Anonymous
Dear Helpline,

thanks for your engagement and help, regarding insecure individuals in this regard - just like me. I slept with a Girl twice (protected), received oral (no visible blood), handjob (doubt there were vaginal fluids on her hands) and there was some unprotected contact between my penis and her vagina (no penetration, but rubbing of the top of my penis against her vagina). Do any of these actions require testing/pose a risk? Especially the latter?

I really appreciate your feedback. Thanks!
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Anonymous
Hi there,

Thank you for your inquiry. From what we gather from the question, you were asking about the risk of HIV acquisition for the following four scenarios:

Protected Vaginal Intercourse: Low Risk: Evidence of transmission occurs through these activities when certain conditions are met. Transmission remains possible in this case, due to the possibility of improper condom use, or breakage of the condom.

Receptive Oral Sex (with no visible blood): Negligible Risk: There are no evidence or no documented cases of transmission. However, there is a theoretical possibility. Receptive oral sex provides a possibility for HIV transmission when certain conditions are met, such as the presence of open wounds in the mouth.

Non-incertive Masturbation (handjob): No Risk: transmission of HIV is not possible with the given scenario. (No exchange of bodily fluids).

Frottage (unprotected rubbing between a penis and vagina): Negligible Risk: There are no evidence or no documented cases of transmission. However, there is a theoretical possibility. Without penetration, genital rubbing between a penis and a vagina (without the exchange of bodily fluid) provides a theoretical risk, yet is very unlikely.

To answer your question regarding which of these actions most pose a risk, it is undoubtedly the protected vaginal intercourse (Low Risk) activity.

Condom use is an important tool in the protection of HIV transmission and can provide up to an 80% reduction in HIV incidence during all acts of penetrative vaginal sex (1).

Although it appears you have been diligent in your protection against HIV acquisition, you may consider routine HIV testing every 3 months as you remain sexually active.

Recommendation: Refer to a Physician for HIV testing to be sure of your status.

All the best,

AIDS Vancouver Online/Helpline, Cody



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