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AIDS Vancouver

Prevent. Act. Support.

HIV risk

Original Post Date: 
Tuesday, January 31, 2012
Question: 

I had protected sex with a masseuse in Bangkok on 28 Jan. She had been giving me an oil massage on my back and legs, then she went and showered and came back and we had intercourse. She helped me put on the condom and pinched the tip. I am worried abou whether she could have got oil on her hands during foreplay by touching me and if it could have got onto the condom and damaged it.

I also had brief uncovered oral during foreplay.

I was rubbing her pubic mound and clitors and felt some wetness. I had slightly injured the nail of the finger I was using, while opening a can two days previously and there was a small bruise under the fingernail (not bleeding however) and the nail was a little looser because of the damage but healing. Is there any possibility of her vaginal fluid having got under my fingernail. I don't think it did but can't be sure.

As it is only three days so far I haven't got tested but am planning to get a PCR test after 10 days. I have also started PEP (after about 65 hours after exposure).

Answer: 

 

Hi there and thank you for using the AIDS Vancouver online helpline as your resource for HIV/AIDS related questions. 

Protected sexual intercourse is considered a low risk activity. Using a condom is still the most effective way to prevent the spread of HIV and other STIs, because if the condom did not fail or break, then there is really no way for HIV to get through the latex or polyurethane of the condom. However, even if the condom did break (or possibly damaged by the oil, as you mentioned), the risk is still substantially less than unprotected sex. Receiving oral sex is considered negligible risk, because although it does present a potential for HIV transmission, there has never been a confirmed report of this happening.

In terms of you vaginal fluid getting into your fingernail, it presents a highly unlikely case. If there was not a cut or open sore that could provide direct access to the bloodstream, then HIV transmission is not possible.

It is good to hear that you are planning to get tested, since protected sex does present a low risk of HIV transmission. The PCR test has a window period of 2-3 weeks after exposure. Since you are taking PEP, however, test results will only be completely conclusive 3-6 months after finishing the 1-month of PEP treatment. It is still great that you are going to get tested right away, just keep in mind that PEP treatment can delay seroconversion, and you will have to re-test again for conclusive results.

Hopefully this answers your question, and if you have any other questions or concerns, please feel free to call or email us.

Take care,

Stephanie

AIDS Vancouver Helpline Volunteer

e: helpline@aidsvancouver.org

p: (Mon-Fri 9-4pm ): (604) 696-4666

w: www.aidsvancouver.org/helpline

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