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AIDS/masturbation a risk?
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Question
Hi. Back in August 2007, I dated a guy for a few weeks. We had oral a few times (he did not pre-come or ejaculate in my mouth). One time I topped him with a condom, and I did not ejaculate. He later ejaculated on my stomach, near where I had a few pimples. I don't think any semen got on the pimples, but I worrry if maybe they were slightly open or if semen touched them. Is there much ris? Then, in October, I got tested and was negative. Do you think that's enough time for the window period?
Thanks Mike for the question. Following are the answers to your questions (I have prioritized):
1. If you had oral sex, the partner was infected and you/partner had open cuts or infections inside mouth or bleeding cuts/wounds ... there's a considerable risk of HIV transmission. In in such intimate interactions, it's very difficult to understand whether the partner had precome. Therefore, the risk runs here.
2. If the pimples were open or was infected, it became an added risk.
3. It usually takes between three weeks and two months for one's immune system to produce antibodies to HIV. During this "window period" an antibody test may give a negative result, but one can transmit the virus to others if s/he infected (AIDS.org, 2007). It might be due to lack of my understanding, one thing is not clear from your question - the window period. Consider you have dated the men on August 31 and got tested on October 1, 2007. Then it's only a month passed when you tested. If you have tested after month or more, then the result may be correct, but not conclusive. Experts suggest to reconfirm the status after repeated tests after six months. If, things are all negetive, then, nothing to worry about.
Sincere regards,
Gorkey
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Gorkey Gourab
Expertise
Social and behavioral issues related to HIV transmission, sexually transmitted infections, Human Rights issues, rights of marginalized populations, gender and sexuality, research design and analysis related social & behavioral issues, , computer assisted qualitative data analysis and data management (using ATLAS.ti, ANTHROPAC, NVivo 8)
Experience
Specialized in Medical Anthropology. Working on Social and behavioral studies related to HIV transmission as well as Human Rights issues. Specialization in gender, sexuality, masculinity, behavioral studies related to HIV transmission. Qualitative research, programmatic and M&E experience with MSM, hijra (TG), indigenous groups, female sex workers for more than 7 years.
Organizations
International Center for Diarrhoeal Disease Research, Bangladesh (icddr,b) as Manager - M&E (Qualitative) with Center for HIV and AIDS
Publications
International peer-reviewed journals & technical papers: (1) Khan, S. I., Hussain, M. I., Parveen, S., Bhuiyan, M. I., Gourab, G., & Bhuiya, A. (2009). Living on the extreme margin: Social exclusion of the hijra in Bangladesh. Journal of health, population and nutrition. (2) Khan, S. I., Hussain, M. I., Gourab, G., Parveen, S., Bhuiyan, M. I., & Sikder, J. (2008). Not to stigmatize but to humanize sexual lives of the transgender (hijra): condom chat in the AIDS era. Journal of LGBT Health Research (Special issue: issues on male sexual behaviors and HIV risk in South Asia). Working papers: (1) Khan, S. I., Gourab, G., Ahmed, T., Sarker, G. F., Chowdhury, F. K., Ghosh, S., et al. (2009). Understanding the operational dynamics and possible HIV interventions for residence-based female sex workers in two divisional cities in Bangladesh. Dhaka, Bangladesh: NASP, Save the Children USA and icddr,b. Presentations in scientific meetings and conferences: (1) Khan, S. I., Hussain, M. I., Gourab, G. & Azim, T. (2011, 16 March 2011). Use of a new approach to count and access diverse groups of hijra for scaling up HIV-preventions services in Bangladesh. Poster presented at the 13th Annual Scientific Conference (ASCON XIII), Dhaka. (2) Khan, S. I., Pasa, K., Gourab, G., & Islam, A. (2007). Indigenous populations of Bangladesh: Living with risks and vulnerabilities to STIs/HIV. 8th International Congress on AIDS in Asia and the Pacific (ICAAP). Colombo, Sri Lanka.
Education/Credentials
MSS (Anthropology), University of Rajshahi, Bangladesh
Awards and Honors
The Vanderbilt-UAB Fogarty International Center AIDS International Training and Research Program (AITRP)Scholarship for the training on HIV-AIDS related qualitative data analysis and manuscript writing (Center for Global Health, Vanderbilt University, Nashville, TN, USA)
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