Monguy123
Hi, I went to a bathhouse for the first time not knowing what to expect. I did not indulge in oral or anal sex. However, a guy was fondling/kissing me as he masturbated. Immediately after he ejaculated, with his semen on his hand, he started giving me a hand job. His semen came in contact with my uncut penis (likely on the tip too) and balls. After about 20 seconds I realized it and walked away and just wiped it off with a towel. I didn't have any visible open cuts or sores on my penis. But what are the chances that I've had exposure to HIV based on semen on uncut penis through the urethra? While I don't know his HIV status, thinking about his other behavior, I suspect he's probably someone who indulges in high risk activity with a high chance of being positive. Please advise. I'm going insane. Will get tested at 28 days but still looking for your opinion.
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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 semen coming into contact with your penis.

From the information given this scenario has been 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). 

Theoretically, the scenario above meets two out of three components of the transmission equation (see below). For HIV transmission to be possible three components must be met. 

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 with direct access to the bloodstream. Whether or not the semen you came into contact had HIV positive particles is unknown. 

In this case, there has been no High Risk activity such as unprotected anal or vaginal intercourse, therefore the HIV transmission equation is not fulfilled and the risk of transmission is Negligible

The activity you described above (contact with semen) is of Negligible Risk because "HIV does not survive long outside the human body (such as on surfaces), and it cannot reproduce outside a human host" (1). Due to exposure to oxygen,  HIV undergoes a rapid reduction in concentration,  making transmission via this activity Negligible. 

If you continue to engage in Negligible, Low or High Risk activities, please consider going on PeEP.
1. PrEP, (or, pre-exposure prophylaxis) is a daily medicine that can reduce the risk of acquiring HIV. People at very high risk for acquiring HIV in take HIV medicines daily to lower their chances of acquiring HIV. Daily PrEP reduces the risk of HIV acquisition
from sex by more than 90%(2).

Recommendation: There is no evidence or documented cases of transmission. However, there is a theoretical possibility of transmission under certain extenuating circumstances.
Refer to a healthcare professional for more personalized answers.


HIV inactive CDC (1)
Information on PrEP (2)

 



Regards,

AIDS Vancouver Helpline/Online, Sonali 

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