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Question
QUESTION: Good day,
My problem is as if follows :
I have nasty habit of biting nails, and occasionally skin next to nails. Two weeks ago pealed off (bit off) part of skin next to index finger, and my finger bled just above the nail area as the result of that pulling off skin (so it was not just thin layer of skin). Minimum 8 hours later I fingered girl (maybe 2 or 3 times for couple of minutes each time) and I rubbed my penis against her vagina (but i did it from behind, so head of my penis might have come in contact with her vaginal fluids). Since this was all night (out) occasion i didn't wash my penis right away, but in couple of hours(5-8), so her vaginal fluids remained on my penis.
What is the probability that I become infected this way?
I have one further question, but would prefer to ask you through email, or private question, so i'll ask it at a later time.

Best regards.

ANSWER: Hello,

Following are the answers to your questions:

1. Nobody has ever been known to acquire HIV by hand-to-genital contact, even with cuts or other lesions on their hands.  Further, the chance your partner had HIV is very low (Handsfield, H.H., 2006).

2. You haven't mentioned whether you used condom while you rubbed your penis against her vagina. If you didn't, there runs a risk.

3. Washing genital area after unsafe sexual exposure does not prevent one from HIV and/or STI transmission.

Pardon me for replying late.

Sincere regards,
Gorkey

---------- FOLLOW-UP ----------

QUESTION: I wouldn't ask if I had condom. :(
I didn't use condom. I actually put penis against her vagina (wanting to penetrate her, but I refrained from it - because of not having condom). Did I rubbed a bit? I really don't know, it was at a beer fest...

I also kissed her vagina over her panties(which were mildly wet).

I read somewhere: "Avoid using mouthwash or drinking alcoholic beverages before or during oral sex, as they have been found by a recent UCLA study to weaken both the enzymes in saliva and the gums."

Do you know anything more about this?

Thank you for your reply,
R  

Answer
Welcome again,

I'm clarifying your first answer in the private question you sent later, since it gives a detailed description of the incident.

And yes, I have read the same:
"Avoid using mouthwash or drinking alcoholic beverages before or during oral sex, as they have been found by a recent UCLA study to weaken both the enzymes in saliva and the gums.Wait at least two hours after brushing your teeth before engaging in oral sex in order to give your gums time to heal from being disturbed." (HealingWell, 2009)

Hope this information will help you.

Take care.

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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