[Question #10535] Very brief receptive oral sex by masseuse

22 months ago

Thank you for website it is very helpful and informative. I experienced very brief unexpected receptive oral sex (less than 2 seconds) asked her to stop as there had been a misunderstanding, with subsequent handjob. She was east Asian maybe in her sixties. I do not know her infection status. Mainly worried as I she could be high risk for having acquired STD including HIV. I don't know if her mouth has sores etc.

My main worries are HIV and HBV . From what I see on your threads I understand the risk is very low. Minimal for HIV and higher for HBV (I am .fully vaccinated, had booster and good antibodies 2 years ago

Main questions are

1) risk of hiv /HBV. Any numbers are great but appreciate may not be possible

2) Would you recommend pep if this scenario occurred in your clinic (my understanding is routinely it wouldn't be advised unless mouth sores etc)

3) When would be the best time to test for hiv and HBV to confidently exclude transmission. What else would be a sensible to check eg

Chlamydia, gonorrhoea and syphillis

4) Would you be so unconcerned regardless of masseuse status that no testing needed?

5) I assume hpv transmission would be very low risk

Edward W. Hook M.D.

22 months ago

Welcome to our forum. Thanks for your confidence in our service. I’ll be glad to comment. Your risk of HIV or hepatitis B from receipt of oral sex is not low risk but no risk. There are no proven instances in which either of these infections just been transmitted through receipt of oral sex. In addition, while there are no studies which defined risk is related to the duration of an exposure, the brief duration of your exposure also makes any potential risk for any STI very, very low. In response to your specific questions:

1. See above- virtually zero risk

2. Absolutely not. If you approached me in my clinic, requesting PEP for this exposure, I would refuse to prescribe it.

3. There is no need to test for hepatitis B or HIV. As a rule, however testing for these infections is conclusive anytime more than six weeks after exposure. Testing for gonorrhea and chlamydia can be performed with confidence any time 3 to 5 days following an exposure. Syphilis testing requires a blood test and would not be conclusive until, about four to six weeks following the exposure.

4. Correct. Personally, in this situation, I would not bother to test at all.

5. Correct.

I hope the information I have provided has been helpful. This was a very, very low risk exposure for any sort of STI. Take care. EWH.

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21 months ago

Thank you that is really helpful. No further questions.