Anonymous
I was manic for a while and got involved with some dom/sub play with another guy in my area. He collected some cum in a container about 3 days before I came over and kept it in the fridge. I wound up being convinced to swallow it. We then had protected sex.

My question is would the refrigerated cum be a large risk factor? I tested with the INSTI test 32 days post exposure and it was non reactive. My only concern is that on one side of my neck I can now feel my lymph node which is about the size of a pea, but not painful. Thanks for any help you can give.
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Anonymous
Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about ingesting refrigerated semen and protected sex. From the information given, this scenario is determined to be Low Risk (Evidence of transmission occurs through these activities when certain conditions are met).

In order for HIV transmission to occur, an individual who is HIV negative has to come into contact with HIV positive *bodily fluids that have direct access to the bloodstream through a high risk activity*.

In this scenario involving the ingestion of semen, transmission is not possible. Transmission is not possible because this scenario does not fit our [HIV Transmission Equation](https://www.aidswindsor.org/healthy-me/hiv-transmission/). HIV becomes inactive when exposed to the environment or on surfaces and it cannot reproduce outside a human host (1). The sexual partner collecting semen into a container would render HIV inactive through the exposure of 3 days before coming into contact with yourself. The refrigerator would not maintain the optimal temperature for HIV survival. This would conclude that ingesting semen is a No Risk Activity in this particular situation.

Although ingesting semen is not a risk engaging in protected sex is considered to be a Low Risk activity. This is due to the possibility of improper condom use or breakage.

It is important to acknowledge that HIV symptoms mirror other viral infections or can be explained by other things, the only way to know for sure is to get testing done (1).

The INSTI test is a type of *Rapid Test*. The window period for a rapid test is 4 weeks to 3 months with up to 95% of infections being detected within 4-6 weeks (2). We do not recommend take home rapid tests.

Recommendation: Refer to Physician for further HIV testing.

Regards,

AIDS Vancouver Helpline/Online, Danielle

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