Risk to HIV

[Neveragain51]

I recently did something really out of my charater and stupid firt time in my life ! now i get really worried...

Three weeks ago ,i  broke up with a girl i was dating ( we never had sexal activies) ,then i feel  really depressed and visisted  the  brothel in Sydney redlight district three times in the following week.  I received unprotect oral sex and protect vagina sex from the first girl. When she give me the BJ, she did it with listerine mouthwash liquid for a minute.(Not sure whether this will increase the risk to infect to HIV?)

For the second and third girl , i had proctected oral and vagina sex with them at the two and four days later after the first visit. However after i had sex with the second girl, i found my knee has a small bleeding wound - the bed matress was too rough and my knee rub to bleed.( but no her vagia liquid or blood contact my wound). i did not really worry at that moment since i was still in the bad mood of the broke up.   Two days later after last visit ,I calm down and  start to panic to HIV infect.  then i star to google "HIV" - more i know it ,more scared i am .  For the last 19 days,the scary is over the ceiling - i could not sleep and eat well , could not concentrate on my work and fell really tired  every day , my throat start to be sore.....

Dr , What is my risk to HIV? Any suggestion for my circumstance ?    Really appreciated your help !

[Neveragain51]

Thanks Dr , Now this is all clear in my mind.

[Edward W Hook, MD]

The issue is that HIV is present in blood. Therefore introduction of blood deep into tissues (such as when it is injected) can lead to infection.  In contrast, because the virus is fragile and does not live well outside of the body, surface contamination of cuts and scrapes is not a problem.  Further, HIV is NOT transmitted on inaimate objects such as bed sheets, door knobs, glasses, etc.  You are not at risk.  EWH

[Neveragain51]

Dear Dr Hook ,

Thank you for you quick reply and valuable advcie.You are right! , i had little knowledge about "HIV" before the above things happend. so i get really panic after i search "HIV" from internet.

There is  still one thing i am not really sure..... The blood infection is one of the commom HIV intections methods, what does this specificly mean?  For my abrasion on my knee,it did not contct any her her vagina liquid or blood....but is that possible some her liquid leaking on the matress may contact my wound ( the room was really dark)... Sorry ! my question may sound silly !

Once again really apprecaited all your help!

David

[Edward W Hook, MD]

Welcome to our Forum. I think you misunderstand your risk for HIV.   HIV is not a common infection and it is difficult to transmit.  In licensed brothels, the sex workers are regularly checked for STDs, including HIV and this, with the use of condoms, makes acquisition of STDs in these settings very, very uncommon.  

In your own situation, you are not at risk.  Condom protected sex is safe sex and there are no credible instances in which HIV has been proven to be transmitted by oral sex.  This is true with or without mouthwash. Further, the abrasion on your need does not put you at risk either. HIV is not spread on inanimate objects.  

Thus, the activities you describe do not put you at risk for HIV. There is no medical reason for testing and no reason to be concerned.  If you need to get tested for your own peace of mind, wait until 4 weeks after your exposure, then get tested with  DUO (combination HIV p24 antigen/HIV antibody) test.  The negative test result at 4 weeks will provide unequivocal proof that you did not get HIV from the exposures you describe. I hope my comments are helpful.  EWH