Anonymous
Today I had casual sex with a guy of unknown status. I used a lot of lube, on his anus, on my fingers and even on a condom for brief penetration. After applying A LOT of lube I fingered him quite deeply with two fingers at most, but considering the amount of lube he was not in pain and all seemed smooth. But there's one episode that scares me though: I performed some rimming during foreplay, it was not deep, I mostly used the tip of my tongue on the exterior of his anus but I might have entered it without noticing, it seems likely in the heat of things. I'm scared because at the end of the session I saw some strange traces near his hole, trying to wipe them away I saw there were small traces of blood mixed with lube. I don't think I've performed rimming on that specific part but I fear my tongue may have come in contact with those traces at some point. I didn't think of the possibility since I applied a lot of lube and now I'm very scared, I usually pay much attention and always play safe, but I noticed the small traces of blood only at the end (they were barely visible, he was very hairy) and although I didn't feel the taste of blood on my tongue it seems probable that it may have come in contact with it at some point. How much at risk am I? Does the heavy amount of lube reduce the risk if blood was mixed with it? I'm a wreck.
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Anonymous
Hello and thanks for reaching out to the AIDS Vancouver Helpline. It sounds like you are concerned about your risk of HIV transmission after having engaged in rimming(Anilingus) and discovering some blood around the other person's anus and mixed in the lubricant.

When assessing the risk of HIV transmission we can refer to the HIV Transmission equation below:

HIV TRANSMISSION EQUATION


BODY FLUID
+
ACTIVITY
+
DIRECT ACCESS TO BLOODSTREAM
---------- -------- ----------------------------
• blood (including menstrual) • unprotected anal or vaginal intercourse • vagina
• semen • sharing needles • anus
• pre-cum • mother to child (in specific cases) • urethra in the penis
• rectal secretions • open cuts and sores (in theory)
• vaginal fluids • other mucosal membranes
• breast milk • points of needle injection
In the situation that you described, Anilingus or rimming carries with it a Negligible Risk of HIV Transmission. This means that there is the potential for HIV transmission because it does involve an exchange of body fluids, but, there has never been a confirmed report. There are a number of reasons for this, some are:

* HIV needs a human host to survive. Once the virus is outside of the body and exposed to oxygen (on the outside of your partner's anus, in lubricant that had been exposed to air) it has died and can no longer transmit.

* As an extra added bonus, Saliva has in it an enzyme that inhibits the transmission of HIV.


I would encourage you to check out the following resources for more information about HIV:

  • Risk Assessment Chart


  • Catie.ca


  • Smart Sex Resource


  • Thank you for contacting the AIDS Vancouver Helpline.

    Hilary

    AIDS Vancouver Helpline/Online

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    = RISK OF HIV TRANSMISSION