barrytheman23
Hi when i was at work, my testicles started to really itch, so i went inside the public washroom to scratch. I scratched them alot, to the point where they turned red. If I had blood or any hiv positive liquid on my fingers/fingernails when i scratched into my testicles, am i at risk for hiv?
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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 scratched your testicles (causing a potential rupture in the skin), with fingernails that had may have had HIV positive fluid underneath them. 

From the information given, this scenario is determined to be of No Risk (HIV transmission is not possible in the given scenario). The scenario provided does not meet the requirements of our HIV Transmission Equation (see below). Although you mention the possible presence of HIV positive fluid (blood, semen, pre-cum, vaginal fluid, anal secetions, breastmilk) under your nails, there is essentially no direct access to the bloodstream. 

In order for HIV transmission to occur, HIV positive fluid would need to have access to bleeding or open wounds on your testicles in a direct way (ie. from open and bleeding cut to open and bleeding cut). In the scenario described, any chance of transmission would not be possible. 

HIV Transmission Equation Requirements: 
Helpline Transmission Equation  (1).jpg

Recommendation: No need for HIV screening for the scenario provided. Please refer to a healthcare provider for additional health-related questions. 

All the best,

AIDS Vancouver Online/Helpline, Cody 

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