STD and HIV Risks in Urological Contexts - Urology

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Risk of Sexually Transmitted Infections and HIV


I have three questions for the doctor:
1.
If someone with a bleeding finger grabs the testicles or touches the urethral opening, and if their fingernail scratches the groin area (the crease between the testicles and thigh), is there a risk of contracting a sexually transmitted infection (STI) or HIV?
2.
If someone licks the nipples or has their nipples licked, is there a risk of contracting an STI or HIV? Under what circumstances could this lead to infection?
3.
If someone is licking the testicles, is there a risk of contracting an STI or HIV? Since the testicles are covered by skin, how could one contract an STI or HIV without an open wound? I have read that there are bodily fluids in the testicles, but those fluids are internal.
Can the virus penetrate the skin without any wounds?
Thank you for your patience and detailed responses.

Jin Jiemu, 30~39 year old female. Ask Date: 2022/10/10

Dr. Du Shixi reply Urology


Hello:
1.
If a person's finger is bleeding and they grab the testicles or touch the urethral opening, and if their fingernail scratches the groin area (the crease between the testicles and thigh), is there a risk of contracting a sexually transmitted infection (STI) or HIV? The risk exists if the other person has an STI, as there is potential for blood contact.
2.
Does licking or being licked on the nipples pose a risk for STIs or HIV? Under what circumstances could this lead to infection? If there is contact with a sufficient quantity of viruses or bacteria, there is a possibility of transmission.
3.
Is there a risk of contracting STIs or HIV from having the testicles licked? Since the testicles have a layer of skin, how could STIs or HIV be transmitted without an open wound? --- STIs do not necessarily require an open wound for transmission, but having one increases the risk.
According to the classification of risk levels associated with sexual behaviors, low-risk activities include masturbation, hugging, and touching areas other than the genitals; low-risk activities include mutual masturbation, light kissing, mutual rubbing, and protected sexual intercourse; moderate-risk activities include deep kissing, oral sex, and external ejaculation; and high-risk activities include unprotected intercourse and intercourse that causes wounds or bleeding.

Reply Date: 2022/10/10

More Info


When it comes to understanding the risks of sexually transmitted diseases (STDs) and HIV in various urological contexts, it's essential to consider the specific scenarios and the nature of the contact involved. Let's address your three questions one by one.

1. Risk of STD and HIV from Blood on Fingers: If a partner's finger has visible blood and then comes into contact with your urethra or the area around your groin, there is a potential risk for transmission of STDs, including HIV, especially if the blood is from an infected individual. HIV is primarily transmitted through direct contact with infected bodily fluids, including blood, semen, vaginal fluids, and breast milk. If the skin is intact and there are no open wounds or mucous membranes exposed, the risk is significantly lower. However, if there are cuts or abrasions on your skin, the risk increases. It's important to note that while HIV transmission through this route is possible, it is relatively rare compared to other forms of sexual contact.

2. Licking and Being Licked on the Nipples: The act of licking nipples, whether you are the one doing the licking or being licked, generally carries a low risk for STD and HIV transmission. The primary concern would be if there are open sores or cuts on the nipples or in the mouth of either partner. In such cases, there is a potential for transmission of infections, particularly if one partner is infected with an STD. The risk of HIV transmission through oral contact is much lower than through vaginal or anal intercourse, but it is not zero. The presence of blood or open sores increases the risk.
3. Licking the Testicles and STD/HIV Risks: Similar to nipple licking, the risk of contracting STDs or HIV from licking the testicles is generally low, especially if there are no open wounds or sores. The skin of the testicles is intact and acts as a barrier to infection. However, if there are any cuts, abrasions, or sores on the skin, or if the person performing the act has cuts in their mouth, the risk of transmission increases. HIV cannot penetrate intact skin; it requires direct access to the bloodstream, which typically occurs through mucous membranes or open wounds.
In summary, while there are risks associated with various forms of sexual contact, the likelihood of HIV transmission through the scenarios you described is relatively low, particularly if there are no open wounds or sores involved. However, it is crucial to practice safe sex, including the use of barriers like condoms and dental dams, to minimize the risk of STDs and HIV. Regular testing and open communication with partners about sexual health can also help in managing risks effectively. If you have concerns about potential exposure, it is advisable to consult a healthcare provider for appropriate testing and guidance.

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