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Handjob with eczema at public hair area.

Question: 

Hello,

I live in Cambodia, where hiv is high rate in here. Recently I has a session of handjob by a CSW. We were both naked and no other sexual contact exact she used her hands on my uncircumcised penis. Assume she is hiv positive with high viral load, I have 4 questions:

1. She did use her hand that did hand job on me touch her vagina inside and have some vagina fluid while performing the handjob. Am I at risk of HIV in this activities?

2. I have a tiny eczema at public hair of my penis. But so far I remembered she did not touch that place. So can a drop of vagina fluid on that eczema bring me risk of HIV?

3. I really love my wife and I wish you get your expertise answer. Can I continue my sexual life with my long term partner?

4. Do I need to take HIV test base on this (Handjob with vagina fluid and few tiny eczema at pubic hair) ?

Answer: 

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about acquiring HIV from non-insertive sexual contact and vaginal fluid coming into contact with eczema. From the information given, this scenario is determined to be No Risk (transmission of HIV is not possible in the given scenario).

HIV transmission occurs when bodily fluid of an individual living with HIV has direct access to the bloodstream of an individual who is of HIV negative status through a high risk activity (1).

The scenario described would not lead to HIV transmission due to the lack of bodily fluids exchanged. The non-insertive sexual contact does not create an opportunity for you to acquire HIV since there is no bodily fluid having direct access to the bloodstream. For the vaginal fluid on the eczema patch this would not lead to transmission either. The eczema would need to be actively bleeding and open in order for bodily fluid to have access to your bloodstream.

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

Regards,

AIDS Vancouver Helpline/Online, Danielle