[Question #1152] Unprotected Cunnilingus with cut on bottom of tongue.
58 months ago
Hello, how are you doing today? A couple of days ago I had an exposure that I would like advice about. A friend (female) and I (male) were hanging out and ended up messing around. All that was done was unprotected cunnilingus two times that night, both reaching orgasm. During the first time I noticed that I tasted a small amount of blood and the bottom of my tongue felt slightly scratched. I discarded this as I was caught up in the moment and preceded to give her oral once again. Apparently what happened was a crooked tooth on the bottom jaw had scratched the connecting part of the bottom of my tongue. After I got home I could clearly see the scratch and could dab a very small amount of blood from it with a tissue. I was now very anxious about the situation. My friend told me that she indeed has had a recent sex partner (unprotected sex, starting 3 months ago and ending 3 weeks ago) and that he turned out to be an alcoholic (side note) and is currently in jail. This increased my concern. I asked her if she had any reason to believe that she had any STDs and she responded no, but quickly got irritated about the questioning. A while back she told me of an instance where she came in contact with blood from a Hep C individual but was tested a couple of months later with a negative result.
Before this even I have not had any promiscuous activity since testing negative for everything except oral HSV-1 from which I have fever blisters every couple of years. I tested negative for HSV-2 and Hep C and have a titer for Hep B. The testing was done many months after the previous risk before this one.
My questions are:
1. Being that there was a scratch in my mouth during the cunnilingus, should I be concerned about blood borne diseases such as HIV or Hep C?
2. Have you ever had a patient become positive of any STDs with an exposure such as this?
3. Is HSV-2 a plausible concern with this exposure?
4. Do you feel that this exposure requires testing?
Thank you for your time and help.
H. Hunter Handsfield, MD
58 months ago