Anonymous
My stupi*d (not anymore) friend sometimes acts like a pig. This happened probably like 6 months ago. I was sitting with him in school and he grabbed my ballpoint and put it in his pants for fun, so it was touching his underpants too. Im asking, can i get HIV if there was some semen on his underpants? He don’t masturbate in school, but maybe he had some pre-cum on his underpants, because maybe he had erection in school, so he could had some pre-cum on his pants. Then he gave my ballpoint back to me. I bite my nails so much, so let’s say i had bitten nails to blood and then i touched my ballpoint, can i have AIDS?
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Anonymous
Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about your risk of acquiring HIV after friend took your ballpoint pen and put it down their pants. The pen touched your friend's underpants, and you are concerned that when you touched the pen there may have been pre-cum or semen on the ballpoint pen. You are also concerned that your bitten nails, which could have been bleeding, could be a vehicle for HIV transmission. 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(1). It does not satisfy the equation because:

* For transmission to occur the three components of the HIV Transmission Equation must be met: there must be HIV present in a bodily fluid (ie: in blood, semen or rectal secretions), direct access to the bloodstream (ie: inside of the vagina, anus and other mucous membranes) paired with a high risk activity (ie: unprotected anal or vaginal intercourse, sharing needles, mother to child)(1).

* HIV does not survive long outside the human body (such as on surfaces), and it cannot reproduce outside a human host(2).

* There must be direct access to the bloodstream.

In the scenario you provided your friend took your ballpoint pen, put it down their pants, and then gave it back to you. You are concerned that if there were any pre-cum or semen on the ballpoint pen that you could acquire HIV through your bitten and bleeding nails, or, simply by touching the ballpoint pen. This scenario has been assessed as a No Risk scenario. HIV is not transmitted by casual contact(such as hugging or shaking hands), and HIV is not transmitted by an object, such as a ballpoint pen. This is because HIV does not survive long outside the human body (such as on surfaces, like pen), and it cannot reproduce outside a human host(2). This means that any pre-cum or semen that was on your ballpoint pen, had already been outside of the human body, exposed to external environment conditions and thus, unable to transmit to you. There is No Risk of HIV transmission this way.

You were also concerned that your bitten nails might have been bleeding when you touched the pen. This has also been assessed as No Risk for HIV transmission. For transmission to occur the three components of the HIV Transmission Equation must be met: there must be HIV present in a bodily fluid (ie: in blood, semen or rectal secretions), direct access to the bloodstream (ie: inside of the vagina, anus and other mucous membranes) paired with a high risk activity (ie: unprotected anal or vaginal intercourse, sharing needles, mother to child)(1). Remember as well from above, that HIV does not survive long outside the human body (such as on surfaces, like a pen or underpants), and it cannot reproduce outside a human host(2). There was no direct access to your bloodstream through your bleeding fingernails. Bleeding fingernails can be likened to a paper cut or, what we would call a "superficial cut". Superficial cuts are not deep enough to provide access to your bloodstream. Therefore, you could not acquire HIV by touching a pen with bitten and slightly bleeding nails.

The scenario that you have described has been assessed as No Risk, meaning that you cannot acquire HIV in the scenario that you have described. We encourage you to check out the resources linked below to learn more about HIV transmission. Thank you for your question!

Recommendation: No need for HIV test with the scenario provided, refer to a physician for other health related questions.

Regards, AIDS Vancouver Helpline/Online, Hilary

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