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Genital Warts and Increased Transmission! Nothing on the web about this.

Question: 

Hi,

I'm worried about a few sexual encounters I have had over the last year. I was tested for all STDs a year ago including HIV which came back negative. Since then I have seen some sex workers and have had the following performed. Made out with a stripper, oral sex received with condom on twice, 3 hand jobs without condom. Now the biggest worry I have and can't find answers for is that I have a couple gential warts from HPV, that I have had for a few years. These have been there before my HIV test a year ago. Reading online, I have heard its easier to get HIV when you have a penile wart. The only skin to skin contact was through hand jobs in which I noticed no active bleeding from me the receiver or the giver. Am I at risk? I'm re thinking these casual encounters, the worry is not worth the reward.

Thank you,

Answer: 

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about the likelihood of acquiring HIV from a hand job with penile HPV warts present. From the information given, this scenario is determined to be No Risk (transmission of HIV is not possible in the given scenario).

The scenario mentioned above does not meet the three components of the transmission equation because there was no exchange of bodily fluids that may contain HIV. There is an increased chance of acquiring HIV when ulcers and warts are present as they may provide direct access to the bloodstream, but receiving a hand job is an activity that is not attributed to HIV transmission (1). It is also important to note for future endeavours that having infections such as HPV and other sexually transmitted infections increase your likelihood of acquiring HIV (1,2).

Recommendation: No need for HIV test with the scenario provided, refer to a physician for other health related questions.

Regards,

AIDS Vancouver Helpline/Online, Marie