[Question #1148] HIV Risk Oral Sex

48 months ago
Hi, i am a man from indonesia. A few days ago i received a unprotected oral sex with a girl i knew for 8 years. She is not a CSW. What got me concerned is that there might a small cut on my penis that i noticed after the deed was done. I checked her mouth and she didn't seem to bleed or have any ulcers in her mouth. My question is : did this act place me at risk for HIV? Is the risk substantial? Should i be worried and have a test? What are your thoughts?
Edward W. Hook M.D.
Edward W. Hook M.D.
48 months ago

Welcome to our Forum.  It will be my pleasure to provide an answer to your question.   It is statistically unlikely that your partner had HIV but, even if she did, there is absolutely no risk that you acquired HIV from receipt of oral sex.  This is the case no matter whether she had a sore in her mouth or you had a cut on your penis- still no risk.  There has NEVER been a proven case of HIV acquired through receipt of oral sex and you will not be the first.

No need for concern, no need for testing.  EWH

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48 months ago
Thank you for the prompt and concise reply doctor. I have managed to convince her to test for HIV (viral load + antibody) in two days. If she turns out undetectable and antibody negative, Does this means i am 100 percent in the clear, and is there any potential factors that can change your assesment that i'm clear?
Edward W. Hook M.D.
Edward W. Hook M.D.
48 months ago
 Whether or not she has HIV will make no difference to my assessment. Receipt of oral sex did not put you at risk for HIV.   The are no cases of HIV proven to have been acquired but receipt of oral sex.  EWH---
48 months ago
I understand doctor, final question : i had neglected to inform you that i had previously have protected vaginal and oral sex with a CSW. I tested negative with a (possible) duo test at 37 and 78 days plus oraquick oral swab at 56 and 88 days.  Are these tests conclusive for that particular exposure? If i take a duo test in 25 days , will it be conclusive for the oral sex one? Thank you doctor.
Edward W. Hook M.D.
Edward W. Hook M.D.
48 months ago

No matter which test you had, an 88 day ORAQUICK test would be definitive at 88 days and probably at 56 days as well.  DUO tests provide definitive results at an time more than 28 days after potential acquisition of infection, 25 days may be a little early to be definitive but is strong evidence that you were not infected as well.

This is the 3rd reply to your questions.  As per Forum guidelines, this thread will be closed later today.  EWH

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