Alex2332
Hello, I had two incidents of totally protected vaginal intercourse with what I later found out a promiscuous girl.  Both incidents where completely protected. But I think I might have 3 small warts on the bottom of my penis where it connects to the testicles.  Their was lots of vaginal fluid and the area where the warts are is not covered by the condom.  Is it possible to acquire hiv in this way? I had a 4th gen lab test done 16 days past exposure, as well as a normal 3rd gen antibody both non reactive.  Then again 29 days past I had another 3rd gen antibody test after getting some symptoms and it was also non reactive. Is it possible to have symptoms from hiv and test negative? And can these two protected incidents have put me at risk?
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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 in the event that you had engaged in protected vaginal intercourse with warts on the bottom of the shaft of your penis. You also mention the presence of vaginal fluid where the warts are not covered by the condom. 

From the information given, this scenario is determined to be of Low Risk (evidence of transmission occurs through these activities when certain conditions are met). This scenario is considered to be Low Risk because protected vaginal intercourse has the potential to fulfill the requirements of our HIV Transmission Equation (see below). In order for HIV transmission to occur in this circumstance, a number of requirements must be fulfilled. HIV transmission occurs when the following conditions are met: There must be the presence of HIV positive fluid (semen, pre-cum, vaginal fluid, rectal fluid, blood, or breastmilk), coupled with direct access to the bloodstream, through a Right, Low, or Negligible Risk activity. 

It is possible that, given the sores on your penis, there is a possibility of HIV transmission. As you have described above, there was a presence of vaginal fluid that could have come into contact with your sores. Provided they were open or actively bleeding, there is a possibility that these could provide direct access to the bloodstream. 

Further, protected vaginal intercourse itself is considered to be a Low Risk due to the possibility of ineffective condom use and condom effectiveness. 

For the situation above, it is recommended that you refer to a healthcare provider for HIV screening. 

Helpline Transmission Equation .jpg 

All the best,

AIDS Vancouver Online/Helpline, Cody 

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