Okay, thanks for your responses doctor.
From your description, I see no realistic chance that your partner's semen actually contacted your urethra. If it did, it was in such miniscule amount it would not have a measurable risk of HIV transmission. It doesn't matter whether or not HIV "dies quickly...in the mouth. Oral exposure carries little risk; the detailed reasons don't matter.
You seem to assume that exposure to "just one virus" is enough for HIV transmission. It takes large doses of virus that have to directly access susceptible cells. If the highest sexual risk, anal sex with intra-rectal ejaculation, carries a transmission risk no more than 1 in 100 episodes, what can it possibly be from the sorts of exposures you describe?
Re-read my initial reply, including the comment about over-analysis. No more comments, please; I won't have anything mroe to say on this thread. Time to move on. And continue to work with your mental health provider about that OCD.
Oh my last follow up question is in regards to #1, so even if the skin is eroded away down to the layer where it is stingy, there's no risk of blood exposure?
Thanks again and sorry if I'm over analyzing this. It can be kind of hard with my anxiety disorder.
Take care.
Oh yes, I had one more question about #4. Does HIV die quickly when it's in the mouth? Is that considered to be an exposure to an open air environment in which it would die in 30-60 seconds?
Thanks.
SO semen getting into the urethera is no risk? How come blood getting in there during anal sex causes it?
I'll go directly to your questions.
1) No semen contact with skin is likely to result in HIV transmission, regardless of irritation from soap, masturbation, or anything else.
2) Hand contact with sexual secretions also carries no measurable risk, regardless of the skin condition you describe.
3 and 4) No risk here either.
5) Can I guarantee 100% no risk? No. Has anybody ever been known to catch HIV by such exposure? Also no.
6) Low risk but not zero.
You are over-analyzing things, undoubtedly a symptom of your OCD. Get this straight: ask about your partners' HIV status and share your own with any and all partners; avoid sex with those who are positive or whose answers are evasive (even when safe sex is planned); and use condoms for anal sex. That's it for safe sex. Do those things and you probably will never catch HIV.
If you are nervous about the sorts of exposures you describe, it seems to me you have 2 choices: a) Don't have them and/or b) have an HIV test once in a while so that the negative results will help calm your fears.
Good luck-- HHH, MD