cum 

so dr. i understand even if the cotton had blood from her hand and touch top of my penis there is no risk at all ?? no need for test nothing ??
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
19 months ago
Thanks for the explanation of your arousal but no sex.

You correctly understand:  almost certainly there was no blood on the cotton or her hands, but even if there was, you could not have caught HIV.
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19 months ago
ok dr thank you again for correcting my information ...

so no reason to avoid such a activety in the future ??
laser , full body massage etc. even if i have pimples or acne in my back bleeding a bet or not does not make a change it will not be risk of hiv never ?? is that right ??
cause i usually do back massage and sometime i was thinking it could be risk for me hiv or another STD because touching the pimples during hard massage sometimes it become open , is all of these activiety safe totally ?? 

you answer will be very helpful to me dr.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
19 months ago
From an STD/HIV standpoint, for sure there is no reason to avoid similar treatments or exposures in the future. (Of course any close personal contact carries risks of other infections people might be carrying -- colds, influenza, gastrointestinal infections, and the like. But no STD/HIV risk.)

That completes the two follow-up comments and repies included with each question and so ends this thread. I hope the discussion has been helpful.
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