HIV Risks: Common Questions and Concerns - Urology

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Is it possible to contract HIV?


Hello doctor, I have a wound on my big toe that is bleeding, and while using the restroom, I accidentally touched some toilet paper in the household trash can (my family members do not have HIV).
I'm unsure if I came into contact with any bodily fluids or feces, urine, etc.

1.
I would like to ask if my wound coming into contact with the aforementioned items could lead to HIV transmission?
2.
I would like to know if two HIV-negative individuals engaging in anal sex could contract HIV, and what risks are involved?
3.
If two HIV-negative individuals engage in sexual intercourse or kissing, is there a risk of contracting HIV?
4.
Can HIV enter the body through the gaps in the fingernails, leading to an HIV infection?
5.
Does school blood testing include HIV screening?

k, 20~29 year old female. Ask Date: 2023/09/03

Dr. Du Shixi reply Urology


Hello: 1.
I would like to ask if my wound comes into contact with the aforementioned items, will I contract HIV? --> No.
2.
I would like to ask, if two individuals who are both HIV-negative engage in anal intercourse, will they contract HIV? Is there any risk? --> No.
3.
If two HIV-negative individuals engage in sexual intercourse or kissing, is there a risk of contracting HIV? --> No.
4.
Can the HIV virus enter the body through the gaps in fingernails and cause HIV infection? --> There must be an open wound.
5.
Does the school blood test include an HIV test? --> No.
Wishing you good health.

Reply Date: 2023/09/03

More Info


When it comes to understanding HIV risks and concerns, it's essential to have accurate information to alleviate fears and promote safe practices. Let's address your questions one by one.

1. Risk of HIV from a Wounded Finger Touching Potential Contaminants: If your bleeding finger came into contact with tissues that may have been contaminated with bodily fluids (like blood, semen, vaginal secretions, or feces), the risk of HIV transmission is extremely low, especially if the source is not known to be HIV positive. HIV does not survive long outside the human body, and it is not transmitted through casual contact with surfaces or objects. Therefore, unless there is direct exposure to HIV-infected blood through a significant wound, the risk remains negligible.

2. HIV Risk in Anal Intercourse Between Two HIV-Negative Individuals: If both partners are confirmed to be HIV-negative, there is no risk of transmitting HIV during anal intercourse. However, it is important to note that while the risk of HIV is absent, there are other sexually transmitted infections (STIs) that can be transmitted through anal sex. Therefore, practicing safe sex, including the use of condoms, is advisable to prevent STIs.

3. Risk of HIV from Intercourse or Kissing Between Two HIV-Negative Individuals: Similar to the previous point, if both individuals are confirmed to be HIV-negative, there is no risk of HIV transmission through sexual intercourse or kissing. Kissing is considered a low-risk activity for HIV transmission, as the virus is not present in saliva in sufficient quantities to cause infection. However, if there are open sores or bleeding gums, there could be a theoretical risk, but it remains extremely low.

4. HIV Transmission Through Nail Folds: The idea that HIV could enter the body through small cuts or nail folds is theoretically possible but highly unlikely. HIV requires a direct route into the bloodstream, which typically occurs through larger wounds or mucous membranes. The skin acts as a barrier, and small cuts or abrasions are not typically sufficient for HIV transmission unless they are in contact with a significant amount of infected blood.

5. Blood Tests at School for HIV: Whether a school blood test includes HIV screening depends on the specific policies of the school and the purpose of the blood draw. Many routine blood tests do not include HIV testing unless specifically requested. If you are concerned about your HIV status, it is advisable to seek out specific HIV testing services, which are often available at clinics, hospitals, or community health organizations.

In summary, the risk of contracting HIV in the scenarios you described is very low, especially if the individuals involved are confirmed to be HIV-negative. It is essential to maintain open communication with sexual partners about HIV status and to engage in safe sex practices to minimize risks of not only HIV but other STIs as well. Regular testing and awareness of one’s own health status are crucial components of sexual health. If you have further concerns or symptoms, consulting a healthcare professional for personalized advice and testing is always a good step.

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