Could Vaginal Fluids Transmit Through Clothing To Cause HIV?

Posted on Wed, 23 Dec 2015

Question: Can HIV be transmitted through soaked underwear?
Dear Dr.,

Three weeks I visited a massage house, I was completely naked but the lady had her cloths on but with very short skirt, she sat with her underwear on my bare penis, only underwear no other cloths and I am not sure if there was any vaginal secretion or not.

Because of her body moves on my penis I asked her to move then after 3-5 seconds, I climaxed in my own hand.

Now the questions:

1- Assuming that she is HIV+, can she transfer the virus to me if there was any vaginal secretion on her underwear to my bare penis?
2- Can the HIV virus exist on my penis till Iclimaxed then go inside my body through my semen?
3- Do I need to do any kind of test?

Appreciate your reply and the effort all of you are doing

Best Regards,

Answered by Dr. Bharatesh Devendra Basti (1 hour later)

Brief Answer:
Chances of transmission is too low.

Detailed Answer:
Hi XXXX
Thank you for query. Welcome to health care magic.
I am Dr Bharatesh D Basti answering your query. I have gone through the details.

The chances of transmission of HIV by unprotected intercourse with a HIV positive person is 1/200 to 1/1000.It is too low.
There is a cloth/underwear between.So the chances is almost nil.Cloth too acts a barrier. HIV does not survive outside the body for too long. Presuming it too be soaked with vaginal secretions ,there is minor possibilities of transmission but is too low.
She may be negative too.

The chances of transmission of HIV is too low.
You can get her tested or can know her HIV status if possible.
You can get tested for HIV (HIV 1&2 RNA PCR) to allay fears .

You can get back for any clarification.
Thank you
Dr Bharatesh D Basti
Dermatologist and venereolgist

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Bharatesh Devendra Basti (13 minutes later)

Dear Dr.,

Thank you for your input, to understand the chances are almost nil?
Of course, I cannot tell whether her underwear was soaked or not, let us talk the practical case, can this considered as exposure?
To double confirm, what are the needed tests and when I should do them to clear all my doubts?

Regards,

Answered by Dr. Bharatesh Devendra Basti (18 minutes later)

Brief Answer:
Exposure risk is too very low.

Detailed Answer:
Hi
Thank you for follow up query.

To be practical the risk exposure is too very low. There is no chance of transmission of HIV through the cloth.
Still to be on safer side, get HIV 1&2 RNA PCR tests now to allay fears. It is >99% sensitive.
Elisa for HIV 1&2 antibodies after 3 months exposure can be done, to be free totally from anxiety.
You can get back for any clarification.

Thank you
Dr Bharatesh D Basti

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Bharatesh Devendra Basti (24 minutes later)

Thank you for your reply, for sure I will do the tests to clear my mind.

But till then since I am abroad for a work assignment, I will not go back home except after two weeks and the anxiety could kill me.

So please answer me following questions:

1- Should I worry till then or I can feel relaxed?
2- The tests HIV 1&2 RNA PCR tests are enough or still I need to wait for 3 months again to do the antibodies tests?

Regards,

Answered by Dr. Bharatesh Devendra Basti (25 minutes later)

Brief Answer:
Can relax.

Detailed Answer:
Hi
Thank you for follow up query.

In my personal opinion I feel you can relax. You can get a PCR tests sooner to relieve your worries. Later antibodies Elisa test after 3 months as conclusive test.

You can get back for any clarification.
Thank you
Dr Bharatesh D Basti

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Bharatesh Devendra Basti (31 minutes later)

One last question:

1- What is the blood tests names that I can do them on the earliest without the need to wait for 3 months to close this chapter once and for all.

Regards,

Answered by Dr. Bharatesh Devendra Basti (6 hours later)

Brief Answer:
Results Conclusive after 3 months though PCR and combo are sensitive.

Detailed Answer:
Hi
Thank you for follow up query.

Hiv1&2 PCR after 10 days exposure can be considered conclusive .Some even consider combo test( P24 antigen +HIV 1&2 antibodies test) after 1 month Conclusive.
Though both are very sensitive. It would be better to go for antibodies test(HIV 1&2 antibodies) after 3 months to allay totally fear of HIV.

You can get back for any clarification.
Thank you
Dr Bharatesh D Basti

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Bharatesh Devendra Basti (12 hours later)

Thank you for your reply, if I will do :

Hiv1&2 PCR after 10 days exposure can be considered conclusive .Some even consider combo test( P24 antigen +HIV 1&2 antibodies test) after 1 month Conclusive.

I can be sure about my status or not enough?

Answered by Dr. Bharatesh Devendra Basti (2 hours later)

Brief Answer:
Can be almost sure of status.

Detailed Answer:
Hi
Thank you for follow up query.

Yes both the tests are considered almost conclusive at respective days mentioned.

But it would be better to go for antibodies test after 3 months to be totally Conclusive.

You can get back for any clarification.
Thank you
Dr Bharatesh D Basti

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar