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Penis papercut
Jun 18, 2007

Hello Dr. Bob,

I love the work you're doing, once I have the resources a donation is certainly warranted.(Hey, textbooks are expensive!).

About four weeks ago I received unprotected oral sex from a street prostitute. I panicked afterward and only waited 8 days for my testing to be done on practically every STD and HIV. Everything came out negative.

This may sound silly, but two weeks prior to the incident I received a paper cut on the tip of my penis. My penis was hanging out the boxer hole while I was studying (grad student) and I laid the textbook down at the wrong time and angle. There was a little redness, but not drawn blood.

My questions:

1) Would this penis papercut have healed already or been a factor in obtaining HIV?

2)It's been a month now, how accurate would a new PCR test be?

3) What was my relative risk of infection assuming that this prostitute was HIV positive and the papercut WAS healed?

I love you.

Response from Dr. Frascino

Hello,

A paper cut on the tip of your penis??? OUCHAMAGOUCHA! Does your tallywhacker routinely hang out while you study??? If I studied that way, I'm sure I'd get distracted, not to mention all the other people in the library around me.

1. I would presume it would be completely healed within two weeks and not increase the risk of HIV transmission.

2. I don't recommend PCR testing for routine HIV screening, due to the rate of false-positives, other technical considerations and cost.

3. The estimated per-act risk for unprotected insertive oral sex with an HIV poz partner is 0.5 per 10,000 exposures.

Love you too, dude.

Dr. Bob



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