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Rubbing Penis Against Vagina With Soreness/Irritation

Question: 

Hi There,

I have looked through the forum and see that very similar questions have been asked before. But, I feel my situation is a little different.

Please provide an HIV risk assessment for the following scenario:

I came home with a woman. She performed oral sex on me without a condom. She was using her teeth a lot for some reason which caused pain. This lasted for less than 10 minutes. The skin was not broken, there was no blood, but the tip and part of the shaft felt sore from the friction/teeth.

There was mutual masturbation, but no penetrative sex.

I was drunk, did not have a full erection, and rubbed the tip of my penis against her vagina for 30 seconds or less.

I masturbated vigorously for another 15-20 minutes to completion.

My main concern is rubbing the penis against the vagina. There was vaginal fluids present. I know this would be considered a low-risk/negligible risk incident, but I feel because she caused irritation with the oral sex, and the vigorous masturbation afterwards, the vaginal fluids that got on my penis from frottage were worked into the penis or I was more susceptible.

What is the risk of HIV in this scenario as described? How much difference does the oral sex and masturbation make?

Thank You

Answer: 

Hello,

Thank you for your inquiry, and for checking the forums! From what we understand from the question, you are asking about the risk associated with "rubbing the tip of the penis against the vagina". This scenario needs some clarifying depending on the "rubbing" that occurred. If there was an insertion of the penis into the vagina, even only momentarily, this would be considered a high-risk activity (evidence of transmission through these activities and is the majority of cases of transmission), and testing would be highly recommended. If the skin of the penis had been broken this could potentially add to the risk, as this would add another access route to the bloodstream.

Recommendation: Speak to your physician about being tested for HIV.

To answer your secondary questions: oral sex without a condom is considered negligible risk (there is no evidence of or no documented cases of transmission) as saliva has never been recorded as transmitting HIV. Masturbation in of itself is a no risk activity.

Thank you, and hopefully, this was helpful!

AIDS Vancouver Helpline/Online, Sara