Anonymous
Sometimes while doing sex ( I m always the insertive and use condoms), I do not cum, so once I pull out my penis and take the comdom off y masturbate myself.  My hand may have some rectal fluid. It is possible to become infected under this circumstances?. I mean having some rest of your partner´s anal fluids and them masturbating youtselg with the same hand.
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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 removed a condom after insertive anal intercourse and then masturbated yourself. You also describe that there may have been some rectal fluid on your hand during this process. 

From the information given, this scenario is determined to be No Risk (transmission of HIV is not possible in the given scenario). Although you describe that there is a presence of rectal fluid, there is still No Risk for HIV transmission in this scenario. The presence of possible HIV positive fluid is not enough to fulfill our HIV Transmission Equation (see below). In order for there to be a significant risk, in this case, the following circumstances must be fulfilled. There must be the presence of possible HIV fluid, as you have described (rectal fluid, vaginal fluid, seminal fluid, pre-cum, blood, and breast milk), with direct access to the bloodstream, through a High, Low, or Negligible Risk activity. 

In the scenario you have described above, there is no direct access to the bloodstream, and no evidence of activity that would put you at risk for HIV transmission. 

To clarify further, HIV positive fluid, when outside of the body, undergo a rapid reduction in concentration (1). This makes HIV nearly impossible to transmit, once it has been exposed to environmental surfaces such as your hands. 

Although this scenario is considered to be No Risk, it is important to remember that protected anal penetrative intercourse is considered to be Low Risk (evidence of transmission occurs through these activities when certain conditions are met). Condoms are not entirely effective in protecting one against HIV transmission. In this instance, your risk of HIV transmission is higher for the event of protected anal sex. 

Our recommendation is to refer to a physician for regular HIV testing. 

Helpline Transmission Equation .jpg 

All the best, 

AIDS Vancouver Online/Helpline, Cody 

Resources: 
HIV & Environment (1) 

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