[Question #8004] Frottage/Foreskin Tear/ Masturbation

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49 months ago
Hi,
I was involved in an incident with a girl I met online which can be described as below:
1. We kissed and she had chapped lips. Her lips are always kind of dried out and bleeding because I saw her applying chapstick quite frequently. Could this be a risk?
2. We dry humped/frottage and just had our underwear on. Could this be a risk because we touched our genitals with just our underwear on which was anyway wet.
3. She had big finger nails and she was giving me a rough handjob/mutual masturbation. I remember her touching herself and my penis during the act. However I had a big foreskin cut and it was actively bleeding. My wound is still sore.
Since her cum you had direct contact with my fresh cut, should I get tested?

Picture of wound [deleted]

Thanks.
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H. Hunter Handsfield, MD
49 months ago
Welcome to the forum. Thank you for your question and your confidence in our services.

We do not examine photos or attempt to make a conclusive diagnosis of any medical condition. This comes too close to practicing medicine from afar, which for legal reasons we cannot do. I have not looked at the image and have deleted the link so that other users cannot see it. I'll answer your three questions and then make a comment about your foreskin wound.

1. Kissing is no risk for any STI, including HIV. This is true with or without chapped lips.

2. Similarly, no STI can be transmitted through clothing, even if sexual fluids soak through. The cloth fibers would effectively filter out any infectious bacteria, viruses, etc.

3. Finally, hand-genital contact also is no risk. Even if you had a bleeding wound at the time, or if her fingernails caused the wound, neither HIV nor other STIs have ever been known to be transmitted in this manner.

As for your foreskin wound, I don't fully understand. Was it caused by your partner? Or did you have it for some reason before this contact? The most common cause of penile sores is genital herpes -- but herpes lesions almost never bleed. I may have more comments I you would like to describe the wound and what you believed caused it. However, I doubt it put you at risk for HIV or other STIs.

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

HHH, MD
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49 months ago
Hello Doctor,

Yes the foreskin wound was caused by my partner when she was giving me a handjob because of her nails. It was a rough experience and I asked her to stop immediately.
 I did not have it before this.
The problem is she touched her genitals and then at the same time gave me the wound on my foreskin.
I don’t think this is herpes related as I never had it before.
It was almost instant and she had a direct access to my bloodstream( mucous  membrane too). Do you think I should get tested ?



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H. Hunter Handsfield, MD
49 months ago
This remains a risk free event for HIV and other STIs.

Consider this:  If you had entirely unprotected vaginal sex with a woman known to have HIV -- lasting say 10-15 minutes -- the likelihood you would catch it would be one chance in a thousand. For the tiny exposure that might occur from a fingernail injury, it would be a thousand times lower than that, i.e. maybe one in a million. And since HIV is rare in women the the US, the odds your partner has HIV probably are under one chance in a thousand. That would make your chance of catching HIV from this event somewhere around one in a billion. And that's zero for all practical purposes. I recommend you not be tested and that you not worry any more about it.
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49 months ago
Hi Doc,

I do understand the probability that you have stated but I wanted to know if it’s a risky event and if it does warrant testing.
Because I was exposed to her fluids and I had a bleeding cut too. 
I am trying to understand why it wouldn’t be risky because my penis mucous membranes was directly in contact with her fluids.

Thanks
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H. Hunter Handsfield, MD
49 months ago
"I wanted to know if it’s a risky event and if it does warrant testing". I answered that. What do you not understand? It was zero risk.

"Because I was exposed to her fluids and I had a bleeding cut too." I knew that.

"I am trying to understand...."  HIV is hard to transmit. Exposure to small amounts of virus is no risk. Re-read my replies above. What wasn't clear?
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