[Question #11576] HIV/Std’s insertive oral sex

Avatar photo
13 months ago
Hello, I have some concern about an incident back from June 4th 2024. I had met up with a woman from an online dating site and she performed oral sex on me for about 4-5 minutes. I do understand that insertive oral sex isn’t a risk for HIV but to also mention, her teeth and gums weren’t in the best looking shape. She was a heavy smoker and I didn’t really realize until last minute. I think she had some missing teeth in the back and 1 or 2 teeth on the side looked like it was decaying. Her gums didn’t look all that great either.

Ever since then I’ve been paranoid about HIV and other STD’s because I was worried about her mouth possibly bleeding onto my penis since her mouth wasn’t in the best condition (mainly her gums and bad teeth) I saw no blood on my penis afterwards. She also said that she had dry mouth from smoking so I guess she didn’t have as much saliva. Would all of this make any  difference for STD’s and HIV?  I asked her twice if she was clean of HIV and STD’s and she said yes. I plan on to get a full panel STD in the next couple of weeks. Please help me out. Thank you.
Avatar photo
Edward W. Hook M.D.
13 months ago
Welcome to the Forum. Thanks for the questions.  I'll be glad to comment.  This was a no risk exposure for HIV.  The fact that she had poor dental health in no way changes this.  There has never, not ever been a case of HIV proven to be acquired from receipt unprotected oral sex.  The main STI you are at risk for from this encounter was gonorrhea which is typically symptomatic within 3-5 days after an exposure.  You report no symptoms making gonorrhea unlikely.

If you wish to pursue testing, you can do so at this time.  Tests for gonorrhea and chlamydia will be conclusive, tests for HIV and syphilis will not be entirely reliable until about 6 weeks after your exposure but results at this time will be highly, although not perfectly, predictive.  EWH
---
Avatar photo
13 months ago
Okay thank you for your input. I feel better now. One more concern which I’m sure it’s nothing… but 8-9 days after this oral sex encounter, I had came down with an elevated body temperature, 99.2-99.5, moderate body aches and sore throat. Lasted for a little over 48 hours. And about 2 1/2 weeks later, which was just this past Monday, I came down with something again.. sore throat, low grade fever off and on, mild body aches. Lasted for about 2 1/2-3 days. I’m aware a lot is going around right now but that has also been having me worried if it could have been Ars or another STD? I know insertive oral is no risk but I have definitely been over thinking and my stress and anxiety levels have been extremely high lately. Thanks for your input.
Avatar photo
Edward W. Hook M.D.
13 months ago
Oral STIs, including HIV rarely cause sore throat.  They are most often asymptomatic at the throat.  Further, STI symptoms do not come and go.

I agree with you that you may be overthinking things.  I urge you to move forward without concern.  If you remain concerned, you may want to test as you mentioned earlier.  If you do, I am confident that the results will be negative but having negative tests is often helpful in eliminating anxiety.  EWH
---
Avatar photo
13 months ago
Okay thanks Dr. Hook. And I have one other thing that I forgot to mention. I also received a hand job about 2 weeks ago from a woman I’ve been knowing for a while. She is clean of STD’s from what she had told me. She was very aggressive with the hand job until some of the skin on my penis got bruised and came off. It was a pretty big open skin/cut during the hand job that I noticed when I got home. Now it left a good sized scar. Would that be a risk of HIV from her bare hands coming into contact with my torn/open cut penis? Thank you 
Avatar photo
Edward W. Hook M.D.
13 months ago
Receipt of masturbation, even when it i rough and least to abrasion i no risk for acquistion of STIs including HIV.  Transfer of genital secretions from person to person on someone's hands has never lead to acquistion of an STI.

HIV is transmitted ONLY through penetrative sex or injection of infected material deep into tissue and, as you know, even some penetrative events (i.e. receipt of oral sex) are still no risk.  Please don't worry.

This is my 3rd response and therefore the thread is now complete and will be closed shortly.  EWH
---
Avatar photo
13 months ago
Thanks a lot for that Dr. Hook. I know that was the last response before the closing of this thread. But if this question is not allowed now then I understand.. but I’m curious to know. So I haven’t been tested in over 4 months for HIV, Hep C and syphillis. My last sexual encounter was the insertive oral sex which was 6 weeks ago. I took a 2nd gen HIV rapid test approved by the FDA at a STD clinic yesterday which came back negative along with negative rapid Hep C and rapid Syphilis. My question out of curiosity is is a Rapid HIV test at 6 weeks (43) days considered conclusive when it comes to antibodies? Or should I retest at 8 weeks (57-58 days) for it to truly be conclusive when it comes to antibodies? I’ve read in your other threads that 6-8 weeks for antibodies only test is considered conclusive. But 8 weeks is truly conclusive. And that includes for HIV rapid test to as well? Sorry for all of these questions, I’m just very curious to know. I understand I wasn’t at risk for HIV with insertive oral sex, but it’s just a piece of mind thing for me. I plan on taking a 4th gen Duo HIV test in September for my annual physical. Thanks a lot. 
Avatar photo
Edward W. Hook M.D.
13 months ago
Final Response

I've already commented on the no risk nature of oral sex in terms of HIV risk.  In answer to your question have the timing of conclusive results- the results of antibody only tests for HIV if fully conclusive only at 8 weeks.  In the case of the encounter you have asked about, no matter when you test, the result will be negative since it was a no risk event to start wtih.

EWH
---