HIV transmission from semen to cut on hand

[Astrokid77]

Recently I had a male to male encounter. I don't know the status of the individual although he offered to go get a test prior to the encounter. The encounter consisted of the following one kiss to the shaft of his penis, intercourse with him being the top & a condom was used, then a finished him off with my hand. Now I would consider this all low risk activity except that I have eczema on my hand that I finished him off with. My pinky was broken out at the time, although there were a few cuts on my pinky due to the cracking and one place where the skin was red but find seem to be open. I usually determine if my eczema is bad when I have some sort of discharge but that wasn't the case although it did look a little raw in certain places. When I finished him off I used a lot of lube then when he began to cum I kept going. After wards there was a mixture if the two on my hand and I washed it off immediately. My question is does my eczema qualify as an open wound/sore and have I out myself at considerable risk? The partner at the time has still be in contact with and says I have nothing to worry about and that he would still take a test. But is it possible that I could've contracted something?

[Edward W Hook, MD]

Welcome to our Forum.  I agree with you that your risk for infection from the encounter.  Your partner certainly sounds to be low risk.  Further, as you mention, condom protected sex is safe sex as long as the condom remains intact.  This brings us to your mutual masturbation.  HIV is not transmitted through mutual masturbation despite the fact that it is quite typical for persons engaged in mutual masturbation to get partners' genital secretions on each others.  The presence of open wounds and sores on the hands does not change this.  Such wounds are typically too superficial and too well sealed off for transmission to occur, even "weepy" eczematous lesions.  

From what you tell me,there is no reason to worry about the exposure you describe.  I see no reason for concern or even testing related to the exposure you describe.  EWH

[Edward W Hook, MD]

This is about when some people have ARS (between two and six weeks after exposure) but your symptoms are more suggestive of a summer cold than ARS.  This is a coincidence, not ARS.  EWH

[Astrokid77]

It has been a little over two weeks and starting this pass weekend I have been starting to feel sick. A sore throat, stuffy, nose and fatigue. I went to the doctor this week because I started having smelly urine and burning when I would urinate. He informed me that it was due to the fact that I've been working out a lot, not staying hydrated and excessive protein intake. I understand that you said before my exposure wasn't a risk, so am I just happening to get a little sick two weeks after? Is this to early for ARS?