I am concerned about HIV infection.

I was in Malaysia KL for vacation on Dec last year. I went to a so-called health center but in fact they provided commercial sex. I ended up did a condom protected oral-penile and vaginal sex with a young CSW. The vaginal sex is all condom protected but I did not ejaculated in her vaginal. I pulled out my penis with the condom is still on and did not break. She helped me to remove the condom but immediately masturbated me with the same hand until I ejaculated. My concern is if her hand got some of her vaginal fluid from the condom and then touched my penis head. Will this put me in risk if she is HIV positive? Doctors, can you answer my questions below:

1) How long will HIV virus survives outside human?

I spoke to my friend who is a nurse. She tole me not to worry too much as vaginal fluid is not as infectious as people thought. She said it was one of the fluids deep inside the vaginal is infectious. That's why female-to-male transmission is very difficult and must be unprotected penetration.

2) Is she correct?

3) However, even if she is right, there could be some those fluid left at the tip of the condom as I did penetrated. She might transferred those fluid to me by her hand removed the condom and then rubbed my penis head. Am I in risk?

4) After all, should I be concerned and should I get tested?

Doctors, can you explain a little more rather than just a simple yes/no answer?

[Edward W Hook, MD]

Your nurse friend is correct and I agree with her.  HIV is not transmitted by the transfer of infectious material (like vaginal fluid on the outside of the condom) during the course of masturbation.  In fact, it is not at all unusual for genital secretions to get on each other when persons are engaged in mutual masturbation yet there has NEVER been a case of infection caused by such acts. The reasons for this are several and include that the HIV virus does not survive  for long outside of the body when exposed to air and outside temperatures as well as because intact skin is an excellent barrier to infection.  As your nurse friend told you the HIV virus typically must be introduced deep into the body to cause infection and then "rubbed" into the surface.  


You have no reason to worry from the exposure you describe.  There is no medical reason for you to get tested.  If you feel you need to be tested for your own peace of mind, please convince yourself that you will believe the test results when they are available before you are tested. Even without testing I am confident that your test results as they relate to the exposure you describe will be negative.  

I hope this comment is helpful.  EWH

[scaredman2010]

A little relief..... appreciate that, doctor.

Do you agree with my friend that the vaginal fluid is not infectious, or just not infectious outside the body?

I understand that skin is a good barrier, but her vaginal fluid or those higher infectious inside fluid is rubbed again my penis... Should I be worry... (Don't think me I am crazy, but I am a bit worry as I planned to get marry soon).

Thanks.

[Edward W Hook, MD]

Vaginal fluid is infectious although context is critical for transmission to occur.  You do not have naything to worry about.

Please not "but what if" questions - no risk. EWH