Anonymous
Hello there !
My name is B. 2 weeks ago, I got really drunk and ended up having sex with a prostitute. I am very certain that I used a condom and it did not broke.
What worries me is that this lady masturbated herself, and might have had some vaginal fluid in her fingers and might have touched a very small scar on my chest. Other than that, I licked her upper body part only. The next mornin when I was brushing my tooth, noticed that there was a small cut at my gum. My toothbrush was new, the cut might have happened when I was brushing my tooth. Am I at risk of hiv??
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Anonymous
Hello and thank you for contacting the AIDS Vancouver Helpline. We are pleased to assist you.

The short answer is no, this exposure does not out you at-risk of acquiring HIV. Here is why:

HIV TRANSMISSION EQUATION


For a risk of HIV transmission to exist, 3/3 parts must be present in an exposure:

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 exposure you have described, 2/3 parts are NOT present: direct access to the bloodstream AND a high-risk activity.

More specifically:

1) HIV cannot be passed on after bodily fluids (e.g. vaginal fluids) have been exposed to the air. Since the vaginal fluids on her fingers would have been exposed to the air, HIV cannot be passed on.

2) Open cuts/sores/other mucous membranes that provide direct access to the bloodstream require professional medical treatment (e.g. stitches/surgery) right away and do not include superficial injuries. So, small lesions from brushing your teeth, and the scar on your chest would not provide direct access to the bloodstream, which means HIV transmission cannot happen in this case.

3) Due to the above-mentioned factors, non-insertive masturbation AND physical contact on the outside of your body (e.g. when your partner masturbated and then touched your chest) is considered a no-risk situation for acquiring HIV.

We would like to commend you for using a condom while engaging in sexual activity; by doing so you have greatly reduced the risk of acquiring STIs, including HIV. This exposure may not pose a risk for acquiring HIV, but we always suggest that all sexually active individuals be tested for all STIs, including HIV regularly to maintain overall health.
Feel free to contact the AIDS Vancouver Helpline again, or call us (604) 253-0566 ext 299 for immediate assistance with general inquiries. Thank you for contacting the AIDS Vancouver Helpline.

Sincerely,

Marta

AIDS Vancouver Volunteer
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= RISK OF HIV TRANSMISSION