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Avatar universal

Protected sex with fresh cut on testicles

Dear Doctor,

Thank you for taking the time to help people in need of medical advice and psychological reassurance.

Here is my story. I'm a 24 year old male. Around 18 days ago, I engaged in protected sex with a high-risk prostitute. (In my country they're illegal, and probably don't get tested).

The thing is, around 2-3 hours before the encounter I was shaving my public area and my testicles with scissors. While cutting the hairs, I accidentally cut the skin on my testicles area. The cut was small in size but kept bleeding for more than 20 minutes. Afterwards, I cut a small part of a band-aid and put it on the bruise after applying alcohol.

Before sexual intercourse, I removed the band-aid, and the skin looked bruised and gave me a burning sensation but there was no more visible blood. (Only dry blood on the band-aid)
During first intercourse, I put a condom and session lasted around 10 minutes.
Afterwards, she gave me an unprotected handjob, and at some times she was massaging my testicles. Even at one time, she pressed very hard on them I told her to stop.
After the handjob, I put another condom and had another intercourse.

When I returned home, the cut was not bleeding. But I applied pressure with my hands on it just to check, and some blood popped out of the cut.

It's been more than 2 weeks and I'm living in fear. I'm thinking that It could be possible that the cut was re-opened during her rough hand-job without me noticing, and it could be very possible that it came in contact with her vaginal fluid either from her hands or even vagina (Testicles might have contacted vagina).

As of today (18 days), I have no special symptoms besides a dry throat with no pain worth mentioning. (But again, it could be the weather).
I keep checking my fever since day 14 and it's normal.
Do you think I'm being anxious? Should I get tested after my 3 months window? What are the odds of getting HIV from vaginal fluids to cut?

Thank you for your most appreciated help.
12 Responses
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300980 tn?1194929400
MEDICAL PROFESSIONAL
Welcome to our Forum. We receive questions almost daily from people who have gotten a sexual partner's genital secretions on a relatively fresh cut similar to your situation.  the answers to all such questions are precisely the same, there is no risk of exposure on any sort.

First, despite the fact that prostitution is illegal in your country, it is unlikely that your partner had HIV.  Few commercial sex workers do.

Second, condom protected sex is safe sex so there was no risk for HIV from that.

Finally, surface contamination of skin or cuts does not lead to HIV infection. for HIV to cause infection it has to be injected deep into tissue.

Thus, to summarize, nothing you have mentioned carries risk for HIV acquisition. You do not need to worry and do not need testing.  EWH
Helpful - 3
300980 tn?1194929400
MEDICAL PROFESSIONAL
Correct.  You do not need further testing.  You did not get HIV from the exposure you described.  EWH
Helpful - 1
300980 tn?1194929400
MEDICAL PROFESSIONAL
The aditional infomration you provide in no way changes my assessment.  You are not at risk for HIV an do not need testing.

Furthermore, this is not a debate.  You asked for my opinion and, based on years of practice as well as on both my own research and reading the rresearch of others, you got it. You can find any sort of anwer you want on the internet.  If you wish to believe them, you may.  Similarly, if you want to get tested, do so. I am confident the result would be negative.

EWH
Helpful - 1
Avatar universal
Hi again,

I tested negative ELISA 6 weeks after results.
My doctor also shares your opinion that such activity has no risk.
He said it can only occur if the penis goes very deep inside the vagina.

I understand the following now:

- My test is around 95% definitive at 6 weeks.

- The negative results prove that the red throat with pain has nothing to do with ARS 3 weeks ago. Cause if that's the case, there's no way to test negative.

Can you confirm this?

I don't think I'll be testing anymore.
Helpful - 0
300980 tn?1194929400
MEDICAL PROFESSIONAL
Concerns about the generation test you have and it's reliability are another consequence of your unwarranted anxiety.  Get tested and then believe the result (which, I am confident, will be negative).  EWH
Helpful - 0
Avatar universal
Doctor,
Due to uncontrollable stress and anxiety that are affecting all aspects of my life, mostly my career, I have decided to get tested.

I live in Lebanon (Middle East, not Lebanon County), so I don't know about what generation of tests we have here.
Do you think 8 weeks are reliable regardless of how old the test methods are? Do you have any input regarding antibody testing in the Middle East, and whether it's older than the ones you guys have in USA or Europe?

Thanks again, this would be my last question, before I post my test results in the next weeks.
Helpful - 0
Avatar universal
Doctor, thank you for your input.
In no way I intended to express any lack of trust towards your knowledge nor your expertise.

Finally, thanks a lot for killing my anxiety.
I will move on without testing. I owe it to you.
Helpful - 0
Avatar universal
Doctor,

I've stated earlier than I bled for 20 minutes. But now I realized that maybe more bleeding occurred (I realized that because after I went back home, there was blood on my underwear)

I've been looking at some articles, and it seems there are different point of views regarding the risk with cuts. Even CDC has some reported cases of infection due to household blood-to-blood contact.

I've also read different point of views regarding how long the virus can live outside it host. Some say fraction of a second, others say several hours.

Assuming my cut was bleeding at the time of sexual intercourse, are you sure a test is still not even warranted?
The cut was around 1 * 1 cm.

Helpful - 0
300980 tn?1194929400
MEDICAL PROFESSIONAL
No, a red throat is not a reason to worry.  it does not suggest ARS.  EWH
Helpful - 0
Avatar universal
Sorry to bother you again... But since 2 days (3 weeks after exposure) and I've been having a red throat with no to little pain. No fever, no fatigue...

I know that symptoms are never a good indication. But can an exclusively red throat ever indicate ARS?

Sorry if my anxiety seems a bit stupid. I'm not a sexually active person.
Thanks again.

Helpful - 0
300980 tn?1194929400
MEDICAL PROFESSIONAL
No, blood squeezed out of a cut is a surface wound.  I was talking about having infected material actually introduced deeper as with a needle.  EWH
Helpful - 0
Avatar universal
Thank you for your answer Doctor, that brings a huge relief to my heart.

Just one last note please. You said:

"Finally, surface contamination of skin or cuts does not lead to HIV infection. for HIV to cause infection it has to be injected deep into tissue. "

What do you mean by "deep into tissue"? Isn't blood popping out considered as deep enough?
Helpful - 0

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