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Avatar universal

Brief Frottage Then Protected Anal

Doctors,

I know I have posted these questions in the community forum but really need your assessment.

I'm a guy and 16 days ago I was with a high-risk man. I gave him unprotected oral for a few minutes. Then I got on all fours and he pressed his member up against my anus -- mostly the shaft of his member in between my crack. Then for a second or two he aimed the head of his member between my crack. DEFINITELY no penetration. He is extremely well hung and there's no way he penetrated me at all (nor did he try). But I have no idea if he had precum on his penis.

He put a condom on and used his own saliva to lube his protected penis. He then tried to shove his extremely large member into me and actually held me down for about 3 seconds until i managed to push him off me. there is no way he got more than 1.5 inches into me, and it didnt last for more than 3 seconds. I saw the condom still on him (no visible blood on it, but it was dark), and i watched him take it off. I then wiped my anus to find that there was some blood.

Questions:

1.is there any reason to be concerned since his saliva was used as lube for anal sex and because he made me bleed?

2. i have no idea if, when he was rubbing his penis against my anus, there was any precum on his penis. would this pose a risk -- the idea being that there was his precum on my anus, which he then pushed either slightly inside me when he penetrated with his protected penis or into the slight tear in my anus which he caused?

3. my urologist and he said that when they talk about hiv not being able to infect in the outside world, that means like after 30 minutes, not as soon as it leaves the body. your thoughts?

4. does this require testing? can i have unprotected sex with my wife now?

many thanks in advance
8 Responses
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300980 tn?1194929400
MEDICAL PROFESSIONAL
1. Yes
2.  there are not day-by-day data on HIV positivity rates- see the 4 week figure above.  EWH
Helpful - 0
Avatar universal
Sorry, last questions:

1. I tested negative at 27 days. Does this, combined with my relatively low risk encounter, mean it is time for me to forget this and move on?

2. How accurate is a standard antibody test at 33 days?

Thank you. I will ask no further questions.
Helpful - 0
300980 tn?1194929400
MEDICAL PROFESSIONAL
At 4 weeks a standard antibody test will detect about 90% of recently acquired infections. EWH
Helpful - 0
Avatar universal
So sorry for asking: but what is the reliability of this test 4 weeks post possible exposure?
Helpful - 0
300980 tn?1194929400
MEDICAL PROFESSIONAL
1. I've seen your responses regarding frottage/penetration. there was definitely no penetration here. my only real concern is whether he left any precum in my crack that a minute later he then pushed in with his condom covered penis.

As you might imagine there are no stiudies of this situation however, from all that we know there should be no risk.  

2. does the answer change here because his condom covered penis made me bleed a little when he tried to force himself in?

No

3. some on the community forum say that the virus is unable to infect as soon or within seconds of hitting the air. is this true?

It occurs almost immediately.  

3. am i corrrect in understanding that i can continue to have unprotected sex with my wife?

As I said, I would not worry.  

It looks as though you are being tested with a standard test for HIV antibodies. these are highly reliable and provide defintive evidence as to whether or nto infection has occured at 8 weeks after exposure.  EWH  

.
Helpful - 0
Avatar universal
sorry, one more:

my urologist gave me a requisition for testing. the form says "HIV-1 AB Screen". which HIV test is this and how long should i wait if I want: (i) a pretty reliable result; and (ii) a deinitive result?

thank you again
Helpful - 0
Avatar universal
Thank you for your response.

Just a few brief follow up questions:

1. I've seen your responses regarding frottage/penetration. there was definitely no penetration here. my only real concern is whether he left any precum in my crack that a minute later he then pushed in with his condom covered penis.

2. does the answer change here because his condom covered penis made me bleed a little when he tried to force himself in?

3. some on the community forum say that the virus is unable to infect as soon or within seconds of hitting the air. is this true?

3. am i corrrect in understanding that i can continue to have unprotected sex with my wife?

Helpful - 0
300980 tn?1194929400
MEDICAL PROFESSIONAL
Welcome to the Forum.  I have to admit, I have a tendency to worry about folks such as you and this sort of frottage which gets so very close to penetration. I will not debate you when you say that there was no penetration and will answer accordingly- just wanted to point this out however.  On to your questions:

1.is there any reason to be concerned since his saliva was used as lube for anal sex and because he made me bleed?
No, first you do not know that your partner had HIV. Even if he did, saliva is not an effective vehicle for HIV transmission. that his saliva was on the outside of the condom should not put you at risk for HIV.

2. i have no idea if, when he was rubbing his penis against my anus, there was any precum on his penis. would this pose a risk -- the idea being that there was his precum on my anus, which he then pushed either slightly inside me when he penetrated with his protected penis or into the slight tear in my anus which he caused?
See my comment above. While this should not be any sort of meaningful risk, the lines do begin to blur a bit.  If there is risk, it is quite small and far lower than unprotected penetrative sex.


3. my urologist and he said that when they talk about hiv not being able to infect in the outside world, that means like after 30 minutes, not as soon as it leaves the body. your thoughts?
I’m afraid your urologist is incorrect.  Even when it is in the body HIV lives less than 30 minutes.  Outside of the body HIV dies far more quickly, within minutes in most cases.

4. does this require testing? can i have unprotected sex with my wife now?
Overall this was a very low risk event. Based on your comments, there is virtually no meaningful risk for infection.   Testing is a personal choice.  I would not however, worry about sex with your wife.  EWH
Helpful - 0

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