HIV – Am I At Risk?
Wednesday, September 29th, 2010I often get calls from very frightened people who are convinced that they have contracted HIV. Most of the time, these people not only do not have HIV, but they really have no risk of exposure.
I hear detailed accounts of cashiers with scratches on their hands and of sneezes on a crowded subway train. Even a small kiss and a hug from a friend, or a session of heavy petting with a romantic interest may drive patients into an emotional tizzy.
Truly, HIV infection is serious and I believe it’s the seriousness of HIV infection that often overwhelms logic. HIV is not easily transmitted, and very specific routes of transmission must be intact in order for any risk to exist at all.
Simply put, HIV is transmitted through infected blood, semen, or vaginal fluid. HIV infected fluid must contact mucosal tissue or directly enter the blood stream. Mucosal tissue, specifically, is the moist tissues of the mouth, the nostrils, the eyes, the genitals, and the rectum. The rest of our skin is a natural barrier to the HIV virus. Casual contact with infected individuals is not a risk for HIV transmission.
So, before panicking just apply the “rules” of transmission to your own exposure. Was there blood, semen, or vaginal fluid on me? Did it make contact with my mucosal tissue? Was there a direct route into the blood stream, such as an open cut or a stick with a hypodermic needle? If not then you probably have very little to worry about.
Of course, if the answer to any of these questions is yes, or you just don’t feel comfortable assessing your own risk you should always feel free to discuss things with an HIV counselor. Trained counselors are available to answer your questions at www.accesshivandstdtesting.com.