Dr. Basti Bharatesh Devendra
Dermatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
One of the spa workers stocked my nipple a little too hard for which I felt pain. But after an hour I checked for a cut but did not find any cut on the nipple. After that, I asked her if she had any cuts in her mouth; she told she fell down one or two days ago and has a cut in her mouth and pain there. So is there any chance of HIV transmission? She told me she does not have HIV.
Hello,
Welcome to icliniq.com.
I hope that there was no contact or insertion of blood by the act. It appears that there was no contact. Saliva does not transmit HIV (human immunodeficiency virus) unless it has blood. Moreover, there is no wound found in the area of contact, and the person said she was HIV-negative. In my opinion, the risk of transmission of HIV appears to be nil.
Thank you.
Patient's Query
Hello doctor,
Yes, I hope there is no contact. She fell down two to three days earlier to this incident, so that wound must have been healed even though she was feeling pain. And yes, there is no wound on my nipple. I am attaching today’s image. The incident took place this three days ago. She does not have active blood traces in her mouth but what is the probability? Do you come across any such cases of transmission in general? Should I need to take PEP?
Hello,
Welcome back to icliniq.com.
The skin appears to be intact in all the attached pictures (attachment removed to protect the patient's identity). So there is no wound in the area, and there is no contact with blood. Intact skin is an effective barrier against HIV. In my opinion, the chances of transmission of HIV by a given description or act are nil. If you still have doubts or are anxious, you can consult your doctor for another opinion and risk assessment.
Thank you.
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Dermatology
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