[Question #11036] follow-up
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17 months ago
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Apologies for returning to the forum; I have additional follow-up questions.
If the sex worker had sores or open wounds in her mouth, would there be a risk of HIV transmission from kissing her?
Given that I had severe canker sores and bleeding gums, would my risk assessment change if there were small cuts or instances of broken acne in/on her genital area and anus (assuming I licked and sucked her anus), on her breasts and nipples, or on other parts of her body that I licked and sucked? Am I correct in assuming that my risk of HIV would still be negligible and that there is no need for testing?
If I meet with sex workers approximately once every two or three months and limit our activities to mutual oral sex (including licking and sucking the sex workers' anuses), deep kissing, body licking, and sucking, but avoid vaginal intercourse, what would be your recommendation regarding HIV testing? For instance, should I undergo testing once a year?
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Edward W. Hook M.D.
17 months ago
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Welcome back to the Forum although I’m sorry you feel the need. On this occasion I happened to pick up your follow up questions. In preparing to reply, I reviewed your recent interaction with Dr Handsfield and agree completely with all that he said and his advice. Sorts of oral contact, you have described our virtually no risk for acquisition of HIV. As Dr. Handsfield has already said, the presence of canker sores would make no difference, neither would dental disease or oral lesions either you or your partner. I see no reason for testing related to the sorts of contact you describe. If you choose to test periodically, then, given the frequency and sorts of exposures you describe, testing once a year is more than sufficient.
I hope this reaffirmation of Dr. Handsfield’s comments is helpful. EWH
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17 months ago
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Thank you for your reply.
Does the presence of small cuts and broken acne in and on her genital area and anus, as well as on her breasts, nipples, and other parts of her body, make any difference, considering that I licked and sucked these areas, including her vagina, anus, breasts, nipples, and body?
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Edward W. Hook M.D.
17 months ago
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No, just as oral lesions make no meaningful difference, neither do open sores or acne lesions that you might contact with your mouth. EWH---