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HIV Prevention and Testing => Do I Have HIV? => Topic started by: mikeyc on January 17, 2024, 10:38:55 am

Title: Encounter assessment
Post by: mikeyc on January 17, 2024, 10:38:55 am
Hello,
About 2/3 weeks ago I fingered a woman, and later had a fully protected vaginal intercourse with her. No condom failure was observed, as I examined it after the fact. After the intercourse, I noticed I had blood on the external side of my underwear, suggesting that she bled it as a consequence of fingering. She also briefly masturbated me before the vaginal intercourse. About 3 days ago I started experiencing a headache with a fever, swollen lymph nodes, and a rash on both hands. I didn't consider this encounter as an HIV risk (so I thought no PeP was required), but these symptoms are giving me reasons to worry. Do you see any HIV risk?
Title: Re: Encounter assessment
Post by: Jim Allen on January 17, 2024, 12:48:44 pm
Hiya,

The fingering lacks the conditions, including the route needed for you to acquire HIV; hence, nobody has acquired HIV this way and being masturbated also isn't an HIV risk.

Regarding intercourse, HIV can't be transmitted through an intact latex or polyurethane condom. The presence of some blood makes no difference whatsoever. and unless a condom obviously fails during intercourse, there is no reason to be stressing or testing for HIV outside the standard yearly HIV screening.

There was no need for PEP; relax and move on.

Quote
About 3 days ago I started experiencing a headache with a fever, swollen lymph nodes, and a rash on both hands.

Sorry to hear you are feeling unwell. See your healthcare provider so they can inspect the rash and treat it. Hope you feel better soon.

Here's what you need to know to reduce your HIV risks:
Use condoms for anal or vaginal intercourse correctly and consistently, with no exceptions. Consider talking to your healthcare provider about PrEP as an additional layer of protection against HIV

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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Title: Re: Encounter assessment
Post by: mikeyc on January 17, 2024, 01:05:12 pm
Hi Jim, and thanks for your reply!
My concern, in that case, would be the possible contact with her blood and my penis during the masturbation (eg. via my/her hands or the underwear). I am also uncircumcised.
Thank you for your time!
Title: Re: Encounter assessment
Post by: Jim Allen on January 17, 2024, 03:47:54 pm
Not an HIV risk.  You are not mentioning anything not already considered during the initial assessment.