Hiv Frottage With Possible Penetration?

[NickJ330]

Hello Dr,

Saturday I made a horrible decision to mess around with a new guy Ive been dating. We were messing around and he was on his back and I was on top of him straddling him. For a slight moment I felt a little pressure on my anus from his penis. I don't think he penetrated all the way. It had to be minimal if any We were both a little drunk as well. I know it was a horrible decision. If he had penetrated me for a second or two even minimally which I am not sure. It didnt hurt or feel any pain. I am a virgin as I had always stuck to safer sex activities. What would my risk of hiv infection be? I am real scared and its making me sick thinking about it.

[Edward W Hook, MD]

This is a judgement call.  Penetration is different from pushing on the entrance to your rectum during frottage.  I cannot answer this for you. EWH

[NickJ330]

So penetration as maybe lets say half an inch to an inch for one second. Would that be a high risk? I mean. Im just worried the penetration may have been so slight it just felt like frottage?

Thanks Doctor,

[Edward W Hook, MD]

Welcome to the Forum.  I'll try to help but there are important questions that only you can answer.  First, HIV is sexually transmitted in adults only by penetration.  No penetration, no risk.  So the question becomes did he penetrated you or not.  It sounds as though this was not the case but obviously, I do not know this.  It would be most unusual for him to have penetrated you and you not being aware of this.  You could also ask him it this was the case.

The second question, of course, is whether or not he is infected.  He said he is not and indeed most people do tell the truth.  it might be appropriate to ask him additional questions such as when he was last tested and how many people he had had sex with then since then.  All of this will help you to determine your risk IF penetration even occurred.  In the best of all possible worlds, he would agree for the two of you to go to get tested together at this time.  If he is negative at this time, statistically the risk that you were infected in incredibly low and you can stop worrying.

Finally, you mention you are a virgin and that you may have made a bad decision.  I agree. time for you to seriously consider measures to keep yourself safe as you move forward,  condom use is a big part of this.

I hope these comments are helpful.  I suspect that your risk form this encounter is low however without knowing some of the details I have mentioned above, there is no way to know.  EWH