Anonymous
Hi, I am really concerned about an HIV risk in my situation.
2 days ago I was really drunk and I went to see a transgender sex worker.
I had a condom on, I got a blowjob but then I started rubbing my penis on his anus, I pushed in a little but I do not believe I have been inside it because he was wearing a G string anyway but my penis did push the entrance of the anus for a little while... Then I masturbated him and we put penis against penis for a few seconds/minute. Then took my condom off and ejaculated.
I thought it wouldnt be a risk because I had a condom on, however the day after I saw what looks like a cut on my penis head with blood in it. like a few tiny dots of blood. I am now really concerned that the condom had a hole and the cut could be from teeth. So if the condom was broken, what is my risk to get HIV through this situation? thank you very much I am really worried
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Anonymous
Hi there! Thanks for contacting the AIDS Vancouver helpline with your HIV related questions and concerns. We are happy to help!

The situation that you described sounds to me like a No Risk Activity. I am attaching a transmission equation for HIV below that will make it more clear:

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
So since it doesn't sound like there was a direct contact activity and sharing of bodily fluids, then there would be no risk attached. Additionally, once bodily fluids are exposed to air (if containing HIV), then it cannot be passed on as air damages the virus (that is why direct contact is necessary). That paired with the fact that you were wearing a condom, doesn't sound to me like there's any part that involved a direct contact of bodily fluids.

Additionally, the cut on your penis wouldn't have been large enough to provide direct access to the bloodstream which is necessary. A cut would have to be large enough to require medical attention such as stitches in order to provide this.

I wouldn't worry, however, here at AIDS Vancouver we recommend that all those who are sexually active make HIV testing a part of their regular health routine.

Hopefully this helped! Additionally, check out smartsexresource.com for more information about safe sexual practices.

Sincerely,

CHristina

AIDS Vancouver Helpline Online

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604 253 0566 Ext 299

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= RISK OF HIV TRANSMISSION