Anon89

Dear all, 
Thank you for your answers and your work!
If a woman receives fingering (anal/vaginal), it’s considered negligible risk. In case she had erosion of vesical cervix and HVP virus (which are both very common) does it increase the risk or it is still considered negligible? In case the overall health is ok and these both diseases are chronic. 

many thanks!

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helpline-volunteer
Hi there,

Thank you for your inquiry. From what we gather from the question, you were asking about the risk of HIV transmission through fingering, given that the individual also had erosion of the cervix and HPV infection. From the information given, this scenario is determined to be Negligible Risk (there is no evidence or no documented cases of transmission. However, there is a theoretical possibility of transmission under certain extenuating circumstances).

In order for transmission to occur, a number of requirements must be met (see below). 

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HIV transmission requires the presence of HIV positive fluid (such as semen, vaginal fluid, pre-cum, rectal fluid, breastmilk, etc), coupled with a High, Low, or Negligible Risk activity, that provides the virus direct access to the bloodstream. 

You are correct in that this activity is considered Negligible Risk, as there is a theoretical risk of transmission under certain circumstances. For example, if both individuals had large, open wounds that were actively bleeding (on fingers and in vagina), there would be exchange of bodily fluids and direct access to the bloodstream, and thus a risk of transmission. However, this does not include superficial cuts (ie. deeper skin layers are left intact) as they do not provide direct access to the bloodstream.

The risk assessment is the same in this case as it is based on the activity itself, which is considered Negligible Risk. However, studies do show an association between sexually transmitted infections (STIs), including HPV, and HIV acquisition (1).  Therefore, I encourage you to reach out to a healthcare professional for further discussion.

Recommendation: There is no evidence or no documented cases of transmission. Refer to a healthcare professional for more personalized answers.


Regards,

AIDS Vancouver Helpline/Online, Ashley

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Additional Resources:
HPV and HIV acquisition (1)

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