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Should I Get Tested For HIV After Sexual Activity With A Transgender Person While Having A Cut On The Penis?

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Posted on Thu, 5 Jul 2018
Twitter Thu, 5 Jul 2018 Answered on
Twitter Fri, 1 Jul 2022 Last reviewed on
Question : I had sex with a transexual, pre-op (male to female).

Afterwards I realised I had a small cut on my penis (there was a very small amount of blood present). Caused by shaving beforehand. This has really concerned me.

We had unprotected oral sex (giving and receiving). Protected anal sex (me giving). Our penises were also pressed together at times (without protection) with a small chance of exposure to precum.

We didn’t ejaculate inside each other, no ejaculate entered either of our mouths, and her ejaculate didn’t go anywhere near my penis.

I’m definitely 100% STI free (before this). I haven’t had sex for a while and not since I was last tested.

Do you think I have reason to be worried and is it worth getting a HIV test?
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Answered by Dr. Dr. Antoneta Zotaj (2 hours later)
Brief Answer:
It is safer to have the tests done: please see below for more explanations

Detailed Answer:

Hello,

Because this is an intercourse with a casual partner and in this case the partner you describe is at high risk for sexually transmitted disease (being involved in rectal intercourse), it would be advisable in your case to get the HIV test and also test for other sexually transmitted diseases like chlamydia, gonorrhea, Hep B and Hep C. This to be on the safe side.

It is important to understand that condoms reduce the risk of sexually transmitted diseases, but they do not completely prevent them. The rectal intercourse with a condom consists of a low risk for transmission of sexually transmitted diseases. The oral intercourse even though low risk for sexually transmitted diseases might increase this risk if sores or lacerations are present on the penis. If these tests come out negative, they might need to be repeated in 3 months to make sure you are negative.

I would recommend you to see your doctor discuss on the above tests. Also, your doctor, depending on the examination findings or considering high risk, might decide to prescribe antibiotics to prevent you from the development of active infections.

Prevention is better than cure: this means that it is important in the future to be cautious and consider that intercourse with casual partners puts you at risk for the sexually transmitted diseases.

Condoms do not offer a 100% protection either. Rectal intercourse increases the risk for infections due to the high chance of local trauma and bleeding (even if we don't notice the bleeding). So it is safer to have protected intercourse with a regular known partner and avoid traumatic sexual experiences.

Hope I have answered your query. Let me know if I can assist you further.
Regards,
Antoneta Zotaj, MD
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Dr. Antoneta Zotaj

General & Family Physician

Practicing since :2004

Answered : 4436 Questions

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Should I Get Tested For HIV After Sexual Activity With A Transgender Person While Having A Cut On The Penis?

Brief Answer: It is safer to have the tests done: please see below for more explanations Detailed Answer: Hello, Because this is an intercourse with a casual partner and in this case the partner you describe is at high risk for sexually transmitted disease (being involved in rectal intercourse), it would be advisable in your case to get the HIV test and also test for other sexually transmitted diseases like chlamydia, gonorrhea, Hep B and Hep C. This to be on the safe side. It is important to understand that condoms reduce the risk of sexually transmitted diseases, but they do not completely prevent them. The rectal intercourse with a condom consists of a low risk for transmission of sexually transmitted diseases. The oral intercourse even though low risk for sexually transmitted diseases might increase this risk if sores or lacerations are present on the penis. If these tests come out negative, they might need to be repeated in 3 months to make sure you are negative. I would recommend you to see your doctor discuss on the above tests. Also, your doctor, depending on the examination findings or considering high risk, might decide to prescribe antibiotics to prevent you from the development of active infections. Prevention is better than cure: this means that it is important in the future to be cautious and consider that intercourse with casual partners puts you at risk for the sexually transmitted diseases. Condoms do not offer a 100% protection either. Rectal intercourse increases the risk for infections due to the high chance of local trauma and bleeding (even if we don't notice the bleeding). So it is safer to have protected intercourse with a regular known partner and avoid traumatic sexual experiences. Hope I have answered your query. Let me know if I can assist you further. Regards, Antoneta Zotaj, MD