ruhollah124
Hi, I visited a sex worker yesterday. She was giving me a handjob that she notices there is a bleeding scratch on back of her thumb.It was a bleeding scratch but nothing big or a wound or something. She stopped giving me a handjob and went to bathroom and washed her hand. I checked my penis there was no visible blood on my penis and there was a lot of lotion on my penis. But it's possible that blood of her hand was mixed with lotion during the handjob. or even before applying lotion came into contact with my penis.  I want to know what is the chance of hiv transmission if blood of her hand came into contact with my penis and potentially opening on top of head my penis during the handjob? 
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helpline-volunteer
Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about the possibility of HIV transmission from an individual performing non-insertive masturbation on you, given that she has a bleeding scratch (although not a significant wound) on the back of her thumb. 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 (see below). HIV transmission requires the transfer of an HIV positive fluid (such as blood) coupled with a High, Low, or Negligible Risk activity that provides the HIV virus with direct access to the bloodstream.
Helpline Transmission Equation .jpg
In your situation, the reason why there is no risk of HIV transmission is that there is no direct access to the bloodstream. Even though she had a small wound on her thumb and her blood might have come into contact with your penis, given that you have no open cuts on your penis there would be no direct access to the bloodstream given the activity that was engaged in. Furthermore, exposure to the air would destroy the virus (1). When HIV is exposed to oxygen, it undergoes a rapid decrease in concentration (2) as it cannot survive long outside the human body.

Recommendation: No need for HIV test with the scenario provided. Refer to a healthcare professional for other health-related questions. 


Regards,
AIDS Vancouver Helpline/Online, Ryan

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Resources:

(1) HIV Transmission

(2) HIV in the Environment
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