jim25855
Hi,

This is the link for my previous question which you answered yesterday:

https://helpline.aidsvancouver.org/post/unprotected-blowjob-and-unprotected-handjob-with-scratched-pines-10467813?pid=1311136955

I was asking a question about the possibility of HIV transmission
from receiving a hand-job with the presence of vaginal fluid, as well as receiving oral sex without protection and with presence of multiple scratches on pines.

The scratches on pines were caused by rubbing of open jeans zipper on my exposed
pines during lap dances in strip club
(Because of aggressive lap dances my pines was exposed outside underwear and was directly rubbed with open jeans zipper during lap dances).

The scratches on pines were not bleeding,
but they left some scratch marks on the pines which could be clearly seen on the pines.

In your answer you wrote
"Theoretically, transmission, in this case, would be possible.
Yet, the conditions you have described do not appear to present a notable opportunity for transmission to occur."

1.       By this answer you meant that in my described situatioin since the scratches
          on pines were superficial and not active bleeding, there is no increase in HIV risks
          when getting unprotected blowjob and unprotected handjob.                                                                    HIV risks remain negligible for unprotected blowjob
          and no risk for unprotected handjob with these superfical, not bleeding
          scratches on pines from open zipper.                                       
          This is becuase superfical scrathes on pines which are not bleeding can not
          enable access for HIV to bloodstream.

2.       Only if scratches on pines are open and active bleeding
          there is significant increase in HIV risks when getting unprotected blowjob
          and unprotected handjob.                                                       
          This is because scratches on pines that are open and active bleeding
           can enable access for HIV to bloodstream,
           which causes significant increase in HIV risks when coming direct contact
           with HIV infected blood\vaginal fluid
           during unprotected blowjob amd unprotected handjob.

I would appreciate your professional reassurance for the 2 conclusions I wrote above.

Thank you in advance.

Regards,

Jim
Quote
helpline-volunteer
Hi there, 

You can find the below response to this question and another very similar here: 

https://helpline.aidsvancouver.org/post/general-question-about-hiv-risk-with-superficial-cut-or-cuts-on-pines-and-unprotected-blowjob-10484429?pid=1311255012

Thank you for your inquiry. From what we gather from your question, you were asking about the risk difference between receiving oral sex with the presence of several superficial cuts on the head of the penis, in comparison to one active bleeding cut on the head of the penis. 

From the information given, both of these scenarios are determined to be of Negligible Risk (There is no evidence or no documented cases of transmission. However, there is a theoretical possibility of transmission under certain extenuating circumstances).

Particulars from case to case are valuable in helping to distinguish the risk level of the associated activity. In this case, both scenarios you have described still fall under our Negligible Risk category. This is because, theoretically, there is a possibility of HIV transmission. The head of the penis itself has an opening (the urethra) in which there is direct access to the bloodstream. For this reason, receiving oral sex with or without superficial scratches/and or one deeper cut presents a Negligible Risk.

It is important to acknowledge, in this case, that there is no evidence or no documented cases of transmission through this avenue. With this in mind, the act of receiving oral sex (with or without cuts) presents a particular risk because the act may fulfill the requirements of our HIV Transmission Equation (see below).

This would include:

The possibility of HIV positive fluid (semen, pre-cum, vaginal fluid, blood, rectal fluid, breast milk), with direct access to the bloodstream,
through an (in this case) Negligible Risk activity.

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Recommendation: There is no evidence or no documented cases of transmission. Refer to a healthcare professional for more personalized answers. If you believe yourself to have had an exposure, do not hesitate to seek HIV screening.

All the best,

AIDS Vancouver Online/Helpline, Cody

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