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AIDS/Infection from semen in lake ?

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Question
I am a virgin but 2 weeks ago had an unusual experience. I was walking along a beach which has a tidal lagoon frequented by homosexuals.I watched two men masturbate each other under water - I was in the shallows of the lagoon up to my mid-calf and they were in deeper water up to thier abdomens. I started to masturbate watching this for some reason and at one point noticed what appeared to be semen (not mine) sticking to my leg in the water.I am not certain it was but it freaked me out and I tried to wash it off.I used wet sand as an abrasive to remove it.

I am very worried - if it was semen that had floated in the water ( I was 5m away from the men) and  it stuck to my leg what are the oads of being infected ? My skin was unbroken and I never cut myself with the sand.I am also concerned that I touched my penis after having touched the substance. I did wash my hand in the water first.

Please help, thanks.

Answer
Dear James:

Peace.  Possible semen in the water for an undetermined amount of time poses an undertimable risk of infection.  By all factors, however, it would seem to me probable that this presents no HIV transmission risk at all for the following reasons:
1) The liquid is unknown;
2) If semen, the HIV status of the donor is unknown;
3) Assuming donor as HIV+, it is probable that the cells containing HIV would be disrupted by time and/or dilution in the water;
4) If cells containing HIV retained sufficient integrity to be infectious, the route of possible entry (on your intact skin) would be of low risk, and;
5) Washing the fluid off immediately reduced your risk, but using abrasive might have increased it - keep this in mind if you ever have a significant exposure.

Bottom line, no significant risk.

Hope this helps,

Terry

AIDS

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Terry B

Expertise

Help in assessing personal and professional risk of HIV transmission; tips in teaching about HIV/AIDS; cultural competency for teaching about HIV/AIDS in Catholic settings; considerations in US and overseas HIV/AIDS programs and education for health and other professionals. Specific questions about treatment should be referred to your health provider; opinions and information offered are not meant to replace medical advice

Experience

Seven years with academic medical center and national AIDS education and training center, seven subsequent years with focus on international HIV/AIDS in East and South Africa. Former clinician, bioethics preceptor at an academic medical center and presenter in wide range of fora including international AIDS conference.

Organizations
Disabled American Veterans American Public Health Association MENSA AA

Publications
Human Variety, EC Sociological Society Proceedings of the International AIDS Conference, Durban, South Africa "HIV and Primary Care"

Education/Credentials
BS Psychology MPH Master of Public Health PhD studies underway

Awards and Honors
Naval School of Health Sciences, Hospital Corps with Highest Honors, Neuropsychiatry with Honors and High Distinction

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