Does a rough handjob resulting in wound carry a risk of HIV or any STDs?

Hi,

Welcome to icliniq.com.

For HIV to transmit there has to be some exchange of infectious fluid like either blood semen or vaginal fluids or contact with infected mucosal surfaces like genital or anal mucosa e.g., during a sexual intercourse. A handjob is absolutely safe as it does not involve an exchange of any of these infectious fluids. Skin is not infectious as the virus is fragile and does not survive on the skin or dry surface unlike genital mucosa, which is moist.

Hi,

Welcome back to icliniq.com.

There is no risk because the virus does not survive on the skin. So even if she was HIV positive her skin would not have been a source of infection to you despite the handjob resulting in a wound. No screening test is required. As for the black spot is concerned I request you to kindly upload a few images of the affected area so that I am able to guide you better.

Hi,

Welcome back to icliniq.com.

It is a genital lentigo (attachment removed to protect patient identity). It is completely benign and a normal finding in many. It is not due to any STD (sexually transmitted disease) or trauma.

Hi,

Welcome back to icliniq.com.

There was no risk of acquiring any STDs including HIV, from that particular physical contact or handjob. There is no need to test. You can have a normal daily life. Genital lentiginosis is not a cause for concern and no intervention is required for it.

Hi,

Welcome back to icliniq.com.

Perhaps the wound that you sustained at that time during handjob had got infected that is why it had pus. Anyways it could not have been an STD. Genital warts or HPV (human papillomavirus) infection are usually transmitted during sexual intercourse. Not through hands. The black spot on your glans is not a wart. It is a lentigo. I am sure about that.

Hi,

Welcome back to icliniq.com.

By wound infection, I meant skin infection commonly, Staphylococcus aureus. Not HIV or any other STDs. Since your physical contact (handjob) was not a risk for STDs or HIV, therefore there was no need to screen. However, STD or HIV screening tests just four days after a potential risk exposure are too soon. It will not reveal anything. Also, a fourth generation HIV screening test has a window period of two to three weeks, so it is considered reliable only after three to four weeks of risk exposure. Not at 17 days. What was your HIV test? Was it a fourth generation HIV screening test? Or was it a rapid HIV screening test?

Hi,

Welcome back to icliniq.com.

If it was an antigen-antibody test that means it was a fourth generation HIV screening test. I do not think that you even needed to test because a handjob is never a risk for transmission of HIV unless infectious fluids of the person performing handjob are involved like blood, saliva or vaginal fluids which may happen e.g., if she was having her vaginal fluids on her hands or had a deep freshly bleeding cut on her hand.

Intact skin surface is not a source of infection even if the person performing handjob is infected with one or the other STDs as STI causing microbes do not survive outside the body or on dry surfaces. Considering that, even if you had a cut or wound on your penis, it does not change anything as long as she did not have any of those infectious fluids on her hands.

Hi,

Welcome back to icliniq.com.

Even if she had a cut on her hand but if that was not actively bleeding at that time, it is not an issue. If there had been a bleeding cut certainly you would have noticed some blood on her hands or on your body. Yes, of course, you can have sexual contact with your long-term partner.

Hi,

Welcome back to icliniq.com.

An Elisa for ab/ag becomes positive by 18 to 45 days after risk exposure. By 4 weeks it is positive in 99 % of those infected. So, at 5 weeks and 4 days, your test is fairly reliable. You anyways do not need to screen for HIV considering the nature of exposure.

Take care.

Hi.

Welcome back to icliniq.com.

Yes, you can consider the test as reassuring.

Regards.