Vaginal secretion outside of condom when rolling down

[StarAlliance]

Hello Dr. Hook, Hello Dr. Hunter,  Hello community

I have checked the archives but could not find any appropriate answer.

During a massage in Thailand the lady went over to sex...
I was fingering around and in her vagina...of course, there is always some vaginal secretion at the fingers after this practice.
We continued with vaginal intercourse and I protected us with a condom.
The condom didn' t broke (I fill it afterwards with water to check whether it had a hole) and was used correctly (put over before first contact, hold back after intercourse).
However, I have realised that after fingering in and around her vagina, there could have been still some vaginal secretion at my fingers (I cleaned them poorly before I was taking the condom)...and so, by rolling down the condom, the secretion from the outside was rolled to the inside (the condom was covered with spermizid).

I have phoned to an HIV advisor and explained him the situation and he ment that it was not really safe!
However, I thinking back, I remember that petting was declared as safe practice! And petting includes also some fingering and playing and therefore some small sperm or vagina secretion could be still and fingers when touching the own genitals.

Question: After a long story...do you recognize any unsafe practice? Do you recommend any testing?

Thanks for help!!

Cheers,
Pete

[H. Hunter Handsfield, M.D.]

I messed up a double-negative statement above.  I meant "...if the condom overtly ruptures (i.e., with the penis completely uncovered), STD/HIV transmission risk is higher, but micsoscopic leaks probably make no difference."

[H. Hunter Handsfield, M.D.]

The brief reply is that no, I see no particularly unsafe elements to your exposure.  Of course, there are no data -- i.e., nobody has done research (and nobody ever will do studies) to determine whether such details of how condoms are applied and removed, or whether a condom leaks a drop or two of water after sex, have any influence on HIV transmission risk. We know that if the condom doesn't overtly rupture (i.e., with the penis completely uncovered), STD/HIV transmission risk is higher, but micsoscopic leaks probably make no difference.  Certainly there is no reason to suspect that how a condom is rolled on and off makes much difference.  Even with condoms, it is almost impossible to avoid some skin-to-skin contact with a partner's genital secretions, yet HIV transmission doesn't occur.

In summary, you had sex with a partner who most likely does not have HIV (which now is rare in Thai CSWs); that even totally unprotected, vaginal sex with an HIV infected person carries an average risk of 1 HIV transmission per 2,000 exposures; and that properly used condoms provide virtually 100% protection.  And yes, I consider your condom use to have been proper and fully protective.

You don't need HIV testing on account of this event. But if my reassurance doesn't settle your concerns and you will sleep better with a negative HIV test, it's fine with me.

Take care--  HHH, MD