What is the Risks - Worried !

[thoughtsky]

Dear Doctors,

I am a circumcised male. This is what happened:

With a CSW she first gave me a blow job (sucking) whilst I was protected with a condom and licked/kissed my scrotum briefly which was obviously not covered, I then changed the condom and had vaginal intercourse with her twice changing condom each time. Both Condom remained intact and I came inside (Durex extra)

My questions are:

1) She also licked my scrotum briefly for about a minute or two, obviously this was unprotected because the condom doesn't cover that area, is there any risk factor of HIV from the scrotum kissing / lick ?

2) After withdrawing from the protected vaginal sex (durex extra safe) I noticed there was some white vaginal fluid / secretion on the shaft of my penis, and the condom had slipped up a bit, so I'd say about 60% of my penis was covered, head and uthera and part of shaft fully protected. But there was some white secretion on the uncovered part of the shaft... My concern is mainly two things..... Firstly, Can this vaginal secretion on the shaft cause HIV?. Secondly I have a bad feeling some of the vaginal fluid may have travelled inside the condom from the exposed shaft and up to the penis head / uthera and caused me an infection. Note that the condom remained intact and I ejaculated inside it. Do you think the virus could have travelled into the condom and caused any infection damage?

3) Is there any benefits regarding HIV of wearing a durex extra safe condom over a normal one ?

4) What is my overall risk of the above and can i continue to safely sleep with my long term partner without
worrying about having hiv and infecting her

Thanks a lot in advance, and kindly focus on my key point which is can the vaginal secretions which were on the exposed area of the shaft got up into the covered (protected) area of the penis head / uthera and caused any infection etc.. or will the condom have protected all the covered area ?

[Edward W Hook, MD]

Welcome to the Forum. the exposure you describe were no risk at all for HIV. HIV is transmitted only be penetrative anal or genital sexual exposure or injection of infected material deep into tissue. There has never been a scientifically proven case in which HIV has been transmitted by touching, kissing or oral sex ..... and lots of people have both been exposed in this way and tested.  This was a no risk exposure.

1.  No risk whatsoever of HIV from having her lick/kiss your scrotum.

2.  It is not at all unusual for a condom to slip down a bit during sex so that the entire penis is not covered. Despite this the condom does its job. The sort of slight slippage you describe did not put you at risk for HIV, even though it is likely that a small amount of her genital secretions may have gotten onto the shaft of your penis.

Vaginal fluids do not work their way into properly applied condoms.  The physics of condoms and fluid dynamics too complex to deal with here do not permit it.

3.  No.  In fact if anything there may be a slight increase in risk of condom malfunction if two condoms are worn.

4.  This was a no risk exposure. there is no reason related to the encounter you describe to worry that yo might have acquired HIV which you could then transmit to your regular partner.

I hope these comments are helpful. Take care. EWH

[Edward W Hook, MD]

That you have HSV-2 does not change my opinion or advice. When one is at risk, having HSV-2 increases risk about three-fold.  Your exposure was no risk to begin with and remains so.  EWH

[Edward W Hook, MD]

Yes, the protection offered by a properlyused condom is virtually absolute.  EWH

[Edward W Hook, MD]

At 22 days this is stong confirmation of what I have alreay told you regarding your no risk exposure.  At the same time, if there were any risk your results would not be definitive until 4 full weeks after the exposure.  EWH  

[thoughtsky]

Hi Dr

I did an HIV DUO p24 ag ab test because as you rightly stated. Nothig will purely relax me like a negative test result.

The result came bak as NOT DETECTED exactly 22 days after exposure. How accurate will the test be 22 days after exposure (assuming i did have an exposure)

[thoughtsky]

Dr Hook

I am very grateful and I have one more question before ending this post.....

I have read a lot about HSV2 increasing HIV Risk.... I may have HSV2 and have had rare outbreaks in the past in genital area....

Lets say I was HSV2 + ..... would you still say i was at virtually no risk for HIV, or would there have been a risk ?

[thoughtsky]

Just one additional point, in your first sentence you mention this as 'no risk at all for HIV'..... and you describe that it can only be through penetrative anal or  genital exposure etc......

In my case I did have penetrative vaginal sex but it was protected as I described.... so in my case having penetrative protected vaginal intercourse..... is this still considered 'no risk at all for HIV'

Grateful for a clarification

Best Regards

[thoughtsky]

I really appreciate your comments Dr. Hook, point 3 was regarding a Durex ' Extra Safe' brand, which are a bit thicker and more lubed, not extra one as in wearing 2 ! Just to clarify

You have given me much needed relief. Thanks a lot