Anonymous
Hello, 

Im a little concerned right now. About a week ago I was fooling around with a girl and she gave me a hand job while
I was on the bed so my penis was vertical facing the ceiling. 

I noticed she heavily breathed outward through her nose to the point where I can feel the air on my penis. My concern was the fact that under a light I noticed she had a dark red crusts inside and a little bit outside her nostril indicating a bloody nose. She also had a bloody nose after our affair  in the bathroom. 

Two questions here: 

1. It was dark, so if one of dried bloody crusts form her nose went down my urethra (since my penis was facing vertically upwards and she was holding it pretty tight. Is this a risk of HIV? 

2. Since she was holding my penis pretty tight im afraid it might have caused internal bleeding which happened before when I had intercourse long time ago. Given the circumstance that she held onto my member tightly and caused it to tear, and the "wet blood" from her nose came onto my penis, is this a risk of HIV? 

Sorry I am concerned because it was quite dark in the room so I didn't really know if there was blood on my penis or not! 

Thank you so much. 
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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 possibility of HIV transmission through receiving a handjob from someone who may have had a nosebleed. 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).

From the HIV Transmission Equation (see below), HIV transmission requires HIV particles in a bodily fluid (e.g. semen, pre-cum, vaginal fluids, etc.) to have direct access to the bloodstream through a High, Low, or Negligible Risk activity.

With regards to your first question, in this particular scenario, there would be No Risk of HIV transmission. This is because HIV contained in a bodily fluid is very sensitive to the outer environment. You mentioned that the blood from your partner was dried. Exposure to oxygen in the air causes HIV to undergo a rapid reduction in concentration (1). From the CDC, HIV contained in a fluid has a rapid (within several hours) reduction in concentration of 90-99%, which would render it inactive (1). Therefore dried blood contains a very minimal amount of the virus, and is unable to transmit infection easily.

With regards to your second question, in this particular scenario, there would be a Negligible Risk of HIV transmission. In the possibility that your penis may have been bleeding or had a large enough wound that would have permitted the "wet/fresh blood" from the other individual to have sufficient access to your bloodstream, this would necessitate a higher risk assessment as the HIV Transmission Equation could be fulfilled. However, once again, if the blood from the other individual was dried or you did not have a large enough wound on your penis, this would greatly decrease the level of risk in this scenario.

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

Best regards,
AIDS Vancouver Online/Helpline, Shirley

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Helpline Transmission Equation  (1).jpg
Additional Resources: 
(1) HIV Environmental Exposure
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