serj50
Hi Doctor,

I was in a sexual encounter with a woman.

She was giving me an unprotected blowjob without condom.
She was sucking and slightly biting my penis.
The sucking and biting of my penis has created small cuts on penis base from woman's teeth.
The small cuts on penis base had a small amount of blood coming out of them.

Afterwads we had protected sex with condom.
The condom was covering about 75% of my penis.
The small cuts with little blood on penis base were located on the part of penis which was not covered by condom.
The uncovered area on penis base with small cuts with little blood has entered
the woman's vagina during the sex and had come in direct contact with vaginal fluid or maybe blood inside woman's vagina.

1. What is the HIV risk from these small cuts with little blood on penis base/uncovered area if they came in direct contact
with possible HIV vaginal fluid or HIV blood when they were inside the woman's vagina during sex.

2. Can HIV enter through these small cuts with little blood on penis base/uncovered area,
when they came in direct contact
with possible HIV vaginal fluid or HIV blood when they were inside the woman's vagina during sex?

What concerns me is that the smalll cuts with little blood were on the part of penis which was not covered by condom,
and these cuts with little blood on penis were directly expsed to possible HIV vaginal fluid or
HIV blood when they were inside woman's vagina during the sex.

Thank you
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helpline-volunteer

Hello,


Thank you for your inquiry. From what we gather from the question, you were asking about your risk of acquiring HIV after receiving unprotected oral sex followed by protected insertive sex. From the information given, this scenario is determined to be Low Risk (evidence of transmission occurs through these activities when certain conditions are met). 

The scenario mentioned above could meet the three components of the transmission equation due to improper use or potential breakage of the condom during the protected insertive sex.
Helpline Transmission Equation .jpgPlease note that the presence of superficial cuts on your penis from receiving unprotected oral sex are unlikely to modify the risk present in the scenario outlined above. In the future, consider using protection for all sexual acts to further reduce your risk of acquiring HIV and other sexually transmitted infections.

Recommendation:
Refer to a health care provider for HIV testing.

Regards,
AIDS Vancouver Helpline/Online, Marie

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