恐阴道分泌物及套子被HIV污染的看过来，medhelp的翻译，包括性病传播知识
vaginal fluid on hand touched inside of condom and head of penis手上的阴道分泌物接触了套子的内侧和阴茎
by veryscared76054,Dec 07,2009 03:59PM
Scenario...Femal sex worker in Texas was fingering herself then she stopped in order to get
a condom for oral sex,My question is can she have passed HIV if she had vaginal fluid on her
hand then touched the head of my penis?can she have contaminated the inside of the condom?
if the inside of the condom was contaminated then i ejaculated inside can the HIV virus
crawl into the urethra? All this happened about a week ago and I'm worried that I could
infect my wife and unborn child
情节，德克萨斯州的女性工作者用手抠完自己（自慰）后，她给我带上了安全套然后进行kj。我的问题是
：1 如果她手上有她的阴道液，然后接触到我的gt，会不会让我感染hiv？
2 她会不会已经污染了安全套的内部呢？
3 如果安全套内部已经污染，那么我射精在里面的时候会不会有Hiv病毒跑到尿道里面呢？
这些都发生在一个星期以前，我很怕传染给我的妻子和胎儿。
我刚做完一个hiv检测，但是那是在暴露三天以后。。。阴。等三个月实在是太难受了。
你能解释一下的我风险吗？
by H.Hunter HandSfield ,M.D,Dec07 ,2009 04:24PM
Welcome to the HIV forum
Sometimes there is enough information in the very first line,or in the title of a question
,to respond accurately without reading further.That is probally the case here.HIV is hard to
transmit.If it could be passed by the brief sort of superficial contact you describe in the
title("Vaginal fluid on hand touched inside of condom and head of penis")HIV would be easily
acquired in public toilets ,from shared towels,etc,and would be common in household contacts
of HIV infected people.None of these things erer happens.
你好，欢迎来到HIV论坛。
有些时候，我从咨询的第一行，或者是问题的标题就已经获取了能够准确回答的信息了。这次可能也是。
HIV是很难传播的。如果它真能通过简单的表层接触，就像你所描述的那样（手上的阴道液摸了安全套内
侧和龟头）。那么hiv就会很容易从公共马桶，以及共用的毛巾等等传播了，并且通过家庭成员之间的传
播就更加普遍了，事实上，这从来没有发生过
Now I have read the question itself,Gusse what?I nailed it
现在我读到了问题的本身。哈哈，我又猜中了。
Congratulations for having safe sex.HIV is never transmitted by hand-genital contact and
there is no chance you were exposed in this manner.HIV is hard to transmit because lots of
bacteria or virus has to have direct contact with susceptible tissues and it is not possible
to carry enough bacteria on the hands.
恭喜你进行了安全的性行为。hiv从来不会通过手生殖器的接触来传染，在这种方式下，你没有任何机会
感染。hiv很难传播，并且很多细菌和病毒必须通过直接接触易感染的组织才会传播，并且手上不可能带
有那么多细菌。
On top of that,HIV is rare in sex workers in the US.It is very unlikely your commercial
partner had hiv
另外，美国的性工作者，很少有hiv的。所以，你嫖的那个工作者很可能也没有。
in summary there was no risk,you do not need HIV testing ,and there is no risk to your wife
or baby.Don't worry about it .
总之，你根本就没有风险，你老婆和孩子也没有风险
by veryscared 75054 Dec 07,2009 04:32PM
To :Hunter Handsfield
I guess I was just scared beacuse when i explained this to my Family Doctor he said that I
need to go ahead and get tested.Can i safely go on with life?Do you think he is just being
careful?I will never let this happen again..talk about scared straight!!!
What about the oral sex with condom on?
p promise no "what if "question will follow !!!
Thanks.
我想我告诉我的家庭医生后，他把我吓住了。他说我必须接受检测。你认为他是不是他较真了？我在也不
会干这种傻事了，下怕了。你认为有保护的kj呢安全吗？我保证再也没有“如果”之类的问题了
谢谢
by H.Hunter Handsfield M.D Dec 07 ,2009 04:47PM
Your family doctor is just being careful.Or maybe he doesn't understand the transmission
risks as well as the experts do.
Oral sex is generally considered no risk even without a condom.Absolutely no risk with a
condom.
All will be well .Really,don't worry about this.
你的家庭医生的确太较真了。或许他并不像专家一样理解传播的风险。无保护的口交通常被认为安全的性
行为。带套了就更不用说了。
一切都会好的，真的，不用担心。
by veryscared 75054 Dec 14,2009 10:49PM
To :Hunter Handsfield
I'm very sorry....one last thing!!!
What if the contamination from her hand was immediate?am I at risk of any other STD's?
Thanks.
我很抱歉，最后一个问题。如果被她的手污染是在极短的时间内呢？我有没有其他性病的危险？
谢谢
by H.Hunter Handsfield M.D Dec 14 ,2009 04:47PM
The reason that some infections are transmitted only by sex,direct blood exposure,and other
very intimate contacts(transplantation,childbirth,etc)is that they CANNOT be transmitted by
other means.Why not?Because large amounts of the causative bacteria or viruses must have
direct access to susceptible tissues,which typically are deep inside
(gonorrhea,chlamydia,HIV,HBV,etc):or they must be massaged vigorously into susceptible
tissues,often with microscopic trauma(Syphilis,HSV,HPV)This is how these bacteria and virus,
and the human interactions with them,evolved over thousands of human generations and
millions of years,and it is an essectial biological difference between STDs
and,say,colds,influenza,common intestinal infections,measles,chikenpox,and a hundred other
infectious diseases
一些传染病之所以只能通过性jiao，或是直接的血液暴露以及其他的紧密的接触（移植手术，生小孩等等）
是因为他们不能通过其他的途径进行传染。为什么呢？因为许多致病的细菌和病毒必须通过直接和易感的
组织接触才行，然而这些组织通常在体内深处。这内病毒有，淋病，支原体，hiv，乙肝等等。或者说，
许多病毒必须被强力的融合到易感的组织中，通常是通过微笑的创伤。这些病毒有梅毒，生殖器疱疹，尖
尖。这是千百万年来这些病毒在和人类的交互中进化成的。在生物学上，性病和其他的如感冒，流感，普
通的直肠感染，麻疹，水痘，以及很多种其他传染病的本质区别。
this is why STDs are not transmitted by kissing,hand-genital contact,contact with a
contaminated environment,or from such fleeting contact like you describe here--even fleeting
contact with the genitals.Nobody can say the risk is zero from what you describe.But in 30+
years in the STD business,I have never seen or heard of such transmission occurring.The
people who show up in the clinic with HIV or other STDs always have had intercourse or
direct blood exposure,as through shared injection equipment.wo simply see no exceptions
这就是为什么性病不通过接吻，手-生殖器接触，污染的环境，或是你所描述的情况进行传播是（甚至包
括很短的生殖器接触）。没有人能够绝对的说你所描述的情况风险是零，但是从个人在性病方面的30多年
的经验来看，我从来没有看过这类传播发生。那些到诊所来的hiv感染者要么是有性jiao，要么是公用针头
。我们没有看到过例外。
So if there is risk in the sort of exposue described in your question,it is far too low to
measure or worry about.This also explains our universal reaasurance to questions about
mutual masturbation,contact with potentially infected secretions int the environment,and
most sexual exposures other than insertive sex
所以你描述的这种情况风险基本不用考虑。这也是我们在回答诸如互相手淫，接触感染分泌物而非插入式
性jiao的问题时的标准。
thank you for another opportunity to explain these importan concepts.I'm going to bookmark
this thread so I won't to repeat it agin!But that will be all for this thread.you need to
accecpt the reassurance you have been given and move on with your life,without fear about
this.no more discussion,pleas
谢谢你用另外一个机会讨论这些重要的问题，我要标记这次问答一秒我以后重复回答。你应该放宽心去过
你的生活，根本不用担心这个问题，不要在讨论了。 英语水平真好~顶！ by Season05 75054 Feb 01 14,2010 06:32PM（另外一个询问的）
Doctor ,this is great explanation.Is it also apply to oral sex?
医生，这是个很棒的解释，它适用于口交吗？
by H.Hunter Handsfield M.D Feb 01 ,2010 11:20PM
To:Season05,Everyone
Good question,and a worthwhile addition to the general point about the biology of STD
transmission.
很好的问题，值得在添加一些关于性病传播的生物学解释
in genearl,yes:these comments apply to oral sex.Most important,brief,fleeting oral sex
probably carries little or no risk for any STD---even less than brief indirect genital
contact.The quick kiss of the penis,scrotum,labia,etc rarely results in STD transmission.
总的来说，是的：这些评论适用于口交。更重要的是，简短的口交对性病来说基本没有任何风险，甚至低
于简短的或是非直接的生殖器接触。快速的亲吻龟头，阴囊，阴唇等等基本不导致性病传播。
even for more prolonged or vigorous oral sex,the STD risk is much lower for oral than for
genital or anal sex.As the STD bactera and viruses evolued,they adapted to the genital
environment,which is one reason that common STDs are less often transmitted by oral sex.But
it is not absolute.For example ,gonorrhea is genetically related to bacteria that normally
inhabit the mouth and throat,whict may be why oral gonorrhea,and transmission of gonorrhea
by oral sex.On the other hand ,chlamydia does not take hold in the throat,or only
rarely.Therefore,chlamydia is rarely if ever transmitted by oral sex.HPV may be somewhere in
the middleral infection may be frequent,but usually without consequences.and oral sex
apparently is not a common route of transmission,especially from mouth to genitals.
(Howere,research on this aspect of HPV is in progress,and all the answers are not in).For
HSV ,the two types have different predilections:HSV-1 for the oral cavity,HSV-2 genital:
but three is a fair amount of cross-over.There are additional reasions why HIV in particular
is not often transmitted by oral sex,but that's too complex to get into in this thread.
甚至对更长时间或是激烈的口交来说，性病的风险也要低于阴道交或是肛交。因为，性病的细菌和病毒在
进化中，他们已经适应了生殖器环境，这也是大多说性病很少通过口交传播的一个原因。但是这也不是绝
对的。例如，淋病从基因方面与一些栖息在嘴巴或是喉咙里面的细菌有关，这是口腔淋病以及淋病通过口
交传染的原因，这是有发生的，尽管比起生殖器交要难的多。另一方面，支原体不会出现在喉咙里。因此
，支原体基本上不会通过口交来传播。尖尖的传播方式可能居中：口腔感染可能更加频繁一点，但是并没
有什的严重后果，并且口交显然不是一个通常的传播方式，尤其是通过嘴巴到生殖器的方式。（然而，关
于此的研究还在进行中，这里并不能包含所有的答案）。至于单纯疱疹病毒，两种类型有不同的偏好：
HSV-1 喜好口腔，HSV-2喜欢生殖器。但是有很多交叉感染的方式。有很多其他的理由可以解释为甚么hiv
很难通过口腔传播，但是对于这次讨论来说这些原因又太复杂了 那按照这些国外的文献 我的行为不会感染尖尖是吗？
1.用小姐的丝袜手淫
2.小姐的手短暂的接触了阴茎
3.自己的手在按摩小姐的外阴部摸了几下，时间很短，手指没有插入YD，然后手又接触到自己的生殖器。
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