I had messaged yesterday about an exposure or lack there of involving masturbation with the exchanging of semen.

I was very relieved by your answer, but I realized that I forgot to mention something.

The steam room was in the gym and I had just finished an intense workout and had fresh calluses on the inside of my palm.

I used that hand on the man and it was covered in his semen. Could this be a concern if I had continued to masturbate him with his semen on the calluses? They were fresh calluses maybe 5 minutes old.

Sorry if this comes off crazed, I just thought it could be substantive.  Does this warrant testing for HIV?

Thank you 

As he said, HIV and other STIs are not transmitted by hand genital contact. Neither calluses on the hands (nor any or circumstances that might come to mind in the future) are known to make a difference. Don’t worry about it.

HHH, MD

Sorry if I seemed I didnt take the comment to heart, I have just been very nervous due to my symptoms.

Thank you!

You asked "I have seen varying claims and was just curious in your opinion what the accuracy of an RNA test at 11 days was? With a negative test at 11 days for a low risk exposure would you recommend taking a 4th generation test at 4 weeks?"

The reason for varying advice is primarily that various test manufacturers claim different times to conclusive results, typically ranging from 10 to 14 days or thereabouts. And many labs just repeat that information in promoting the tests they offer. However, a comprehensive review of all available HIV tests 3-4 years ago found that most or all these tests actually are not conclusive until ~3 weeks, and that review is the main source behind CDC's current testing recommendations, and is also what we rely on for this forum. https://pubmed.ncbi.nlm.nih.gov/29140890/ And yes, we and most experts do recommend an AgAb (4th generation) test also be done in addition to RNA testing, for confirmation and for truly conclusive results. (I'll also restate the obvious:  you weren't at risk and don't need HIV testing anyway!)

That completes the two follow-up exchanges included with each initial question and so ends this thread. I hope the discussion has been helpful. Best wishes and stay safe.