[Question #9061] Hiv transmission possibility

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36 months ago
Hello Dr, i have a complicated case hopefully i
Will get the answer . I was with a lady and we started hand foreplay actually i felt little vaginal fluid on my finger i did not wash my hands, i brought the condom to insert it actually i put it in the wrong side so technically i touched the inside tip of the condom where the penis top should be, then i reversed the condom to the right direction and we did the penetration ( no penetration happened before i fixed the condom ) later i knew that she had just finished her period but i do not remember if there was blood on my finger mixed with the fluids or on the condom from the outside when i finished. My question is there any possibility when i held the condom’s tip in the wrong side that fluids got stuck on it and when i reversed it to the right direction the fluids which might have contained blood touched my penis and merged with the sperms when i ejaculated to create a risk of transmission. Hopefully i described it clearly. Thanks. 
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Edward W. Hook M.D.
36 months ago
Welcome to our forum. Thanks for your question. 

You can be confident that the activities you describe did not put you at risk for HIV or other STI‘s. HIV and other STI‘s are not transmitted from person to person when transferred between those persons on a person’s hands. Exposure to the environment immediately makes the virus non-infectious. Thus, if following your masturbation of your partner with your finger, you transferred some of her genital secretions or menstrual fluid to what became the inside of the condom which then was in direct contact with your penis, it still would not put you at risk for infection. This was a no risk event. 

While testing is always a personal decision, I see no medical reason for testing related to the activities you have described. 

I hope I have addressed your question properly. If there are additional questions, please don’t hesitate to use your up to two follow ups for clarification. EWH 
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36 months ago
Thanks Dr for your answer one more clarification if you may :
 even if those fluids have some blood in it ?  Actually i did not see any but let us say there was some in the fluids would it be the same case ? Thanks
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Edward W. Hook M.D.
36 months ago
Yes, even if the fluid involved contain menstrual blood.   In many instances, the amount of HIV present and menstrual blood is about the same or sometimes even less than is present in genital secretions. Thus even if menstrual blood was transferred on your hand, this would still be a no risk event.

In addition, I failed to mention in myoriginal response that unless you are confident that she had untreated HIV, it is statistically very unlikely that your partner had HIV or any other STI. Hope this helps. EWH
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36 months ago
Thanks a lot