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Chen

Question: 

Hi, what is the HIV risk when I fingering a male with my cut on my finger (cut was 1 day ago and dried blood on the cut), when it is contacted with rectal fluid?

Answer: 

Hi there,

Thank you for your inquiry. From what we gather from the question, you were asking about the risk of HIV transmission in the even that you had a cut finger that had come into contact (through fingering) with rectal fluid.

From the information given, this scenario is determined to be of Negligible Risk (There is no evidence or no documented cases of transmission. However, there is a theoretical possibility of transmission under certain extenuating circumstances). We would consider this to be a Negligible Risk due to the presence of possible HIV positive fluid, with the capacity for direct access to the bloodstream, through a Negligible Risk activity such as anal fingering.

The event described above would only be of significant risk to you in terms of HIV transmission had your cut been fresh, and actively bleeding. The cut you have described above is 1 day old, and has dried blood. Due to this, there is not a significant risk of HIV transmission. We would determine this to be a 'theoretical risk', because, in the event that your cut had re-opened (causing a direct access to the bloodstream), and then subsequently come into contact with the rectal fluid in the anal cavity of another person; there would be a higher risk for HIV acquisition in this case.

From what we have observed, the scenario above does not involve these extenuating circumstances. If you are worried about the risk of HIV transmission in the future when it comes to fingering your partner with a fresh wound, you may consider protective measures such as condoms and PrEP (pre-exposure prophylaxis).

Recommendation: There is no evidence or no documented cases of transmission. Please refer to a healthcare professional for more personalized answers.

All the best,

AIDS Vancouver Online/Helpline, Cody