HomeAnswersHIV/AIDS specialisthivCan HIV get transmitted through small cuts at the base of the penis?

Is there any chance of transmission of HIV via small cuts at the base of the penis?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Sneha Kannan

Published At July 29, 2020
Reviewed AtDecember 19, 2023

Patient's Query

Hello doctor,

I have had a sexual encounter (risky one) in which I wore a condom. At the base of the penis, I had three small cuts, which I sustained during shaving 5-6 hours before the encounter. The cuts were very small and not bleeding (bled a little bit when I sustained them, and two days later, they scabbed off). My concern is that vaginal fluid could contact these cuts since we did a cowgirl position where she sat on my penis. Is there any chance of transmission of HIV (human immunodeficiency virus) via these cuts since the skin on the penis is normally thinner than normal skin. Am I a candidate for post-exposure prophylaxis?

Hello,

Welcome to icliniq.com.

The chances of transmission of HIV (human immunodeficiency virus) by protected intercourse with an HIV-positive person is almost nil if used in the right manner. Here if there is an open or bleeding wound that has likely come in contact with infected fluid, there is a possibility of transmission of HIV, but if she is negative, there is no chance. You can get her recent HIV status if possible. Otherwise, If you feel the wound had dried and no contact with vaginal fluid, there is no chance. There is no possibility of transmission by intact skin-to-skin contact with HIV positive person. If still in doubt, you can go for a baseline HIV test as a routine. Consult your doctor for further assessment and taking PEP (post-exposure prophylaxis). PEP has to be initiated within 72 hours of risk exposure, preferably sooner the best.

Patient's Query

Thank you doctor,

It was a superficial abrasion that was not bleeding. I am concerned since the base of the penis is not always covered by the condom, so let us say the infected fluid came in contact with these abrasions, which were not bleeding before and after sex. What are the chances? Does a nonbleeding wound or abrasion offer entry to the virus?

Hello,

Welcome back to icliniq.com.

Usually, the possibility of transmission of HIV through intact skin is nil. With your scenario, it is unlikely to occur.

Patient's Query

Thank you doctor,

But it was a red-looking abrasion which I did six hours before the intercourse. I doubt you can classify that as intact.

Hello,

Welcome back to icliniq.com.

If the abrasion is red and not healed, there is the possibility of it not being intact. There can be the possibility of transmission if it comes in contact with infected fluid. If intact, there are no possibilities.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Basti Bharatesh Devendra
Dr. Basti Bharatesh Devendra

Dermatology

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