[Question #10558] HIV and oral sex

Avatar photo
21 months ago
Very sorry to be hear.  I know that I asked for the question to be deleted but regrettably have changed my mind.  My wife is coming up for her pap test and it triggered past events. Over 8 yrs ago I had condom protected oral sex performed on my by a stripper.  It was my first and regrettably as you can tell not my last indiscretion.  I have read that there is no scientific evidence of HIV being passed from mouth to penis. Given my recent events i am reliving my past. My family Md at the time did order STD testing including HIV. I was able to find the results which where negative from Aug 10 2015. For hiv I believe it requires 45 days from exposure to positive test.  I just don't remember how soon from my event to date of testing if that exceeded 45 days. I believe so.  Any reassurance you can provide would be appreciated. 
Avatar photo
Edward W. Hook M.D.
21 months ago
As a clinician I am troubled to see you back on the Forum with this question. This is your 12th question over the past 4 years and your 4th this month.  Before I address your question, I want to suggest that you seem to have a recurring pattern of low or even no risk encounters which you then become profoundly guilty about and come to the Forum for reassurance which we then try to provide.  Your questions are rather repetitive and typically manifest anxiety far out of proportion to any true risk for STIs, including HIV.  As a non-mental health clinician, this suggests to me that you need help in addressing this recurring pattern of behaviors- either the encounters you then come to regret or the guilt you feel from taking part in them. In either situation, my suspicion is that you need to speak with a trained mental health professional to work through how to better address the problem.  I suspect that the guilt and anxiety you mention to us is having deleterious impact on your relationships and mental health.  I say this out of concern for you, nothing more.

As your your concerns that you might have acquired HIV from receipt of oral sex over 8 years, you can put these concerns aside.  There are NO proven cases of HIV which have EVER been acquired from receipt of oral sex.  Your negative test years ago serves to confirm that you are not an exception to this fact.  Further, had you acquired HIV more than 8 years ago, it is more likely than not that by this time you would have begun to suffer the sorts of opportunistic infections which we see in persons with advanced HIV.  You can be 100% confident that you did not acquire HIV from the encounter you are now worried about.  

Please seek the assistance of a mental health professional- this can be done confidentially and I suspect will help you more than any sort of science based reassurance I can provide.  EWH
---
Avatar photo
21 months ago
Thanks and noted. You may delete this if you wish 
Avatar photo
21 months ago
I guess you would say no bother to test.  Even with a rapid test.  What about if I don't remember if the original negative test was done too early from exposure 
Avatar photo
Edward W. Hook M.D.
21 months ago
Correct. From what you say, I see no medical or scientific reason for testing. EWH.---
Avatar photo
21 months ago
Thank you.  I will strive towards healing myself .I do wish you all the best. You may delete this thread if you wish.