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Can HIV Be Contracted Through Protected Sexual Intercourse?

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Posted on Wed, 27 May 2015
Question: Hello !

I would like to ask you a question !

I had sex with women whose HIV status was unknown – but I used condom and everything was correct. But before sex act I touch her perineum ( area of vagina)
through tights. She was horny and her vagina was wet – as I touch her wit my hand after sex I saw on one of my fingers near nail corner small nail part was broken apart as it happens some times – but it was not as wound and no cut, just small little red part in corner of nail and little bit pain as it happens when you cut nail with scissors and small corner of nail broke down maybe there skin was little bit weaker but as I said it didn’t seams as wound or cut. And as it happened earlier than sex act – it should be star to heal. And as I didn’t put my finger inside her vagina and didn’t contact vagina secret, I just touch her perineum ( area of vagina) through tights wit other part of finger not that side that nail has little cut of, maybe small amount of vagina secret touch that part of finger , but I thin I m thinking too much – as I understand risk of catching HIV is very small or astronomic small. And I m thinking to much and should not be stress out !!

Is it so ??
doctor
Answered by Dr. Sanjay Kumar Kanodia (1 hour later)
Brief Answer:
There are negligible or to say frankly no chance of HIV in your case.

Detailed Answer:
Hello,

Welcome and thanks for posting your query to the forum.

I can understand your part of stress related to possibility of HIV after the act mere touching the perineum and related part of small broken corner of nail.

Let me first reassure you fully that there are negligible or to say frankly no chance of HIV in your case.

To tell you medically and scientifically regarding above part of explanation:

1.Frankly speaking you do not have any cut open wound or open sores on your fingers. It is just a small corner of nail which is broken and it gets healed up quite early. So again the chances are nil. As the most important source of entry are the open oozing cuts. Minor abrasions are again of less importance if present.

2. You do not know the status of the strip dancer- meaning whether she had any STDs or worse of all HIV infection. So there are 50% chances of her negative status. Even if we consider positive status to any of the sexually transmitted diseases or HIV then you should understand that all these microorganism are very fragile. These becomes dead as soon as it comes in contact with open environment.


3. The above fact is also supported by the medical terminology known as "infective dose" of any microorganism- whether bacteria or virus. It means the minimum amount or number of organism necessary to cause any infection. So in the mere touching the perineum without any breech in skin would not be able to pass on into one individual to another.

Lastly you should know that any sexually transmitted disease or most serious of all HIV infection do not spread by mere touching. You just touched the perineum which is as simple as we touch one another or hug or shake hands with any other person.

So kindly rest assured about chances of HIV infection. Enjoy the day.

Hope the information provided would be helpful to you. If you have any further questions, I will be happy to help.

"Wish you good health"

Regards,
Dr Sanjay Kumar Kanodia
(MD- Dermatology & Sexually Transmitted Diseases)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sanjay Kumar Kanodia (38 minutes later)

1.     How do you know do you know that she was strip dancer ?

She was just simple girl whom I know but I don’t know her HIV status !


As I when I went home washed my hand was observing my finger and nail – a saw that finger corner near nail was read skin was sensitive, I put a salt on that place and felt little bit burning – and small pain – it means there was a very small skin damage and salt was burning it. But I did saw it as open wound with blood noting like that.

So you say as it was not as wound and cut wit blood the HIV transmission risk is zero?
And your answer -

Even if we consider positive status to any of the sexually transmitted diseases or HIV then you should understand that all these microorganism are very fragile. These becomes dead as soon as it comes in contact with open environment.
-


HIV die when it dry out – when it is wet it survive – that’s why it survive in syringe.
I its mistake to say HIV becomes dead soon as it contacts open environment.
It die when it dry out or is disinfected. Of course small amount of vagina secret on winger will dry out very soon and it wont survive long on skin.


It is said in all literature!







doctor
Answered by Dr. Sanjay Kumar Kanodia (36 minutes later)
Brief Answer:
I have not observed even a single case of HIV by your kind of exposure.

Detailed Answer:
Dear young fellow,

Welcome back and thanks a lot for your swift follow up.

Regarding your further queries: As you put salt on the area, you felt bit burning. I can interpret the burning was not sever enough to cause a strong irritation. We know that in cut open open wounds the burning is quite strong when incidentally it comes in contact with salt. In your case it was not as strong which mean that the area was almost healed up without any oozing.

So as per above the chances are negligible in your case.

You know that you touched the perineum area ans not directly the vaginal area. In such a cases the chances are almost negligible. Had there been any contact inside vagina or had the female partner (I am sorry to interpret her as strip dancer) have had blood discharge then there could had been chances. In your case it was mere touching at perineum and not near vagina so you can relax for nay possibility of HIV.

For the part of HIV and its infectivity: It is the virulence of the infective particle which decides the potential to get multiplied. It is inhibited as the virus comes in contact with air. Even if we say that there is some infectivity possible in HIV particle then as I said earlier that for every infection there is "infective dose" of every virus. It required gallons fluids containing HIV virus to cause infection in your kind of exposure.

Above and all on the basis of my own clinical experience I reassure you that the chances are nil in your case. I quite often counsel your kind of cases in my clinic where young person like you are quite stressed. I have not observed even a single case of HIV by your kind of exposure.

So allay all your fears and do not worry.

"Wish you good health"

Regards,
Dr Sanjay Kumar Kanodia
MD- Dermatology & Sexually Transmitted Diseases
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sanjay Kumar Kanodia (8 hours later)


I found materials in internet – it said that you can get HIV transmission from HIV virus could pass through tears (cuts) around the cuticles of the hand. Situation that was the same in my case !



Fisting" is the insertion of the fingers, or the entire handinto the anus. It might be considered a form of anal intercourse. Accordingto a statistical study, fisting carries a slight risk for the insertivepartner. There is little risk for the receptive partner. The risk to theinsertive partner probably comes from contact with feces or with bloodfrom the anus. People's hands often have small, invisible wounds aroundthe cuticles of the fingernails; these may provide doorways into the bodyfor the virus. Or, there could be an anus-to-hand to mouth transmissionof the virus. This increased risk for the insertive partner could be astatistical quirk. If the risk does exist, no one yet knows its true cause.


http://aids.hallym.ac.kr/infection.html


Fisting/no gloves -- Fisting refers to inserting the entire hand into the rectum or vagina When people talk about fisting they almost always mean anal fisting, but the precautions are the same for boric It is difficult for many people to understand where the risk comes from in fitting. It is included in the unsafe category for several separate reasons. First, early epidemiology of AIDS showed a correlation between fisting and often engage in anal intercourse. Also, during fisting, cross-contamination from semen, or possibly pre-ejaculate, can occur when the hand comes out for a moment, the top masturbates briefly and the fist is reinserted. Second, fisting causes considerable trauma to the tissue in the rectum and colon (or vagina). If any infected fluid is present, it gets very easy access to the bloodstream. There may be additional risk to the top from the virus entering trough cuts on the hand or the cuticles. For anyone who is going to continue fisting, precautions can be taken. Examination or surgical gloves should offer considerable protection, especially for the top. Wearing a condom on the penis to prevent cross-contamination is also a very good idea No anal intercourse, even with a condom, should be done during the same session. Unshared sex toys can be used.
http://web.stanford.edu/group/viva/facts/visibility.html




First, let’s clear up the cuticle confusion. Yes, transmission of HIV could occur via contact with a mucous membrane and it also can happen via contact with the blood stream. If someone is HIV positive, HIV would be present in both their vaginal fluids and bloodstream, which means it could be transmitted from vaginal fluids into a small cut or tear on one’s hand or cuticles, or from blood into the cut (if there is any blood in the vagina or anus of the recipient). Blood could be present from menstruation or just from the friction of the sex. More lube equals smaller chance of the latter.
http://goaskalice XXXXXXX edu/hiv-transmission-cunnilingus-or-receiving-oral-sex




About your answer

For the part of HIV and its infectivity: It is the virulence of the infective particle which decides the potential to get multiplied. It is inhibited as the virus comes in contact with air.


I did not find any publication where it is said that HIV is inhibited when it contact the air. I is said that it doesn’t survive outside body long time and its infectivity is inhibited when it dry out.


As experiments are done in laboratory with high HIV concentration – the expert conclusion is HIV die as it dry !

How well does HIV survive outside the body? Scientists and medical authorities agree that HIV does not survive well outside the body, making the possibility of environmental transmission remote. HIV is found in varying concentrations or amounts in blood, semen, vaginal fluid, breast milk, saliva, and tears. To obtain data on the survival of HIV, laboratory studies have required the use of artificially high concentrations of laboratorygrown virus. Although these unnatural concentrations of HIV can be kept alive for days or even weeks under precisely controlled and limited laboratory conditions, CDC studies have shown that drying of even these high concentrations of HIV reduces the amount of infectious virus by 90 to 99 percent within several hours. Since the HIV concentrations used in laboratory studies are much 4/7/2011 HIV Transmission | Questions and Answ… cdc.gov/hiv/…/transmission.htm 1/8 higher than those actually found in blood or other specimens, drying of HIV-infected human blood or other body fluids reduces the theoretical risk of environmental transmission to that which has been observed–essentially zero. Incorrect interpretations of conclusions drawn from laboratory studies have in some instances caused unnecessary alarm. Results from laboratory studies should not be used to assess specific personal risk of infection because (1) the amount of virus studied is not found in human specimens or elsewhere in nature, and (2) no one has been identified as infected with HIV due to contact with an environmental surface. Additionally, HIV is unable to reproduce outside its living host (unlike many bacteria or fungi, which may do so under suitable conditions), except under laboratory conditions; therefore, it does not spread or maintain infectiousness outside its host.
http://www.wiredhealthresources.net/resources/NA/CDC-HIV_TransmissionBasics.pdf

doctor
Answered by Dr. Sanjay Kumar Kanodia (17 hours later)
Brief Answer:
I have not seen HIV transmission by mere touchign the perinium.

Detailed Answer:
Dear young fellow,

Welcome back and thanks a lot for your further follow up with all the details.

I have gone through each and every point you have written. After analyzing the complete query let you understand first that your part of exposure is totally different from the basic condition you have mentioned.

As I can get you have basically searched on "fisting" whcih is totally different form your kind simple trivial touching the perineum. So do not get confused for the fisting part and do not correlate yourcondition with fisting kind of situation.

Further to explain you that as I have already explained that if your female partner have had blood discharge then there could had been chances of infection. You have also mentioned the same above where blood discharge can be a source of transmission. But you know that in your case it was mere touching at perineum and not near vagina. Also you have not mentioned that you saw any blood discharge on your hand. So we can very well assume that your female partner was not menstruating, making it practicality impossible to transmit the virus.

Adding to the above fact, as I have already explained you the concept of "Infective dose". Mere touching is not a source of transmission in HIV virus. There requires gallons of fluids containing HIV virus to cause the same. Had it been possible then most of this world's population would have had HIV infection ....which is actually not!!!

Most of your internet searches are based on laboratory conditions. The laboratory conditions are totally different form the practical environment of exposure. As a clinician I have counseled so many cases where I have not seen this mode of transmission even in single case.

So just relax and do not worry.

With regards,

Dr Sanjay
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sanjay Kumar Kanodia

Dermatologist

Practicing since :2002

Answered : 4165 Questions

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Can HIV Be Contracted Through Protected Sexual Intercourse?

Brief Answer: There are negligible or to say frankly no chance of HIV in your case. Detailed Answer: Hello, Welcome and thanks for posting your query to the forum. I can understand your part of stress related to possibility of HIV after the act mere touching the perineum and related part of small broken corner of nail. Let me first reassure you fully that there are negligible or to say frankly no chance of HIV in your case. To tell you medically and scientifically regarding above part of explanation: 1.Frankly speaking you do not have any cut open wound or open sores on your fingers. It is just a small corner of nail which is broken and it gets healed up quite early. So again the chances are nil. As the most important source of entry are the open oozing cuts. Minor abrasions are again of less importance if present. 2. You do not know the status of the strip dancer- meaning whether she had any STDs or worse of all HIV infection. So there are 50% chances of her negative status. Even if we consider positive status to any of the sexually transmitted diseases or HIV then you should understand that all these microorganism are very fragile. These becomes dead as soon as it comes in contact with open environment. 3. The above fact is also supported by the medical terminology known as "infective dose" of any microorganism- whether bacteria or virus. It means the minimum amount or number of organism necessary to cause any infection. So in the mere touching the perineum without any breech in skin would not be able to pass on into one individual to another. Lastly you should know that any sexually transmitted disease or most serious of all HIV infection do not spread by mere touching. You just touched the perineum which is as simple as we touch one another or hug or shake hands with any other person. So kindly rest assured about chances of HIV infection. Enjoy the day. Hope the information provided would be helpful to you. If you have any further questions, I will be happy to help. "Wish you good health" Regards, Dr Sanjay Kumar Kanodia (MD- Dermatology & Sexually Transmitted Diseases)