Tom
Hi

I visited 3 csw and with two of them I had protected oral sex (recieved blowjob) and with 1 a handjob

No vaginal or anal sex was done 

What are my chances of getting HIV?

I have been tested negative for Chlmydia and Gonnerrea

Regards
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helpline-volunteer
Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about the possibility of HIV transmission from receiving protected oral sex and from an individual performing non-insertive masturbation on you, given that there was no anal or vaginal intercourse. From the information given, this scenario is determined to be No Risk (transmission of HIV is not possible in the given scenario).

The scenario mentioned above does not meet the three components of the transmission equation (see below). HIV transmission requires the transfer of an HIV positive fluid (such as blood, semen, or vaginal fluids) coupled with a High, Low, or Negligible Risk activity that provides the HIV virus with direct access to the bloodstream.
Transmission Equation.jpgIn your situation, the reason why there is no risk of HIV transmission is that there was no exchange of potentially HIV positive bodily fluids from the activities that were undertaken, as you were on the receiving end of protected oral sex and non-insertive masturbation. HIV is not transmitted through the saliva, but through other bodily fluids such as blood and semen (1). Furthermore, there is no direct access to the bloodstream, given that you were wearing a condom and there are no open cuts on your penis. Even if the individual performing the act of masturbation on you had an open wound on a finger and the blood came into contact with your unprotected penis, there would still be no direct access to the bloodstream if there are no open cuts on yourself. Exposure to air would also destroy the virus, as when HIV is exposed to oxygen, it undergoes a rapid decrease in concentration (2).

Recommendation: No need for HIV test with the scenario provided. Refer to a healthcare professional for other health-related questions.


Regards,
AIDS Vancouver Helpline/Online, Ryan

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Resources:
(1) HIV transmission
(2) HIV in the Environment
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