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Condom broke during anal sex

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ilvek55:
A person I don't know spat in the air. And a few drops of it got into my eye. If there is blood in his saliva, does it put me at risk for hiv?

Jim:
Zero HIV risk. Relax and move on with your life.

Here's what you need to know to reduce your HIV risks:
Use condoms for anal or easier-acquired correctly and consistently, with no exceptions. Consider talking to your healthcare provider about PrEP as an additional layer of protection against HIV and get vaccinated against HPV, Hepatitis A & B.

Keep in mind that some sexual practices described as safe in terms of acquiring HIV still pose a risk for other easier-acquired STIs. So please do get tested at least yearly for STIs, including but not limited to HIV, and more frequently if condomless intercourse occurs.

Also, note that it is possible to have an STI and show no signs or symptoms; testing is the only way to know.

Kind regards

Jim

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ilvek55:
Thank you but i ve heard that if someone has blood in their mouth it could have been a small risk. Because it landed right to my eye. If the person had blood in the spit, this doesnt change outcome right? I still have time for pep. How should i proceed?

Jim:
Nobody has ever acquired HIV the way you fear and unless the person was bleeding to death and vomiting blood into your face, it's zero HIV risk. Also even if they were bleeding to death into your eyeballs I would rate the HIV risk in theory as negligible but thankfully that didn't happen.

Were to start, so yes, saliva often contains blood or a trace amount of blood, however,  HIV is fragile, the receptors needed to infect corrode in the environment outside the confines of the body, leaving it unable to infect and saliva is also hostile towards HIV by damaging the receptors needed to infect human cells, your concern also lack the quantity for you to be infected, the eye is a very poor route and not to mention the innate immune system that even when exposure does occur most often prevents HIV but there wasn't an exposure and there are a few other barriers to this concern, but in short, your concern lacks all the environmental and biological conditions that need to simultaneously occur for there even to be a risk of acquiring HIV.

Hence it makes sense nobody has ever acquired HIV the way you fear, it's a common misunderstanding or myth but you will not be the world's first.

These barriers have been known and scientifically explained since the mid-90s and reconfirmed many times since then, move on with your life and I wish you well but please do not post about this again. Thank you!



HIV cannot be transmitted by spitting, Use of spit hoods not justified to protect emergency workers from HIV.

Cresswell FV et al. A systematic review of the risk of HIV transmission through biting or spitting: implications for policy. HIV Med, online edition. DOI: 10.1111/hiv.12625 (2018).
 
Saliva neutralizes HIV-1 infection by displacing envelope gp120 from the virion.

Int Conf AIDS 1998 Jun 28-Jul 3; 12:267 (abstract no. 21143)

Malamud D, Nagashunmugan T, Friedman HM, Davis CA, Abrams WR
Dept. Biochemistry Univ. Penn Dental Med., Phila 19104-6003, USA.

BACKGROUND: Incubation of HIV-1 with human saliva decreases infectivity. This inhibition is specific for HIV-1, with no effect on adenovirus, HIV-2 or SIV and appears to work at the level of the virus rather than the host cell. We have now identified an active protein fraction and provide evidence that the mechanism of action involves stripping of gp120 from the virus.

CONCLUSION: The specific inhibition of HIV-1 infectivity by human submandibular saliva is associated with removal of gp120 from the virus. The active fraction contains several proteins, including two high molecular weight glycoproteins.

http://www.aegis.com/conferences/4croi/412.html

Mechanisms of anti-HIV-1 activity of human submandibular saliva.
Conf Retroviruses Opportunistic Infect 1997 Jan 22-26; 4th:140 (abstract no. 412)
Nagashunmugam T, Malamud D, Davis C, Friedman HM; University of Pennsylvania, Philadelphia, PA.

http://www.aegis.com/conferences/12wac/60770.html

Neutralizing effect of secretory IgA to HIV in parotid saliva of HIV-infected patients.

Int Conf AIDS 1998 Jun 28-Jul 3; 12:1142 (abstract no. 60770)

Moja P, Desgranges C, Pozzetto B, Lucht F, Genin C
Gimap University of St.-Etienene, France.

BACKGROUND: The aim of this study was to test S-IgA purified from secretions of HIV seropositive patients in a neutralization assay to determine whether specific S-I&A can protect from HIV infection.

CONCLUSION: These data demonstrate that secretory IgA, which is the predominant isotype in secretions, can inhibit HIVMN infection of MT4 cells. HIV neutralization has been carried out with CD4+ T cell line adapted virus strain as a standardized model system, but the use of mucosal autologous primary isolates in neutralization test would be useful to estimate the actual protective effect of these antibodies in each patient.

Myths:
Spitting, Discarded syringes & myths on transmission in the media
https://forums.poz.com/index.php?topic=72874.msg

Australia being stuck in the 1980s.
https://forums.poz.com/index.php?topic=64757.msg

ilvek55:
 I am in thailand i was with a ladyboy. I tried to penetrate her 1-2 times i was in for a little bit for seconds and i realised comdom broke i panicked and we switch to oral sex. So how i my risk very big? Should i go for pep. Its been 1 day. Should i take pep or should i wait for 2 weeks and get duo test. It is the beginning of my holiday and if necessary i can find pep it thailand. Thank you.

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