Jen36
I have a minor encounter on July 2019. I masturbate a guy until he got the climax his semen was over my hands and body. Doctor say it was a no risk situation but  suggested to take a test. I had a 4 gen test three months after de event it was negative. However this episode made me extra aware of Hiv and now I am having trouble to move on and now I am looking for risk in  non sexual situations. I ca not even masturbate myself without thinking if I am putting myself in a risk my hands are dirty or over think in surfaces in public places. I had this feeling that now I live in an eternal window period and I am consider to take  again a test in July 2020 for peace of mind even if I not have been sexual active since last year. I decided to look for mental health help but I don't know where to start seems that there are many approaches. I would likely know  if you can give some advice to get over this. 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 after getting semen on your hands and body. Based on the information provided, this scenario is determined to be of No Risk (transmission of HIV is not possible with the given scenario).

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 blood, 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. 

The activity you described above is of No Risk as there was no direct access to the bloodstream in this case, and thus the transmission equation is not satisfied. Given that you received testing, I would also like to add that HIV tests are very accurate, and in the case of 4th generation tests, can be considered conclusive at 12 weeks. Therefore, your result should be interpreted as negative and there is no need for retesting.

To answer the second part of your question, any scenario that does not involve the exchange of bodily fluids can also be considered No Risk. This is due to the fact that "HIV does not survive long outside the human body (such as on surfaces), and it cannot reproduce outside a human host" (1). HIV undergoes a rapid reduction in concentration when it is exposed to oxygen. Therefore, in the event that you did come in contact with a surface that had HIV positive fluid on it (ie. in a public restroom), the virus would be rendered inactive following exposure to oxygen, meaning transmission is not possible.

Recommendation: No need for additional HIV testing. Refer to a healthcare professional for other health related questions.

Regards,

AIDS Vancouver Helpline/Online, Ashley 

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Additional Resources:
HIV inactive CDC (1)


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