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Author Topic: Question about HIV transmission from female ejaculate + vaginal fluid  (Read 9378 times)

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Offline rc0330

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First of all, thanks for this website.  It is very helpful and informative.  I am sure there are many folks out there who are very appreciative of this resource.

After searching the welcome thread and this forum, I couldn't find an exact match to this first question below (with some follow-up questions). 

About four weeks ago, I received a handjob immediately after the sex worker masturbated and squirted (a fair amount of female ejaculate onto her hand).  This fluid was mixed in with some massage oil that was being used.  Therefore, her vaginal fluid and female ejaculate got in direct contact with the tip of my uncircumcized penis (not sure if there was menstrual blood in there as well).  Outside of this exposure, some got on my fingers, but I am pretty sure I didn't have any deep cuts.  There was no other penetrative exposure.  I also have genital herpes, but am not sure if it was active at the time.

Over the past month, I have been absolutely freaking out.  I tried to get in touch with this person, but have not gotten any response.  This made my mind race.  I got sick (headache, neck pain, back pain, congestion, genital irritation, etc.) for the past two weeks and haven't been able to sleep or think clearly.  Finally, I went to the doctor last week (a little over three weeks after exposure).  The doctor performed a full STD checkup and indicated that it will need to be repeated later to be fully conclusive.  The HIV blood test is the DNA PCR test (not sure if they will also run the AB test).  The results should come out this week or next and I am very concerned (which isn't helping my stress and anxiety levels).  I also went to see a mental health professional, and am working through some issues related to this anxiety and my family life.

I have a few questions:

1) I have seen repeatedly that vaginal fluid alone should not be able to transmit HIV in a handjob alone, but does the presence of female ejaculate or potentially menstrual blood change this (especially considering I am uncircumsized and have genital herpes)?
2) When these fluid(s) mixed with the massage oil, would that help or hurt the transmission chances?
3) After reading about the risks of false positives with the DNA PCR test, it scared me more,  If this 3 week test came back positive, would they automatically run a Western Blot and/or ELISA test?

Thanks again for all of your help. 
« Last Edit: April 26, 2009, 11:02:05 AM by rc0330 »

Offline Ann

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Re: Question about HIV transmission from female ejaculate + vaginal fluid
« Reply #1 on: April 26, 2009, 11:56:47 AM »
rc,

You did NOT have a risk for hiv infection. Even if the sex worker is hiv positive, you had NO RISK.

The only time vaginal fluids are going to infect you is when you put your unprotected penis INSIDE a vagina. You're not going to become infected from it when it's on someone's hands, including your own. None of the details you list make one bit of difference.

Hiv is a fragile, difficult to transmit virus that is primarily transmitted during UNPROTECTED anal or vaginal intercourse. Small changes in temperature, pH and moisture levels all quickly damage hiv and render it unable to infect. This means ANY type of masturbation is NOT a risk.

You don't need ANY hiv testing over this incident and you certainly did NOT need PCR testing. You need to know that DNA-PCR testing is NOT approved for diagnostic purposes because it has a high rate of FALSE positive results. The doctor was foolish for giving you a VERY EXPENSIVE test for a NO RISK exposure. Sounds like someone wanted your money.

You need to be using condoms for anal or vaginal intercourse, every time, no exceptions until such time as you are in a securely monogamous relationship where you have both tested for ALL sexually transmitted infections together. To agree to have unprotected intercourse is to consent to the possibility of being infected with an STI. Sex without a condom lasts only a matter of minutes, but hiv is forever.

Have a look through all three condom and lube links in my signature line so you can use condoms with confidence.

ALTHOUGH YOU DO NOT NEED ANY  HIV TESTING OVER THIS MASTURBATION INCIDENT, anyone who is sexually active should be having a full sexual health care check-up, including but not limited to hiv testing, at least once a year and more often if unprotected intercourse occurs.

If you aren't already having regular, routine check-ups, now is the time to start. As long as you make sure condoms are being used for intercourse, you can fully expect your routine hiv tests to return with negative results. Don't forget to always get checked for all the other sexually transmitted infections as well, because they are MUCH easier to transmit than hiv.

Use condoms for anal or vaginal intercourse, correctly and consistently, and you will avoid hiv infection. It really is that simple!

Ann
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"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline rc0330

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Re: Question about HIV transmission from female ejaculate + vaginal fluid
« Reply #2 on: April 26, 2009, 10:15:07 PM »
Thanks Ann.  This helps put my mind at ease a bit until the test results come in (full panel of std's).  I hope I won't be one of the people with a false positive PCR!

If the PCR is positive, do they run a WB or ELISA AB test as a backup?

I cannot blame my Doctor as when I went in I was freaking out that I had put myself in certain risk of contracting HIV due to the exposure to the bodily fluid.  I think I convinced myself that I had every symptom of every major STD. 

I appreciate your help!

Offline Ann

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Re: Question about HIV transmission from female ejaculate + vaginal fluid
« Reply #3 on: April 27, 2009, 04:03:47 AM »
rc,

You might not blame your doctor, but I do. Doctor's shouldn't be ordering tests they know nothing about. If your doctor knew anything about the test, he wouldn't have ordered it. In fact, if he knew anything about hiv transmission, (which in this day and age, ANY doctor should know, no excuses!) he would have simply reassured you and said you don't need testing.

A doctor who knows what they're doing will not assume you are hiv positive based on a DNA-PCR test. ANY PCR testing MUST be backed up with BOTH a positive ELISA and a positive WB before you can be considered hiv positive.

I sincerely hope that your doctor, in his ignorance, hasn't caused you more anxiety (with a false positive PCR) in trying to calm you down over this (I'll say it again) NO RISK INCIDENT. PCR testing often takes up to two weeks to come back from the lab - which puts you around week six. The doctor - if he knew what he was doing - could have made you wait the two weeks and had you take a rapid ELISA test, as most people will seroconvert and test positive on the antibody tests by six weeks. WHERE THERE HAS BEEN A RISK, a six week negative must be confirmed at three months.

Good luck with the PCR - but don't you dare panic if it comes back positive. You didn't have a risk.

Ann
Condoms are a girl's best friend

Condom and Lube Info  



"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline rc0330

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Re: Question about HIV transmission from female ejaculate + vaginal fluid
« Reply #4 on: April 27, 2009, 09:13:53 AM »
Thanks again for the re-assurances and the answers to my questions.  My anxiety spiked a lot when I couldn't get a hold of the other party.  After this started, my mind raced on and on and on.  Have a nice day!


Online Andy Velez

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Re: Question about HIV transmission from female ejaculate + vaginal fluid
« Reply #5 on: April 27, 2009, 09:33:50 AM »
RC, like Ann I don't see even the remotest kind of risk for HIV transmission in what you have reported. And unfortunately your doctor seems to be totally out to lunch about HIV and encouraging you to be tested. A waste of money and assets. Totally. He maybe a wonderful doctor for other things but he needs to become way better educated about HIV.

However, you said something which I do want to comment on. You mention your anxiety spking when you couldn't get a hold of "the other party." Asking questions of the person you had sex with is not only totally inappropriate it also will NEVER give you any reliable information about your HIV status. Even a well meaning person doesn't always know their HIV status accurately. I hope you won't ever have a genuine risk in the future through unprotected intercourse, but if that does happen, the ONLY way for you to know reliably what your status is will be by your getting tested at 13 weeks after the event. Everything else is strictly hearsay and HIV status is not something to be judged by hearsay.

Andy Velez

Offline rc0330

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Re: Question about HIV transmission from female ejaculate + vaginal fluid
« Reply #6 on: April 27, 2009, 08:35:42 PM »
Great advice Andy.  Again, I appreciate your hard work and this web site's existence.

 


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