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TRANSGENDER ENCOUNTER!!! FROM SPAIN!! Please HELP!! JUST DONANTED!!
Feb 12, 2005

Dear Dr. Bob

I need your help on this issue. You are the only person I can trust on!!! The other day I have made what I can consider the biggest mistake of my life!!! Do not ask me why, but I decided to see a transgender (I am married and never done anything similar before). He got in my car and performed protected oral sex on me (no worries here), however I touched his penis for maybe 1 minute while he was performing protected oral sex on me. I am sure that he never ejaculated, but I can not be sure I did not get in contact with some pre cum from him , any way if there was some there should not be a large amount since I never felt my hand wet. Well right after I touched him I took out my condom and I cleaned up my penis and my hand with a paper towel. That means that the amount of pre cum that may have been left on my hand after cleaning should be minimal. I then touched other things like my pants and other objects. The problem was that I then rubbed my eyes with the same hand I touched him. I believe that it had passed about 2 minutes between the moment I finished touching him and the moment I rubbed my eye. Now I am trying to access my risk of contracting HIV through this exposure. I am really scared and my judgment may be affected by the physiological impact of being with a Transgender. I know that the virus does not survive well in contact with air, but I do not know for how long it still can be potentially infectious. I know that the amount of potentially infectious fluid involved on my exposure was minimum, since I cleaned up my hand, but I do not know if it was sufficient to infect me. I also assume that when we rub our eyes we tend to close them, therefore my finger mostly contacted intact skin and maybe a small area entered in contact with my mucous membrane. I think the there is a high probability that fluid was already dry when I touched my eyes, since there was such a minimum amount of fluid that should dry very quick. Even assuming all of these I still think I was at risk, but what I really wanted to think is that there is no risk. I called CDC, and they told me there was no risk, but they could not explain me why. Please help me Dr. Bob!!!

Response from Dr. Frascino

Hi,

I totally agree with the CDC on this one. No risk.

As for "why," you answered your own question: "I know that virus does not survive well in contact with air . . . amount of potentially infectious fluid involved in my exposure was minimal . . . my finger mostly contacted intact skin . . . high probability that fluid was already dry when I touched my eyes."

I also think you are absolutely correct when you say "I am really scared and my judgment may be affected by the physiological impact of being with a transgender." However, I'd change physiological to psychological. I suggest you get some counseling to help you sort out your guilt, your fears and your anxiety. HIV is not your problem.

Good luck.

Dr. Bob



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