Safe sex gone bad?

[UKLad84]

Dear Doc,

On the weekend I partook in what I thought was safe sex. My new partner and myself, watched ourselves masturbate ourselves. I never touched his penis,he never touched mine. We also wore condoms so nitro spill any semen. My concerns -

1) before we started, he stroked my chest and played with my nipples. I noticed after I had a pimple on my chest. Not bleeding, but not old either. Could this be an entry point for blood/ semen if on his hands?

2) before he started to masturbate, he lubed up and couldn't put on the condom properly. He asked me to pass a new one. If there was semen transferred from his hands to the condom, if transferrred to my hands, would that be exposure if I touched my penis?

3) while I was in the bathroom afterwards,if he walked around and by mistake dripped some semen into my shoes,or onto the bed which I sat on or onto anything that I could have touched, is that considered exposure?

I didn't wantto have sex until we were both tested and really thought we were being safe. I don't understand if I'm irratinionally being scared or if my worries are legitimate?

Many thanks

[Edward W Hook, MD]

You do not mention whether your partner is HIV infected or not.  If neither of you was infected, there is no risk.  

Irrespective, your risk of getting HIV from the exposure you describe is zero.  You engaged in mutual masturbation.  This is safe sex.  HIV does not pass through intact, nonmucosal skin.   Neither your intact skin nor the pimple on your chest, nor the scabbed area on your skin (even without the bandage) are portals of entry through which HIV could enter you.

Bottom line, you have nothing to worry about. In addition, let me congratulate you and your partner with your commitment to safer sex.  EWH

[UKLad84]

I forgot to add that on my way from the bathroom, we may have brushed arms - if semen transferred to my arm, would I be in trouble? I think I'm more nervous as I have a 2 week old cut on my hand which was covered with a plaster. It was not bleeding, just covered with the pink skin under the scab. I don't know if the plaster was a sufficient cover.

[UKLad84]

Thank you Dr.

Just for my education, for infection to occur non-sexually (not via unprotected insertive/receptive sex), would HIV infected fluid have to be introduced to a considerably deep, gushing wound? Or is a shallow, scrape enough of an entry point?

[joggen]

Nonsexual infections involve mainlaining HIV into the bloodstream (shared needles with IV drug use or occupational needle stick). There are no documented cases of HIV infection from casual contact with fluids where needle insertion is not involved (and you aren't going to be the first).

You had the safest sex humanly possible (which I agree is commendable) because you avoided penetrative intercourse. People simply do not get infected by the activities/exposures you describe.

[Edward W Hook, MD]

An open sore is sufficient for introduction of HIV.  The deeper the wound the more likely tranmission to occur.  All of which is irrelevant to you.  The virus does not live on inanimate objects (the floow, your shoe, etc).  Stop worrying  EWH

[UKLad84]

Thank you, the only reason i enquired about the cut, was I have snce discovered a small (no more then a few millimeters long) cut on my arm. I am unsure if i hd it on the day in question.

If i did have this cut on the day we did the masturbation, and i go back to the scenario that if there was semen/blood on his arm, hand, body or whatever and it came into contact with this cut, would i be at risk?

Sorry if I am repeating myself and didn't include this information earlier. THIS IS MY LAST POST, I PROMISE....

[HSci34]

Really, there is nothing to be fearing here.  I'm sure the doctor will reiterate this. :)

[Edward W Hook, MD]

Read the comments above.  There is no risk. I will not say this again and again.  further anxiety-driven questions will be deleted.  EWH