Anonymous
Hi,
I'm a 23 years old male. I had sex with an unknown person a couple of months ago but I still feel uneasy about the situation. We didn't have anal sex. I gave him unprotected oral sex when I had a little bit of sorethroat. And the morning later I really had sore throat, I think because it was already irritated before I performed oral sex and after oral sex it got worse. So I was wondering if I am at risk of contacting HIV knowing that I had a sore throat when I performed an unprotected oral sex? And after oral sex, he came on his stomach. After cleaning himself, he bend over me, poking me with his penis while I was masturbating. So he poked around and on my anus for a while, and I was feeling that his penis was wet, most probably because he had semen on it still. I might have had some cuts on my anus that day because I shaved that part. Is it possible to get HIV like this?

I really hope to get and answer because I feel edgy about this.

Thanks a lot for your help,
ConcernedGuy
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Anonymous
Hello,

Thank you for contacting the AIDS Vancouver Helpline. I am sorry to hear about your concerns and I will try to help to best way I can.

First, for HIV transmission to occur, you need 3 factors. These factors are listed in the table below and I will refer back to this chart while answering your questions.

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
Your situation of being poked with your partner's semen covered penis is considered a no risk activity. As you can see on the transmission chart above, direct access for the virus to enter the blood stream is necessary for HIV transmission to occur. The reason for this is because HIV is a very weak virus that is broken down the moment it is exposed to the air. In your case, your partner's semen would have been exposed to the air causing the virus to be broken down and making it no longer transmissible. There was no actual direct access to your blood stream. Even with cuts on your anus, you are still at no added risk because for a cut to pose as an access point, it must be large, deep and actively bleeding. This is not the case in your situation and you are still at no risk based on this specific encounter.

On the other hand, giving oral sex, to either a man or a woman, is considered a low risk activity. This means that while there is a risk for HIV transmission due to the exchange of body fluids, there have been few reports of infection occurring in this manner. It is important to note that human saliva has enzymes that break down HIV, preventing it from causing infection. If you are concerned about your status, it would be helpful to get tested 12 weeks after this sexual encounter. The reason for testing at 12 weeks is because the World Health Organization considers all HIV tests to be conclusive at 12 weeks or 3 months after the last high risk exposure. If you reside within Canada, please see this[ link ](https://aso411.ca/)for test sites nearby. If not, please see your nearest medical professional for possible HIV testing.

AIDS Vancouver recommends that all sexually active people be tested on a regular basis for all STI's, including HIV. Please feel free to contact us if you have any more questions or refer to this [site ](http://smartsexresource.com/)for further information.

Best wishes,

Mary

AIDS Vancouver Helpline Volunteer
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