Concerns About Self-Transmission of STDs After Minor Injury - Family Medicine

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Infectious issues?


Hello, Dr.
Hsiao.
Yesterday, while trimming my nails, I accidentally broke the skin.
Although it stopped bleeding this morning and I applied some medication, I still feel a slight pain when using hydrogen peroxide, indicating that there might still be a wound.
I would like to ask, after I did some DIY this morning, I accidentally touched a bit of my own semen while wiping with tissue.
I quickly ran to the bathroom to wash my hands with disinfectant, but I'm still worried.
Is there a possibility that I could have transmitted something like HIV or a sexually transmitted infection (STI) this way? I have never had sexual intercourse with a girl, but a friend of mine mentioned that he unexpectedly found a small bump on his glans and was diagnosed with genital warts.
Should I get tested for anything since I accidentally touched a little bit of my own semen? I'm genuinely concerned.
Or am I worrying too much? Thank you.
Also, I graduated from high school last year and had to serve in the military for some reasons, during which I was tested for HIV and it came back negative.
Can such diseases be transmitted just by touching one's own semen? Thank you for taking the time to respond.
🙏

Lin, 10~19 year old female. Ask Date: 2021/06/24

Dr. Xiao Yongxun reply Family Medicine


Dear Mr.
Lin:
1.
The term "cauliflower" refers to skin lesions in the genital or perineal area caused by infection with the human papillomavirus (HPV).
These lesions are almost exclusively transmitted through sexual contact.
It is highly unlikely for this condition to arise from contact with one's own semen.

2.
If you have further questions, you may want to discuss them with your primary care physician before making any decisions, or you can directly visit a urology department at a regional hospital or higher.

Reply Date: 2021/06/24

More Info


It's understandable to have concerns about potential transmission of sexually transmitted diseases (STDs) after a minor injury, especially when it involves contact with bodily fluids. Let's break down your situation and address your concerns.

First, regarding the injury you sustained while trimming your nails, it is important to keep the area clean and monitor it for any signs of infection. The pain you feel when applying hydrogen peroxide indicates that the wound is still healing, and it is normal to experience some discomfort during this process.
Now, concerning your worry about the potential transmission of STDs or HIV from touching your own semen after sustaining a minor cut, it's essential to clarify how these infections are transmitted. HIV, for example, is primarily transmitted through direct contact with infected bodily fluids (such as blood, semen, vaginal fluids, and breast milk) and typically requires a route of entry into the bloodstream, such as through mucous membranes or open wounds.
In your case, the risk of contracting HIV or other STDs from touching your own semen, especially after a minor cut, is extremely low. The skin acts as a barrier to infection, and unless the semen was from an infected individual and there was direct contact with an open wound, the likelihood of transmission is negligible. Additionally, since you mentioned that you have not engaged in sexual activity, your risk of having an STD is further reduced.

It's also worth noting that STDs like genital warts (caused by the human papillomavirus, or HPV) typically require skin-to-skin contact for transmission. If you have not had sexual contact, the risk of contracting such infections is minimal.
However, if you are still feeling anxious about your situation, it may be beneficial to consult with a healthcare professional. They can provide reassurance, conduct any necessary tests, and offer guidance on safe practices moving forward. Regular check-ups and screenings for STDs are recommended for sexually active individuals, but given your current circumstances, it may not be necessary at this time.

In summary, while it's always wise to be cautious and maintain good hygiene, the risk of transmitting STDs to yourself through the scenario you've described is very low. If you have any further concerns or if the wound shows signs of infection (such as increased redness, swelling, or discharge), please seek medical attention. It's always better to err on the side of caution when it comes to your health.

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