Hiv rapid test after six weeks ...plz help me

2) HIV Testing Technologies

Question:

Hi,

I stupidly did coke on the weekend and I don’t use notes or straws as I don’t like sharing with other people. However, I was getting the coke of the plate with my finger and then inserting this into my nose. I noticed half way through there was a bit of blood on the plate (I had a nose bleed previously so potentially mine). If it wasn’t mine - and I dabbed that bit of coke and also some of the blood (someone else’s) and inserted into my nose with my open sore, am I at risk of HIV, I am very nervous and would love some clarity on the situation.

Thank you

Answer:

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about your risk of HIV acquisition from inserting blood into your nose (with an open sore).

From the information given, this scenario is determined to be a Negligible Risk: There are no evidence or no documented cases of transmission. However, there is a theoretical possibility.

HIV is not known to survive long outside the human body (such as on surfaces), and it cannot reproduce outside of a human host (1). However, in this circumstance, you may be at a potential risk depending on the variability of a few factors:

1) The freshness of the blood 2) The quantity that was inserted into your nose

Although it seems as if there is a high possibility that this was your blood (based on your previous nose-bleed), this scenario fits our criteria for HIV Transmission due to the presence of blood with access to the blood stream. Yet, to reiterate, HIV outside of the body is quickly rendered inactive or weakened by the presence of oxygen. In this case, we conclude that while there is no evidence or no documented cases of transmission, there is still a negligible risk of transmission occurring.

Recommendation: Please refer to Physician for more personalized answers.

Best, AIDS Vancouver Helpline/Online, Cody

Additional Resources:

HIV Outside the Body (1)

Thursday, October 25th

4th Generation/DUO test

Question:

hi
my question is that i went to a Chinese massage parlor.i got a protected (with condom on my penis) oral from her.when i ejaculated she removed the condom and cleaned my penis with baby wipes. then she waited for 5 to 7 minutes and held my penis (non protected without a condom)and massaged it to make it erect. as it got erected she used some oil to give me a boob-fuck(unprotected)and while i was just about to ejaculate she used a artificial vagina(again unprotected)( she claims that artificial vagina was disposable and was put in come glass container filled with water )to ejaculate me .after this ejaculation which was my second ejaculation i felt tired and wanted to go . but she insisted me to give me a (one more hand job because i had paid her already for this )and massaged my penis for 5 to 10 minutes to make it erect but it could not erect so i went back.
from that day to now i have extreme anxiety.my doctor already have prescribed me praxil.my concern is that
1>can hiv be transmitted in above senerio?
2>if that artificial vagina was not disposable and was the used one having hiv+ semen contamination and putted in water and then used on me then can it effect me?
3>if her hands or boobs have some left over semen from previous customer and my penis was rubbed on it (unprotected) then is there any chance of transmission of hiv because in the last try she was massaging my penis hard to make it erect and she tried to make it erect my massaging it for 5-10 minutes which is a big time duration?
4>do you advise me to get tested?i already got tested on 17th day 21st day and 28th day after exposure with fourth generation test for hiv i.e.(Abbot Alinity i - Combo test (p24 & HIV - 1 & 2 Antbodies) all are negative. should i retest my self at 3 months mark?
5>do you put this activity in a hiv trasnmission risk?
please reply i beg for your guidance
regards

Answer:

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about the possibility of HIV transmission through the use of a sex toy that may have been either disposable or potentially re-used and cleaned. From the information given, this scenario is determined to be Negligible Risk (There are no evidence or no documented cases of transmission).

The scenario mentioned above does meet the three components of the Transmission Equation when certain conditions are met. A sex toy that has been previously used may not have been cleaned properly and although there are no documented cases of transmission, there is a theoretical possibility. Please note that HIV does not survive long on surfaces of objects as it is rendered inactive when exposed to oxygen, so the likelihood of HIV surviving on/in a sex toy between uses is very unlikely (1).

In terms of testing, a 4th Generation "Combo/Duo" test is able to detect an HIV infection in 50% of people 18 days after infection, 95% of people 34 days after infection, and 99% of people 6 weeks after infection. Some physicians and guidelines recommend re-testing after 12 weeks for completely conclusive results after a risky exposure (2). Since you tested 4 weeks after the negligible risk exposure, it is likely (~95%) that the test was accurate.

Recommendation: There are no evidence or no documented cases of transmission. Refer to a physician for more personalized answers.

Regards,

AIDS Vancouver Helpline/Online, Marie

Additional Resources:

1) HIV Transmission

Monday, October 29th

HIV transmission equation

Question:

Hello!

i have a concern about HIV and if i have put myself at any risk.

I went for a sensual Massage saturday, what i didnt know this was a prostitute not a massage so i dont know this ladys status. But what happen was exactly like this:

She gave me some massage then she ask me to turn around and kept on giving me massage. Then she put on a condom and start giving me oral sex. The condom was on all the time and didnt break.

But when she was giving me oral sex i was stimulating here vagina with my hand. What im scared of and didnt realized is that i had a small papercut on a finger that was 3-4 days old and it was not fresh or no blood coming from it or either. It wasnt completely healed but had start healing.

I Also wounder after i havent been able to find What a open wound is?

Answer:

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about whether or not you are at a risk of acquiring HIV by stimulating the vagina while having an old paper cut. From the information given, this scenario is determined to be of Negligible risk (There are no evidence or no documented cases of transmission. However, there is a theoretical possibility)

Transmission Equation: There are three aspects to the equation for one to get acquisition of the virus.

HIV in bodily fluids
Direct access to the bloodstream.
High risk activity.

The scenario mentioned above does satisfy one of the components of transmission equation as it does involve the exchange of body fluids.

Recommendation: refer to Physician for more personalized answers.

Regards, AIDS Vancouver Helpline/Online, (Vardah)

Additional Resources:

Wednesday, October 31st

HIV transmission equation

Question:

Hello,
Recently I was to a prostitute and she gave a massage naked body to body.I want to ask if there as a chance to get HIV from her,i do not know is she is HIV positive,from following activities :

1) She did me a titjob.
2) She did me a handjob and I ejaculated on her breats.
3) While she was giving me the massage I touched her vagina with my penis for 3-4 seconds but no penetration was commited.I was not used a condom.

Answer:

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about the risk of being infected with HIV by rubbing the penis against the vagina without using a condom. From the information given, this scenario is determined to be **Negligible risk **(There are no evidence or no documented cases of transmission).

Transmission Equation: For the acquisition of the virus the following criteria should be met:

HIV in bodily fluid.
Direct access to the bloodstream.
High risk activity.

The scenario mentioned above does meet the the component of the transmission equation as it does involve the exchange of body fluids (rubbing penis against the vagina)

Recommendation: There are no evidence or no documented cases of transmission refer to Physician for more personalized answers.

Regards, AIDS Vancouver Helpline/Online, (Vardah)

Additional Resources:

Saturday, November 3rd

Question:

Hello,
I am nervous because I had oral sex with a man who was undetected for 30 years but he did not tell me until after it happened. He performed it on my penis and I only did it oral to his anus. We had a heavy make out session and he came on his body, but some of it got on me and I wiped it off with a towel. A week later I have some chest pain and my tongue is white with some bumps on the back of the tongue. Is it too late for prep?! What can I do?

Answer:

Hi there,

Thank you for your inquiry. From what we gather from the question, you were asking about your risk of HIV acquisition from your oral sex exposure.

From the information given, this scenario is determined to be Low Risk: (Evidence of transmission occurs through these activities when certain conditions are met). Receiving oral sex is considered to be an act of Negligible Risk (There are no evidence or no documented cases of transmission. However, there is a theoretical possibility), yet, the performance of oral sex on another individual is what qualifies this scenario as Low Risk.

It is important to acknowledge that your partner has been undetectable for 30 years, which means your additional risk for HIV acquisition is no larger than a person who is HIV negative. This is what we call Undetectable = Untransmittable, which means that those who have undetectable viral loads cannot transmit HIV to their partners (1).

Please consider this quote from the CDC: "People living with HIV who take HIV medicine as prescribed and get and keep an undetectable viral load have effectively no risk of transmitting HIV to their HIV-negative sexual partners (1).

PEP (post exposure prophylaxis) is a method of protection from HIV that must be started within 72 hours post exposure (2).

It is nearly impossible to attribute any/all of your symptoms to HIV acquisition without comprehensive testing confirmation. It is recommended that you refer to a Physician for an HIV test to confirm your status.

All the best, AIDS Vancouver Helpline/Online, Cody

Additional Resources:

Undetectable = Untransmittable (1)

Information about PEP/PrEP (2)

Wednesday, November 7th

Question:

Hello,

I received unprotected oral sex from a sexworker a few days ago and was a infected with a STD. I went to see an urologist today and was prescribed antibiotics. The urologist said, that the risk to get infected with HIV by receiving oral sex is very low and as stated in many threads in this forum, it may even be a negligible risk activity. However, I am still very concerned if the presence of a STD in the sexworkers mouth or throat increases the risk of a transmission.
The oral sex was performed for about 3-4 minutes and I did not see any blood on my penis afterwards. The only thing that I noticed afterwards was a strong and very bad oral smell which I did not notice before. I assume the sexworker had a bad oral hygiene.

I feel very concerned and guilty because of this situation. It would be great if you could provide me information on how an STD or bad oral hygiene could increase the risk of HIV transmission in receiving oral sex and how you would evaluate this situation based on your experience.

Sorry for my poor English, I am not a native speaker. And thank you for the important information you provide here and your commitment to help people like me!

Best regards,
F

Answer:

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about the risk of HIV transmission in receiving unprotected oral sex and how an STI may increase that risk. From the information given, this scenario is determined to be negligible risk (There are no evidence or no documented cases of transmission). Receiving oral sex presents a potential for HIV transmission because they do involve the exchange of body fluids. However, there has never been a confirmed report.

In regards to STI's (sexually transmitted infections) increasing the risk of HIV transmission, consider the following. Research suggests that STI's *may *increase someone's risk of transmitting HIV due to inflammation. When there is inflammation, there is an increase in activated immune CD4 cells, which are the cells that HIV like to infect and replicate in. Inflammation can bring more of the infected immune cells to the site of the STI in the genitals, rectum, or mouth [1]. Please see the link below for more detailed information.

Recommendation: There are no evidence or no documented cases of transmission refer to Physician for more personalized answers

Regards, AIDS Vancouver Helpline/Online, Ashley

Additional Resources:

STI's: What role do they play in HIV transmission? [1]

Friday, November 9th

Question:

Hi!
I am a dental student. I was treating a patient and cut myself on the bur I had been using to drill my patient's teeth. The bur may have also hit the patient's gingiva, although I genuinely do not recall weather any blood was drawn or not. (Dental burs look a bit like tiny drill bits). The bur attaches to our drill and sits upright in a holder while we are not using it. The bur was sitting in open air and I scraped the side of my finger on it as I was reaching for a different instrument. I did not notice the scrape until I got home later and was washing dishes and felt a sting. I didn't worry about it because the bur had been exposed to air, so I figured this made the virus non-transmittable, but my friends have been telling me otherwise and now I am worried. Even if there was blood on the bur, is there any risk of HIV transmission?

Much thanks

Answer:

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about acquiring HIV through a scratch of a instrument possibly containing bodily fluid. From the information given, this scenario is determined to be Negligible Risk: There are no evidence or no documented cases of transmission. However, there is a theoretical possibility.

The scenario mentioned above does not meet the three components of the transmission equation. The equation requires bodily fluid, a high risk activity, and direct access to the bloodstream (1). In this case there was blood, no high risk activity ( these include: unprotected anal or vaginal sex, using shared needles, and breastfeeding while not on antiviral therapy), and a direct access to the bloodstream through a cut (1). Please consider this quote from CDC: "HIV does not survive long outside the human body (such as on surfaces), and it cannot reproduce outside a human host" (2). HIV becomes inactive when it is exposed to the environment such as blood on a bur.

Recommendation: There are no evidence or no documented cases of transmission refer to Physician for more personalized answers.

Regards,

AIDS Vancouver Helpline/Online, Danielle

Additional Resources:

HIV inactive in the environment

Tuesday, November 13th

Question:

Hi!

On 10-11 September night (2016) I kissed and give a guy a handjob! He did not ejaculate, but there was a lot of precum. I do not remember if I had any cuts/abrasions on my hand. Also, he touched my panties where the vagina was with his finger and I do not remember If he had touched his penis before.

On December 2, 2016 - he TOLD me he took a combo CMIA Hiv test that was negative.
On December 3, 2016 - I took an ELISA - I think it was 3rd generation, but I am not sure. Might have been 4th.

So, I took my test exactly on the 84 day (arter 83.5 days to be exact) and it was negative.

IT IS CONCLUSIVE ? Or should I retest? Thank you!

Answer:

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about the conclusiveness of an ELISA 3rd Generation test. From the information given, this scenario is determined to be Negligible Risk (There are no evidence or no documented cases of transmission). This risk level presents a potential for HIV transmission because they do involve the exchange of body fluids. However, there has never been a confirmed report. For a risk to exist, specific HIV positive fluids must come into direct contact with the blood stream of an HIV negative person.

In regards to the conclusiveness of the ELISA test, consider the following. The Elisa test is a blood test that looks for antibodies. This test has a window period of 4 weeks to 3 months (although up to 95% of infections are detectable within 4-6 weeks). Most people develop detectable antibodies in 21-25 days. The accuracy of this test is 99.9% [1]. At 84 days, the results would be considered conclusive.

Recommendation: There are no evidence or no documented cases of transmission refer to a Physician for more personalized answers

Regards, AIDS Vancouver Helpline/Online, Ashley

Additional Resources:

HIV Testing Technologies [1]

Friday, November 16th

Question:

**** is blue line on nail mucous membrane cause i just finger in vagina is there any risk of hiv

Answer:

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about noticing a blue mark on nail after inserting a finger in the vagina (fingering) and whether or not there is a risk for HIV acquisition. From the information given, this scenario is determined to be Negligible Risk There are no evidence or no documented cases of transmission. However, there is a theoretical possibility.

The following scenario satisfies only one component of the transmission equation as vaginal fluids can carry HIV, but the virus would have to enter your blood stream in order for you to become infected. In the above scenario there is no direct access to the bloodstream nor there is a high risk activity therefore it is considered to be negligible risk.

Recommendation: There are no evidence or no documented cases of transmission refer to Physician for more personalized answers.

Regards, AIDS Vancouver Helpline/Online, (Vardah)

Additional Resources:

HIV transmission

Saturday, November 24th

Symptoms

Question:

Hie. Thank you so much for this platform. I have a very serious question. I met this girl. So one day she came over to my house, she was on her period. So we briefly kissed then afterwards. She sat on me and started grinding on my penis we were both fully clothed she was wearing a sanitary pad, underwear and dress and I was wearing my boxers and jeans. After a few minutes I decided I want to finger her. So as she undressed I didn't see any blood stain (from the period) on her panties but I did see her remove her sanitary pad. So I put on some latex glove and proceeded to do so. After fingering I noticed a little blood and vaginal fluid on the glove. I immediately stopped then removed the glove. I'm sure the glove didn't leak as I didn't see anything on my finger. Fast forward a few weeks later I woke up with a sore throat (no other symptoms) that only lasted that day. It was sore on the left side mostly but as the day progressed it ended. The next day I was fine, no other symptoms. My concerns about this very stupid incident are as follows:

1. Since she was having her period, when she grinded against me, could there have been some little at the back of her sanitary pad which would have seeped through her underwear, then her dress, then onto my jeans, then onto my boxers and found itself into one of my mucous membranes on my penis. I dont recall seeing any blood on my jeans but I dont remember.. I read somewhere that HIV cant be transmitted through clothing but is it possible that the little viral particles could have found their way through the pores of fabric and onto my penis?

2. I purchased the latex gloves from a pharmacy and they were in a plastic bag in my closet (which is cool). They never broke and I didnt see any liquid seep through. I remember on the finger I used to finger her I had a minor peeling on the eponychium (hangnail). It had been like that for many weeks, but there was no blood though.

3. The sore throat still worries me. It was the only symptom and only lasted a day. Could it have been ARS

My life has been a living nightmare ever since. I am so afraid all the time I could have been exposed, please help me. Should I get tested?

Answer:

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about acquiring HIV through blood on clothing, protected fingering, and a sore throat symptom in regards to ARS. From the information given, this scenario is determined to be Negligible Risk There are no evidence or no documented cases of transmission.

The scenario mentioned above does not meet the three components of the transmission equation. It is required for bodily fluid to be transferred through a high risk activity with direct access to the bloodstream to complete transmission (1). Blood on clothing would not satisfy the equation because there was no high risk activity to transfer the bodily fluid and there was no direct access to the bloodstream in this scenario. For the protected fingering scenario there was bodily fluid, a low risk activity, and low chance of direct access to the bloodstream due to protection (potential breakage of glove) (1). A quote from CDC should be considered as well " HIV does not survive long outside the human body (such as on surfaces), and it cannot reproduce outside a human host" (2). This refers to the blood on the clothing and with exposure to oxygen HIV is referred inactive.

A sore throat symptom does not necessarily mean you have ARS as HIV symptoms mirror other viral infections or can be explained by other things, getting tested is really the only way to know (2).

Recommendation: There are no evidence or no documented cases of transmission refer to Physician for more personalised answers.

Regards,

AIDS Vancouver Helpline/Online, Danielle

Additional Resources:

HIV Basics

Thursday, November 29th

From exposure to infection: the biology of HIV transmission [1]

Question:

I went for a party and lady bite on my chest . I did a ELFA test 4th generation. Am i at risk?

Answer:

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about acquiring HIV from a bite on your chest with a pimple. From the information given, this scenario is determined to be negligible risk. This risk level presents a potential for HIV transmission because they do involve the exchange of body fluids. However, there has never been a confirmed report.

For a risk to exists, specific HIV positive fluids (semen, pre-cum, vaginal fluid, rectal fluid) must come into direct contact with the blood stream of an HIV negative person. Most of the body's surfaces are "dry" skin and they don't allow HIV to enter the body. "Wet" skin (or mucous membranes) is more vulnerable to HIV and these include foreskin and urethra in penis, cervix, vagina, anus, rectum, mouth, throat, open cuts and sores. [1]

Recommendation: There are no evidence or no documented cases of transmission refer to a Physician for more personalized answers.

Regards, AIDS Vancouver Helpline/Online, Ashley

Additional Resources:

Monday, December 3rd

Question:

Hi. I am Male .Today i get oral sex from a transgender.it was just for 1:30 min.And There was no blood in my penis.is this cause hiv .Should i Go to Doctor.I am very worried and crying all the day What i did .Pleas answer Me.....

Answer:

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about the possibility of acquiring HIV after receiving oral sex. From the information given, this scenario is determined to be Negligible Risk (there are no evidence or no documented cases of transmission).

The scenario mentioned above does not meet the three components of the Transmission Equation. HIV is not transmitted through saliva, thus receiving oral sex does not provide direct access of an HIV-containing fluid to the bloodstream. With this in mind, it is still recommended that any oral sex be accompanied with a barrier, such as a condom or dental dam, to ensure no fluid exchange during the sexual act (1).

Recommendation: There are no evidence or no documented cases of transmission. Refer to a physician for more personalized answers.

Regards,

AIDS Vancouver Helpline/Online, Marie

Additional Resources:

1) Oral sex, Oral Health and Orogenital Infections

Monday, December 3rd

Cuts/bruises

Question:

Hi, Actually Im worried about the scenario that happened with me. So me and my buddy were sharing a joint together and my buddy is sexually very active and had sex with a lot of strangers so I don’t know if he’s HIV positive or not. Actually what happened was that we were in the car and he ignited the joint and took 4-5 puffs from it and then passed it to me right away . I smoked a lot instantly and then same thing passed it to him he smoked and finally I finished the joint. after that we went home and I saw that my buddy has a cut on his lip with blood on it. moreover he might have cuts or sores in his mouth and blood from his lips or mouth may have got onto the joint while sharing the joint back and forth twice and entered in my mouth when I smoked the joint. Thing is I have bleeding gums and blood from the joint may have came in contact with my gums and entered in my bloodstream. My gums doesn’t bleed profusely but still bleeds sometimes here and there. so my question is what are the chances of getting HIV from the scenario explained? Im really really really worried.

Answer:

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about acquiring HIV through taking blood into the mouth via sharing a joint. From the information given, this scenario is determined to be Negligible Risk (There are no evidence or no documented cases of transmission).

The scenario mentioned above does not meet the three components of the transmission equation. The transmission equation requires bodily fluids from HIV positive individual to come into contact with a HIV negative individual through a high risk activity with direct access to the bloodstream (1). In this scenario an exchange of blood through a low risk activity of sharing a joint with direct access to the bloodstream of bleeding gums has a potential for HIV transmission because of the exchange of bodily fluids (1). High risk activities include: unprotected sex, sharing needles, unsafe tattoos or piercings, vertical transmission–from mother to child (in utero, during delivery, breastfeeding) (1). A quote from CDC to consider is that "HIV does not survive long outside the human body (such as on surfaces), and it cannot reproduce outside a human host" (2). This would suggest that the exchange of blood on to the joint then passed from the joint to you would expose the blood to oxygen which quickly renders HIV inactive (2).

Recommendation: There are no evidence or no documented cases of transmission refer to Physician for more personalized answers.

Regards,

AIDS Vancouver Helpline/Online, Danielle

Additional Resources:

HIV Transmission Basics

Friday, November 30th

Symptoms

Question:

Hello Folks,

I am worried sick. Here are the two scenarios:
1. Nov 16th Friday: Went to a massage parlour, received a massage for 20 mins, then handjob without condom while she bit, licked and sucked on my left nipple and I ejaculated on masseuse's hand and towel. Then she cleaned it up.

2. Nov 19th Monday: Went to a Deja Vu all nude strip club's private room where the stripper completely got naked, tried to briefly rub her vagina on my penis by pulling it out of underwear, may be had 4-5 seconds of contact. But then I removed her hand and put my penis back. Then she sucked, licked and bit my left nipple (coincidence or may be she saw me playing with them) and proceeded to rub her vagina on my body and nipples for 30 seconds before I dragged her out of me. She even tried to make me lick her nipples although no milk came out (she claimed it will).

3. Nov 30 (after about 15-11 days): I am travelling and I just noticed that the lymph node under my ear and on the jaw line is -swollen and slightly painful. I also have white dot like pimple on my testicle. I also have a pink white pimple on my chest.

I am worried sick and want to make sure that I am not at risk. Also please let me know if I need to take the fast HIV test or not.

I cannot sleep or eat and am sick worried.

Please help.

Answer:

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about acquiring HIV after visiting a massage parlour and strip club. From the information given, this scenario is determined to be negligible risk. This risk level presents a potential for HIV transmission because they do involve the exchange of body fluids. However, there has never been a confirmed report. In order for a risk to exists, specific HIV positive fluids (semen, pre-cum, vaginal fluid, rectal fluid) must come into direct contact with the blood stream of an HIV negative person. Most of the body's surfaces are "dry" skin and they don't allow HIV to enter the body. "Wet" skin (or mucous membranes) is more vulnerable to HIV. These include: foreskin and urethra in penis, cervix and vagina, anus and rectum, mouth and throat, open cuts and sores.

In regards to the symptoms you are feeling, HIV symptoms often mirror other viral infections or can be explained due to other reasons. We recommend referring to a physician for more personalized answers.

Recommendation: There are no evidence or no documented cases of transmission. Refer to Physician for more personalized answers.

Regards, AIDS Vancouver Helpline/Online, Ashley

Monday, December 17th

Oral Sex

Question:

Hi,

I am feeling very anxious while intoxicated I got a blowjob from a sex worker. She first gave my back a massage with coconut oil (could the oil be contaminated?) I had small scratches on my back the next day, didn't look like the skin had broke though. After that she gave me a blow job but first put on a condom using her mouth. A trick I have seen before. My questions are below:

- Could I get infected from the massage and scratches? Could the oil if mixed with blood for some reason infect me through my back, through an open scratch or cut?
- When she put the condom on me with her mouth, what if her mouth brushed my penis beforehand? I had the condom on until I released. She was also slobbering quite a bit and I think I felt saliva at the base of my penis, didn't look like blood was in it but could of been trace amounts.
-Last thing I remember was also touching her boobs with my hand. Any risk there? What if she was lactating and I didn't remember. I wasn't black out but I am just trying to cover my bases.

Thank you for helping put my mind at ease. I hate doing these things and the guilt/worry makes it not worth it.

Answer:

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about the risk of being infected with HIV from receiving oral sex. From the information given, this scenario is determined to be Negligible Risk. There are no evidence or no documented cases of transmission. However, there is a theoretical possibility. Receiving oral sex, performing oral sex with a barrier, using shared sex toys that have been cleaned (there is a possibility that the toy may not be cleaned or disinfected properly) fall under Negligible risk because they do involve the exchange of body fluids.

For a risk to exist, specific HIV+ must come into direct contact with the blood stream of an HIV- person. Most of the body surfaces are dry skin ( E.g. Legs, arms) and they do not allow HIV to enter the body. Wet skin or (mucous membranes) is more vulnerable to HIV. These include foreskin and urethra in penis, cervix & vagina, anus & rectum, mouth & throat, open cuts/sores. In the above scenario there are no large open cuts/sores, so essentially there is no risk of transmission. Also, saliva contains an enzyme that inhibits HIV, and do not contain enough of the virus to cause potential for transmission.

Recommendation: There are no evidence or no documented cases of transmission refer to Physician for more personalised answers.

Regards, AIDS Vancouver Helpline/Online, (Vardah)

Additional Resources:

Oral sex and HIV

Transmission of HIV

Transmission Equation

Sunday, December 23rd

Question:

Dear Mr/Ms,

Yesterday, I received oral sex from my gay friend (with HIV positive status), during that I released sperm on his mouth. He has been taking ARV drugs and HIV is below detection threshold. So Is there any HIV risk for me from this action? Will I need a test for this particular situation?

Thanks in advanced for your support!

(Lee from Vietnam)

Answer:

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about acquiring HIV from receiving oral sex. From the information given, this scenario is determined to be Negligible Risk (There are no evidence or no documented cases of transmission).

The scenario mentioned above does meet the three components of the transmission equation. There is a risk present for potential HIV transmission because the scenario does involve the exchange of body fluids (1). However, there has never been a confirmed report of this scenario (1). The transmission equation requires the exchange of HIV positive bodily fluid to come into contact with a HIV negative individual through a high risk activity that has direct access to the bloodstream. In this scenario bodily fluid could technically be exchanged between persons, but consider that saliva does not contain enough of the HIV virus to be infected (2). Bodily fluids that carry the HIV virus include: blood, semen (including pre-ejaculate), vaginal fluids, breast milk, and rectal secretion (1). High risk activity includes: condom less sex, sharing needles, unsafe tattoos or piercings, vertical transmission–from mother to child (in utero, during delivery, breastfeeding) (1). This scenario is not considered to be a high risk activity. Direct access to enter the bloodstream is via: vagina, anus, urethra in the penis, open cuts and sores (in theory), other mucosal membranes, and points of needle injection (1). In this scenario the equation is satisfied, but there has been no confirmed reports (1).

Recommendation: There are no evidence or no documented cases of transmission refer to Physician for more personalized answers.

Regards,

AIDS Vancouver Helpline/Online, Danielle

Additional Resources:

HIV Basics

Sunday, January 6th

Question:

If a masseuse uses a sex toy, anal stimulator when providing prostate or anal massage - is there a risk of catching HIV from that?

Answer:

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about the risk of acquiring HIV from a sex toy used by a masseuse. From the information given, this scenario is determined to be *Negligible Risk** (there are no evidence or no documented cases of transmission), assuming that the toy is shared, but is cleaned between clients.

The scenario mentioned above could meet the three components of the Transmission Equation if the toy was not cleaned properly, but there are no documented cases of this occurring.

Recommendation: There are no evidence or no documented cases of transmission. Refer to a physician for more personalized answers.

Regards,

AIDS Vancouver Helpline/Online, Marie

Monday, January 7th

Question:

Hello,
Thank you for your help. Here is my question ...I had a terrible ear infection so I went to see the specialist . The office was busy and chaotic . My concern was the doctor just grabbed some flexible scope and put it up my nose into my throat to take pictures . I don’t know if it was sterilized or not and now I am anxious .
Is there an HIV risk or Hep C risk from this assuming it was previously used on another patient?

Answer:

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about acquiring HIV through unsterilized equipment. From the information given, this scenario is determined to be Negligible Risk. The risk level has a potential for HIV transmission as they could involve the exchange of bodily fluids, but there are no evidence or no documented cases of transmission.

The scenario mentioned above does not meet the three components of the transmission equation. The transmission equation requires HIV positive bodily fluid to have direct access into the bloodstream of an HIV negative individual through a high risk activity. In this scenario the equation is not fully satisfied as there may have been bodily fluid with direct access to the bloodstream through the mucous membranes of the throat, but there was no high risk activity involved. A high risk activity includes: condom less sex, sharing needles, unsafe tattoos or piercings, vertical transmission–from mother to child (in utero, during delivery, breastfeeding) (1). Please consider that HIV becomes inactive when exposed to the environment (2). HIV does not survive long outside the human body (such as on surfaces), and it cannot reproduce outside a human host (2). It is unlikely that the equipment at a doctors office would be unsterilized as sterilization is standard practice in these environments.

Recommendation: There are no evidence or no documented cases of transmission refer to Physician for more personalized answers.

Regards,

AIDS Vancouver Helpline/Online, Danielle

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