You are here:

AIDS/Plz help me sir..!!

Advertisement

Expert: - 4/26/2011


Question
Dear Dr., I am a 27 yr old male from Bangalore, recently I have come across a sex worker in a hotel in Bangalore.
I did not have vaginal or anal or oral sex with her.I didn't even remove my clothes and even her clothes.
I was with shorts and T-shirt.She was with long skirt and top.
During the act I was over her and rubbed my penis rigorously(with underwear and short pant without condom) on her stomach and I was out in just 4 mins.
I am sure there were no wounds or bloods on her body.
I did not recognize any discharge from her side and even my semen did not spilled on her body.
Typically there was no direct exchange of bodily fluids.I did not feel any wetness in my short pant(from outside) as well as her dress except my underwear due to the leaked semen.
Now I am very much worried about HIV infection.
Is there any chance of partially dry vaginal fluids present on her cloths containing hiv which passed through my pant and underwear and reaching my penis through my leaked semen ?
Because I know in dry fluids HIV cannot survive since it is so fragile and not airborne.
Is it possible to discharge vaginal fluid for a girl even without having penetration ?
If so, during my rubs if at all she discharged vaginal fluids by sexual excitement and made her cloths partially wet and unfortunately if
she is HIV positive,is there a chance of transmission of virus to me through my pants and underwear.
Because I am not very sure whether I am rubbed only on her stomach or on her vaginal part also.
After the act I recognized that she was not wearing her underwear also.
I am so upset sir..Kindly support me..Do I need to undergo any tests ?Is there any infected cases reported during similar encounters ?

Thank you very much in advance.

Answer
Dear Krishna,

Possibility of HIV transmission:
HIV usually requires direct transmission. It's also about 'viral load' (the virus need be present in fluid cells in sufficient concentration and amount to make one infected). In your case that would be if vaginal secretions somehow directly touched your penis which didn't happen. Also, you're right about the "dry" issue. In case of HIV transmission, often experts say, "once it's dried, consider it's died". So, there's nothing to worry about.

HIV transmission without penetration:
Although possible, the risk is quite low.

My apologies for delayed response.

Regards,
Gorkey

Note: I'm not a medical doctor, just a social researcher working in the field of HIV, AIDS and sexuality. Also, I would appreciate if you you don't call me "sir" ... just call "Gorkey". Thanks Krishna.

AIDS

All Answers

Answers by Expert:

Ask Experts

Volunteer

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)

©2012 About.com, a part of The New York Times Company. All rights reserved.