[Question #9758] STD Risk
29 months ago
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Dr,
Around a month ago I had protected vaginal sex with a girl I met. However, she was around the last days of her period and there was some dried blood( almost brown ) remains in her vagina. after the act, I tried to removed the condom and retracted my foreskin back and accidently my thumb touched my glans. there was some smudge of dried blood on my thumb and it got on my glans. i noticed it like 1-2 minutes after. I cleaned it with a wet wipe. It was like a small smudge and the blood was very dry. after around 10 days i noticed a faint red spot on my glans and it became more and more prominent as the days past and in 2-3 days it became two red spots. I panicked and went to my GP, he gave me a clotrimazole ointment and it went away after a week. I didnt have any fever, sore throat or other flu like symptoms, and since im prone to get anxious, i didnt even bother to go rubbing my body for lymph nodes as it will it open up a whole new can of worms. can you kindly tell me what my std risks are and if those two spots could have been an HIV rash? Thank you
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Edward W. Hook M.D.
29 months ago
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Welcome to our Forum and thanks for your confidence in our service. I’ll be glad to comment. Her are some facts which may be helpful:
1. The likelihood that your partner had HIV is minuscule. Presuming that you are in North America, less than 0.1% of women have HIV ( I.e. there is more than 99.9% likelihood that she did not have HIV, and substantially lower if she does not use IV drugs, etc.
2. In the unlikely situation that she had HIV, the amount of virus in blood ( menstrual or otherwise) is no greater than that found in vaginal secretions.
3. Most importantly however is that HIV is not transmitted from person to person by transferring secretions or blood from person to person on their hands or in other ways without penetration. It is for that reason that mutual masturbation with transfer/contact with a partner’s secretions is classified as no risk for HIV by all public health authorities.
Your risk for HIV and other STIs is zero. No need for concern, no need for testing. Your rash is unrelated to the encounter you describe.
I hope this information is helpful. EWH
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29 months ago
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thank you doctor for the swift reply!
doctor, Im sorry, I got a bit confused about the third point you've described. To clarify, the dried blood got on my hands while I was removing the condom and I accidently touched the head of my penis with it, causing it to leave a smudge of dried blood on the head of my penis (glans). is this exposure close to zero risk despite there is a smudge of blood on the head of my penis ? can you kindly clarify? thank you.
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Edward W. Hook M.D.
29 months ago
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Yes, there is zero risk for infection from transfer of dried blood to your penis on your hands in the unlikely circumstance that she had untreated HIV. EWH ---
29 months ago
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Dr,
Regarding HIV ars symptoms and resolution of these symptoms, many online journals say it should last at least a week.
How rare is HIV ARS symptoms just last 1-2 days and then resolving quickly.
thank you.
thank you.
29 months ago
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Hello Dr,
Can you kindly answer the last question I asked about the HIV ARS Duration? Thank you :)
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Edward W. Hook M.D.
29 months ago
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The ARS typically begins 10-14 days after an exposure and lasts more than 2-3 days, most often about a week. The symptoms all begin at pretty much the same time. The ARS is very, very rare more than 30 days after an exposure. If you remain concerned that your symptoms were the ARS, get tested- if your symptoms were due to the ARS, your test will be positive as the ARS id due to the presence of a combination of high virus levels and antibodies to the virus. Not everyone who acquires HIV will develop the ARS and test results in those who do not experience the ARS will 100% conclusive at any time more than 6 weeks following an encounter.
Hope this helps. This completes this thread which will be closed shortly. Please don't worry. EWH
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