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Washing problem
      #81197 - 01/17/04 01:08 PM

After a vaginal intercourse - the condom was OK , I removed the condom with one hand and toilet paper
A few minutes after, I had a shower and washed my hand first and then my penis with weak water flow and soap. Did I have any risk of inflection during washing because the virus could have been on the base of my penis or on my hand and the weak water flow push the virus into my head of penis. What is the best way to remove condom and wash afterwards ?

Many thanks for your answer to this stupid question

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Reged: 10/26/00
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Re: Washing problem new
      #81201 - 01/17/04 08:07 PM

Soap and water inactivate HIV and HIV-infected cells in genital secretions

Last Updated: 2003-11-26 10:33:20 -0400 (Reuters Health)

By Will Boggs, MD

NEW YORK (Reuters Health) - Simple soap and water are effective in inactivating HIV in genital secretions, according to a report in the October issue of Antimicrobial Agents and Chemotherapy.

At least one previous study showed that postcoital genital cleansing with soap and water can prevent HIV infection, the authors explain, but the direct effect of a soap solution on HIV has not been reported.

Jonathan Z. Li and colleagues from University of California, San Francisco, tested the effects of a commercial bar soap (Ivory; Johnson & Johnson) and water on HIV and white blood cells in control medium, cervicovaginal lavage (CVL) fluid, or a mixture of CVL fluid and seminal fluid.

Two or 6 minutes of exposure to soap and water (1 g/1000L) decreased HIV infectivity by more than 1000-fold, the authors report. When the virus was in a CVL-seminal fluid mixture, a 1-g/200 mL concentration of soap in water was required to reduce viral infectivity by 30-fold.

Peripheral blood mononuclear cells (PBMCs) cultured in CVL or seminal fluid mixtures showed substantially decreased viability after 6 to 24 hours, the report indicates. Exposure to soap and water (1 g/200 mL) in CVL-seminal fluid mixtures reduced PBMC viability by 57% after 2 minutes and by 87% after 6 minutes. Lower soap and water concentrations did not appreciably affect cell viability.

"The present study demonstrates that soap and water solutions should be effective in inactivating HIV and HIV-infecting cells associated with barrier contraceptives or cells that are present in the vaginal canal," the researchers conclude.

Dr. Jay A. Levy, coauthor of the report, told Reuters Health that "the main message of this research is that regular soap works to kill HIV. Its major use in this regard should be on other instruments, such as diaphragms, used to prevent HIV transmission."

Dr. Levy emphasized that soap and water should not be used as a douche to eliminate HIV from the vagina, both because this method has not been tested and because soap can cause other adverse effects, including disrupting the vaginal mucosa and altering its normal microbial flora.

Antimicrob Agents Chemother 2003;47:3321-3322.

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