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Fingering and break in skin

Question: 

Dear Sir/Madam

Recently i engaged in an activity with a girl that i don't really know (at least i know she has been with someone else 3 weeks prior to my encounter with her).

I am really worried over this and seem to be losing a lot of sleep, having a lot of anxiety and stress. I'll list down what transpired during this exposure:-

1) Deep french kissing (im sure my gums we not bleeding, or wounds etc) and im also certain that there was no active bleeding in her mouth. I am thinking i would have definitely been able to taste some blood. Also visually there was no blood in her mouth.

2) I received fellatio (oral sex done on me) but did not notice any visible blood on my penis at the end.

3) i inserted my fingers before the fellatio and after during foreplay (fingering) and my fingernails (which i cut shortly before the encounter- No bleeding or sores on hands or fingers).

Am i at risk from the above 3 acts? I deeply regret what i did and have been driving myself into a deep depression over this.

I do not understand why some websites state that only if there is a "break in the integrity of skin" but no where do they actually properly explain it. From my reading it says if the finger was actively bleeding (exposure 3) then there is a chance.

Please advice. I'm at my wits end here.

God bless

Answer: 

Hello,

Thank you for using the AIDS Vancouver Helpline as your source for HIV-related information.

The scenarios that you have described pose no risk or negligible risk for the passing of HIV. Let me attempt to answer your questions in order: 1. Kissing, including deep and french kissing, poses no risk of transmission, which means it has never led to HIV infection. 2&3. Receiving oral sex and fingering are both considered negligible risks for HIV transmission. What this means is that, in theory, there is a potential for exchange of body fluids and consequently HIV transmission, but there has never been a confirmed report of HIV being transmitted in these ways.

In terms of the "break in integrity of skin" question, since you explain that you previously cut your finger but there was no bleeding/blood coming out of the cut at the time of the sexual encounter, there is no risk of transmission this way.

Here is the link for the HIV transmission equation, which lays out all the criteria needed in order for HIV acquisition: http://www.aidsvancouver.org/get-informed/faq/what-hiv-transmission-equation

I understand that the situation has caused you much stress and anxiety. We are confident that you are not at risk for HIV infection, and therefore recommend that you move past the situation. We also recommend that if you are choosing to be sexually active, to use condoms and water based lubricants for all sexual encounters and receive regular testing for all sexually transmitted infections, including HIV.

I hope you found this answer to be helpful and please do not hesitate to contact us if you have any further questions or concerns.

Hani