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Is HIV possible if there was bleeding during sex?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I had intercourse with a sex worker around two to three days ago. I was not at my best since I was a little drunk. That is how I got there. But as the deed began, there was no oral contact or kissing; we went straight to intercourse. I was also wearing a condom. The issue was that there was blood in the condom after ejaculating and pulling out. When we discovered that she was bleeding, we were shocked. When I asked her if she was menstruating, she said that she was not and that there may have been a tiny cut or rip inside her. I discovered that my penis also had blood traces after removing the condom. Not sure if it extended to the urethra's tip. I cleansed and washed my penis right away.

I am concerned that if she has HIV, the blood may have gotten into my system through the condom and combined with my semen. Please advise me since I am under a lot of stress due to this accident.

Kindly help.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

If you are unsure about the girl's blood type and are unaware of her HIV status, you might get an HIV-quick test performed to find out. PEP (post-exposure prophylaxis) should start within 72 hours of exposure and should be taken regularly for 28 days. I also advise further testing for HIV per testing recommendations.

I hope I have answered your question.

Let me know if I can assist you further.

Regards.

Patient's Query

Hello doctor,

Thank you for the reply.

Unfortunately, 72 hours is already done. I am checking about the possibility here. Would I have contracted the virus if she had been positive? Kindly help.

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern.

Details provided point towards the possibility of some break in the condom. If it were so, the risk would be considered equivalent to unprotected sex. Unprotected vaginal sex carries a low risk of acquiring HIV (if the source was infected and not on therapy).

I hope this helps.

Thank you and take care.

Regards.

Medically reviewed byiCliniq medical review team

Published At August 18, 2023
Reviewed AtJuly 29, 2025

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