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HIV risk please answer from India

Question: 

Hi,

I went to a red light area to have sex with prostitute. A sex worker came out from a very small room with a customer. I decided to have sex with her. Sp went with her in the same room. She put two condoms on my penis. My penis was not fully erected. I started penetration and after few minutes(may be 5 or less) she stopped me having sex as she got to know I was drunk and she said time is up. I asked was few more minutes but she refused. She went out of the room without removing condoms. I started masturbating. After a minute or less she came back and removed condoms and left. Again I started masturbating with the same hand after some time left the place without ejaculation. I did not check for condoms after the incident but I think condom did not break as I would have noticed while masturbating having them ON. Now I'm worried about the incident.
1. Vaginal fluids present on condom came on my hands after masturbating with condom ON. Later after removing condoms immediately I started masturbating with same hands having vaginal fluids. What are my chances of getting infected with HIV if the HIV+ fluids on my hand touched the tip of the penis and went inside my foreskin(I'm uncircumcised man) while masturbating. What if the virus went inside of the foreskin and stayed there, would that cause an infection?
2. I learned from this and some other websites that once the fluids are outside human host the virus in that fluids is unable to infect as it becomes inactive. Is it true and applicable to my scenario? Does the viral load in the fluid plays role in this scenario, what if it is high?
3. Also as I was masturbating with condoms ON won't that mean the vaginal fluids did not come in contact with outside environment because of my hands.
4. Also the room was very small. I don't think there was any air. Considering this fact still point 2 and 3 is applicable to my scenario? Please let me know the risk of getting infected with this one time incident in my life.

Thanks

Answer: 

Hi there,

Thank you for your inquiry. From what we gather from the question, you were asking about the risk of HIV acquisition from the act of penetrative vaginal sex using two condoms, and the act of masturbation using hands that have touched vaginal fluid.

From the information given, this scenario is determined to be Low Risk (evidence of transmission occurs through these activities when certain conditions are met). This scenario is determined to be of Low Risk only due to the act you described of penetrative vaginal intercourse. The non-insertive masturbation that you had engaged in after you removed the condom provides No Risk of HIV acquisition, and the risk of HIV transmission that you had encountered can only be attributed to the earlier act of vaginal intercourse.

Vaginal intercourse, even with the use of protection - can provide a risk for HIV transmission due to possible improper use of condoms. Condoms are known to reduce HIV incidence by only up to 80% during all acts of penetrative vaginal sex, and do not provide an absolute protective barrier (1).

You are correct in presuming that HIV is quickly rendered inactive when exposed to the environment. Even though you described a room with little air-flow, HIV will still react the same way when outside of the body. When it comes to HIV preservation in fluid outside of the body, this involves scenarios with more clinical air-tight environments such as the inside of a syringe. Consider this quote from the CDC: "HIV does not survive long outside of the human body (such as on surfaces), and it cannot reproduce outside a human host" (2).

Recommendation: Please refer to a physician for HIV testing due to the Low Risk act of protected vaginal intercourse.

All the best,

AIDS Vancouver Online/Helpline, Cody