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HIV Prevention (Expert Forum)
What is my HIV risk?
Answered by
University of Washington
Seattle - WA
This forum is limited to prevention of HIV and to safe sex in general. If you believe you might have been exposed to HIV and want help to judge your risk, would like advice about HIV testing, or have questions about the effectiveness of condoms or the risks associated with specific sexual practices, this is the site for you.
IMPORTANT
No questions will be accepted on the treatment of HIV/AIDS or its complications, viral load, and similar topics. If you have questions about a specific STD other than HIV/AIDS, please visit the STD Forum. Questions that do not pertain to the above topics will be removed from the forum.
If you have not done so, please review other threads in our archives for questions similar to yours and Dr. Handsfield's replies. Questions that duplicate other frequent ones, for which abundant replies exist, and that have little educational value for other forum users, will be DELETED WITHOUT RESPONSE. YOUR PAYMENT WILL NOT BE REFUNDED. The most common examples of such questions are those about low risk exposures to HIV, such as oral sex, condom- protected intercourse hand-to-genital exposure, and nonsexual contact with possibly infected blood or body fluids as well as symptoms of early HIV infection.
No questions will be accepted on the treatment of HIV/AIDS or its complications, viral load, and similar topics. If you have questions about a specific STD other than HIV/AIDS, please visit the STD Forum. Questions that do not pertain to the above topics will be removed from the forum.
If you have not done so, please review other threads in our archives for questions similar to yours and Dr. Handsfield's replies. Questions that duplicate other frequent ones, for which abundant replies exist, and that have little educational value for other forum users, will be DELETED WITHOUT RESPONSE. YOUR PAYMENT WILL NOT BE REFUNDED. The most common examples of such questions are those about low risk exposures to HIV, such as oral sex, condom- protected intercourse hand-to-genital exposure, and nonsexual contact with possibly infected blood or body fluids as well as symptoms of early HIV infection.
What is my HIV risk?
by ChrisPS, May 10, 2008 10:04AM
On March 19 I did something I never thought I would do, here's the story: went to a "private modeling studio" paid for a room, girl did a strip tease, I masturbated myself, she offered handjob, I agreed but asked for condom, she supplied generic looking condom, continued masturbation with her straddling me for several minutes, she started to rub the tip my penis on her vagina for 30 seconds, this led to about 30 seconds of full penetration, I had orgasm, I removed condom with small hand towel she provided, the condom appeared to be a little flacid at the tip, not full.
My fear is that the condom broke and that I may have been exposed, but I can't say for certain it did. I did ask the girl if she knew her HIV status and she her reply was "yes, negative". About 9 days later I had a pretty bad herpes outbreak near the tip of my penis, now I've already had herpes for 10 years, but rarely have had blisters in that location (maybe once or twice). This of course added to my stress about possible exposure, could I have been exposed to herpes and or hiv? If so doesn't this increase my overall risk? I was tested for HIV (full blood test) May 6th, 6 weeks, 6 days post exposure and got a negative result.
I know that symptoms are typically disregarded on this site, but I will list mine. I would like to think that all my symptoms were induced by my anxiety, but don't know. They included what felt like swollen nodes in neck and jaw that hurt, disrupted sleep and night sweats, complete loss of appetite and constipation, weight loss, strange aches in joints, runny nose, feeling cold.
My questions are: 1) what is my overall risk, 2) in a broken condom scenario how much does being exposed to herpes or having a history of herpes increase risk 3) would having a herpes outbreak shortly after being exposed to hiv delay a positive test? 4) Is there a risk of hand gential hiv transmission from someone "shedding" herpes virus prior to outbreak, or from touching unbroken blisters?
My fear is that the condom broke and that I may have been exposed, but I can't say for certain it did. I did ask the girl if she knew her HIV status and she her reply was "yes, negative". About 9 days later I had a pretty bad herpes outbreak near the tip of my penis, now I've already had herpes for 10 years, but rarely have had blisters in that location (maybe once or twice). This of course added to my stress about possible exposure, could I have been exposed to herpes and or hiv? If so doesn't this increase my overall risk? I was tested for HIV (full blood test) May 6th, 6 weeks, 6 days post exposure and got a negative result.
I know that symptoms are typically disregarded on this site, but I will list mine. I would like to think that all my symptoms were induced by my anxiety, but don't know. They included what felt like swollen nodes in neck and jaw that hurt, disrupted sleep and night sweats, complete loss of appetite and constipation, weight loss, strange aches in joints, runny nose, feeling cold.
My questions are: 1) what is my overall risk, 2) in a broken condom scenario how much does being exposed to herpes or having a history of herpes increase risk 3) would having a herpes outbreak shortly after being exposed to hiv delay a positive test? 4) Is there a risk of hand gential hiv transmission from someone "shedding" herpes virus prior to outbreak, or from touching unbroken blisters?
Doctor's Answer
by H. Hunter Handsfield, M.D., May 10, 2008 10:26AM
, May 10, 2008 10:26AM
Nobody in the world ever acquired HIV from a hand job, even without condom. And condoms don't break without it being obvious. And the chance the stripper had HIV is extremely low anyway. It is simply impossible that you acquired HIV during the event you describe. The coincidence of a recurrence of your genital herpes 10 days later is just that, a coincidence; it cannot be related to HIV or to the sexual contact. And your negative HIV test results prove you weren't infected.
Symptoms aren't "disregarded" on this site. It's just that they never make a difference in our advice, because with rare exceptions, they do not help in judging someone's risk of having or not having HIV. Assuming you have no other HIV risks you don't describe, your symptoms cannot possibly be due to HIV and they don't sound like HIV anyway.
Thus, the direct answers to your questions are: 1) Zero. 2,4) None, in your case. Hand-genital exposure cannot transmit HIV, with or without herpes. 3) No medical condition delays HIV tests turning positive, with the possible exception of advanced (near terminal) cancer or other life-threatening conditions. Herpes certainly does not do so.
Relax. HIV isn't an issue from this event. Of course see a health care provider about your symptoms if they persist or continue to concern you.
Regards-- HHH, MD
Symptoms aren't "disregarded" on this site. It's just that they never make a difference in our advice, because with rare exceptions, they do not help in judging someone's risk of having or not having HIV. Assuming you have no other HIV risks you don't describe, your symptoms cannot possibly be due to HIV and they don't sound like HIV anyway.
Thus, the direct answers to your questions are: 1) Zero. 2,4) None, in your case. Hand-genital exposure cannot transmit HIV, with or without herpes. 3) No medical condition delays HIV tests turning positive, with the possible exception of advanced (near terminal) cancer or other life-threatening conditions. Herpes certainly does not do so.
Relax. HIV isn't an issue from this event. Of course see a health care provider about your symptoms if they persist or continue to concern you.
Regards-- HHH, MD
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