HIV Transmission Risks: Key Questions Answered by Urologists - Urology

Consult a physician?

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First of all, I would like to express my sincere gratitude to the doctor for the detailed response and apologize for not having asked all my questions last time.
I realize that there are some areas where I did not inquire thoroughly, and I still have concerns and uncertainties.
I hope to clarify these issues so that I won't have any problems in the short term.
I appreciate the doctor's assistance immensely!
It is possible that some individuals have strong immune systems and do not easily develop symptoms after infection.
However, sometimes the virus can remain dormant in the body and only manifest when the immune system weakens.
In other words, once infected, it is difficult for the body to completely eliminate the virus solely through its own immune response.
When the body is weakened or the immune system is compromised, the virus can replicate extensively and cause disease.

Does this mean that if the concentration of HIV encountered through a transmissible route is not high enough to reach a pathogenic level, the body's white blood cells, antibodies, and immune system can completely eradicate it, preventing disease or latency? Conversely, if the viral load is sufficiently high upon exposure, the body's immune response may not be able to eliminate it entirely on the first encounter.
Even a small amount of the virus successfully entering the body could lead to disease or latency.
Additionally, is it true that the fear surrounding HIV is primarily due to its inability to be cured, rather than its high infectivity? Is HIV not considered particularly invasive compared to other viruses? In terms of the body's immune response, white blood cells, and antibodies, is it not particularly difficult to eliminate? Compared to other viruses and bacteria, could it be considered relatively rare, like endangered species in the world? And is its infectivity upon contact relatively low?
Furthermore, is the most common route of infection through open wounds? Or do all pathways that allow for direct entry of bodily fluids into the body, such as the urethra, vagina, and anus, carry similar risks of infection, albeit with varying probabilities? Or are these pathways not considered routes of transmission at all? Given that blood is the most infectious medium, and the mouth or tongue often has many unnoticed small wounds, does this mean that the probability of contracting HIV through a deep kiss with an infected person is higher than through genital contact in an accidental situation? Or is it only when there are bleeding wounds that the risk of infection significantly increases?
Is there a significant difference in the risk of infection between a wound that has stopped bleeding or is dry and one that is actively bleeding? Do small, nearly imperceptible wounds on the tongue or in the mouth have little impact on the risk of infection? When the doctor refers to wounds that increase the risk, does this mean visible and noticeable wounds caused by accidents?
In an accidental situation, what is the approximate risk of contracting HIV through a confirmed deep kiss with an infected person? Since oral sex and intercourse occur less frequently and are easier to prevent, I am more concerned about kissing.
Lastly, do the glans, foreskin, or penis also have unnoticed small wounds? If not necessarily, how easily can they occur? Or is it common for men to have some minor abrasions or wounds during sexual intercourse?
How can one determine if there are any wounds or abrasions on their glans, foreskin, or penis? Is there a simple and accurate self-examination method? Personally, I sometimes feel that after engaging in sexual activity, my penis feels less vigorous.
After washing, I often notice a strange, painful sensation in the foreskin or glans area, which can last for a day or even 2-3 days.
Is it common for many people to experience this strange, painful sensation after washing for an extended period? Do these sensations indicate that I have sustained an injury or abrasion, or are they simply a normal reaction to excessive rubbing and washing after ejaculation?
Could my slightly long foreskin (which covers the glans when not erect and usually needs to be pushed back to expose the glans when erect) make me more sensitive and prone to these unusual sensations? Does having a long foreskin increase the likelihood of abrasions or small wounds on the foreskin or glans? Additionally, after prolonged sexual activity, I sometimes notice a small, swollen bump at the opening of the foreskin, resembling a large pimple in shape and size.
However, it feels soft and is clearly a swelling of the foreskin.
Is it common for many people to experience similar swelling after prolonged sexual activity?
If so, does this swelling indicate that there is likely an abrasion or wound? Or is there no correlation between swelling and the presence of wounds? If the foreskin is swollen, does that increase the risk of infection if exposed to HIV? If so, how significant is that risk? (I have previously experienced a condom break, so I am somewhat concerned despite taking precautions during intercourse.)
Furthermore, in an accidental situation where there is confirmed genital contact with an HIV-positive individual and there are abrasions, does the risk of infection significantly increase? Or is it not much different, or only slightly higher? What about small wounds? Is there a significant difference in risk, or is it not much different? (I am concerned that the strange, painful sensations I am experiencing may indicate small wounds or abrasions.)
Once again, I sincerely thank the doctor for the detailed response last time and for addressing my questions this time! Thank you very much!

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Niming, 20~29 year old female. Ask Date: 2008/08/07