Anonymous
few days ago I had sex with hooker. during foreplay she was touching my penis head. later I saw she had deep cut on her index finger through which blood was coming. her blood was on my head of penis. later I had sex with her with condom on. What is the chance of getting hiv ( lets suppose she is hiv positive )
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Anonymous
Hello,

Thank you for contacting the AIDS Vancouver Helpline. I would like to commend you for using a condom. Condoms are the best and most effective way to protect yourself and others from STI's, including HIV. Good job!

For HIV transmission to occur, you need all 3 of the following factors listed in this table:

HIV TRANSMISSION EQUATION


BODY FLUID
+
ACTIVITY
+
DIRECT ACCESS TO BLOODSTREAM
---------- -------- ----------------------------
• blood (including menstrual) • unprotected anal or vaginal intercourse • vagina
• semen • sharing needles • anus
• pre-cum • mother to child (in specific cases) • urethra in the penis
• rectal secretions • open cuts and sores (in theory)
• vaginal fluids • other mucosal membranes
• breast milk • points of needle injection
Non-insertive masturbation, in your case a handjob, does not have all the factors listed in the table above and is considered a no risk activity. With blood on your partner's hand, the activity is still considered no risk as the blood would have had to exit her body and be exposed to the environment before touching your penis. When this occurs, the virus is broken down and can no longer transmit the infection. For that reason, this activity poses no risk.

On the other hand, protected vaginal sex is considered a low risk activity. The reason for this is because there is an exchange of body fluids and intercourse occurred. However, you wore a condom that provided a barrier preventing direct access for fluids to enter your bloodstream. In doing this, you provided a barrier against HIV transmission.

While you do not have to get tested immediately based on this situation, AIDS Vancouver does recommend that all sexually active people be tested on a regular basis for all STI's, including HIV. If you would like to get tested and reside in Canada, please look at this[ site](https://aso411.ca/) to help you locate nearby testing areas. You may also refer to this [site ](http://smartsexresource.com/about-stis/stis-101)for information on safe sex practices.

Last, I would like to add that sex with a hooker does not increase your chance for HIV transmission. It is not who you have sex with but how you engage in the activity that poses your risk for HIV. In your case, using a condom went a long way towards protecting you!

I hope this answered your question! Please feel free to contact us if you have any more questions.

Best wishes,

Mary

AIDS Vancouver Helpline/Online

Monday-Friday 10am-4pm (PST)

604 253 0566 Ext. 299

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