Menstrual blood on genital warts... HIV risk?

[Ulysse]

Dear Doctor,

I have two small genital warts on the base of my penis. I treated them in the past but they still come back. Today I had a protected sexual encounter with a CSW and I realized during the intercourse that quite a lot of menstrual blood is covering the condom but also the base of my penis and so the warts. I stopped immediately and carefully removed the condom which was intact and perfectly protected the covered area including the head of the penis.

My question is: can I be infected with HIV from this encounter and do I need PreP? Please also note that I shaved the base of my penis (but not touching the warts) two days ago without any visible cut.

Thanks much in advance for your kind help.

[Ulysse]

Thank you again. My concerns are nurtured by this study (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2873838/) showing that HPV infected men are more likely to get HIV, suggesting an increased vulnerability to the virus (maybe through a permeability of the warts?).

[CurfewX]

It only increases risk if you had a risk to begin with.  You did not have ANY RISK, and HPV does not increase the risk from zero.  It does not change a non-risk activity into a risk activity.

[Ulysse]

It depends. It would be true if the increased risk is from the fact that HPV diminish the immunity so that the infected subject is more prone to HIV infection. I would be more sceptical if the increased risk is due to the fact that HIV is more likely to infect HPV infected subjects because their skin barrier is fragelized (warts). In that case, receiving a potentially infected fluid such as blood on these areas could present a risk.

[CurfewX]

My final word on this subject, since you have decided you may have had a risk when you did not:  Nobody gets infected with HIV this way, and neither will you.

[AnxiousNoMore]

Ulysse there are 40 years of HIV history showing oral is not a risk, so it is unlikely anyone in the next 40 years of your life will get it from oral either. You can't compare your guesses about disease transmission which are based on trying to put science together with only some Googling data but no experience in the field, to that of an HIV research doctor who does nothing else.

[Ulysse]

Thank you CurfewX for your prompt response. I share totally your view but what I am looking for here is a medical advice on the permeability of the skin to HIV when covered by a wart (or recently shaved). If my skin was intact I would never ask the question. Thank you again.

[CurfewX]

??? I just told you it wasn't a risk.  End of story.  There's nothing more to say.

[CurfewX]

As an adult, the only risks for HIV are:
1) having unprotected, penetrative vaginal or anal sex, or
2) sharing IV drug needles with other IV drug users.

If you don't do either of those activities, you will NEVER have to worry about HIV.  Nothing else you can think of, including the event you described, is a risk for HIV, no matter what.