[Question #11670] Insertive Oral Sex Hep C question

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13 months ago
Hello, sorry to be back after only a few days. I just have quite a few questions to ask and can only ask so many at one time. My previous question was about HIV from insertive oral sex from a woman with not so good dental health. I understand now that HIV wasn’t a risk and also realize that other STD’s are very low risk.
 
My question is if Hep-C is a slight to moderate risk if say this woman’s gums and teeth were really bleeding onto my penis or even open sores inside mouth while she was giving me oral sex? I’ve read other posts from you guys on how oral sex, especially insertive isn’t a risk for Hepatitis C. But does a woman with bad oral health increase that chance of Hep C or make it possible on the receiving end for oral sex? And what are ways that a person can acquire HIV/Hep-C coinfection at the same time? Sorry for the excessive questions.. I’m just genuinely curious and still trying to learn for myself.  

I actually had a rapid Hep-C test as of last week which was at 6 weeks. I’m getting my annual physical in September which will include a full STD panel including Hepatitis A,B,C. That will be the 12 or 13 week mark after oral exposure. Thanks a lot for your help and patience. 
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Edward W. Hook M.D.
12 months ago
Welcome back to the forum. I’m sorry you continue to worry about your receipt of oral sex from a partner with poor dental health. The encounter you describe was a no risk of event for hepatitis C. With the exception of very rare cases of hepatitis C acquired through receptive rectal intercourse Hepatitis C is not sexually transmitted and not a concern. Oral sex is not a route of acquisition of hepatitis of any sort. Testing for hepatitis C as an STI is a waste of resources.

I hope that the information I’ve provided will help you to move forward without continuing concern. EWH.
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12 months ago
Thanks a lot Dr. Hook. You have helped me out a lot these past few months and now I’m more educated than ever when it comes to certain sex act risks. I’ve always wondered about Hep C when it comes to oral sex and now I know. Her having bad oral sex (at least from what I saw) had me extra paranoid and OCD. She did say she had dry mouth from smoking so much and didn’t have much spit from what I remember her telling me during the act, so I think she might have lacked some saliva in her mouth. Not 100% sure if she did or didn’t lack saliva. 
But say if she did lack saliva at that moment and it was a low amount and in her mouth at the moment, that wouldn’t make any difference when it comes to HIV and Hep C right? That is my last question to ask. This scenario is something new to me, so trying to make sure to know everything I need to know for the near future. Thanks 
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Edward W. Hook M.D.
12 months ago
The hypothetical lack of saliva you suggest in no way changes my assessment.  There was no risk for hepatitis C or HIV.   EWH---
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12 months ago
Okay thank you. And one last thing before this thread is over. Is it possible for someone’s mouth to have zero saliva during the time of oral sex? Say hypothetically speaking she had zero saliva at that moment, would that still affect anything when it comes to transmission of HIV. Sorry for all of the tedious questions. Thanks for your patience with me. 
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Edward W. Hook M.D.
12 months ago
Final answer.  You seem to be unable to appreciate that receipt of oral sex is a NO RISK event in terms of HIV risk.  You need to.  

The amount of salivation person have is highly variable from person to person and small or limited salivation is unusual.  

This needs to be your final question.  Should you return to the Forum with further questions regarding this topic, your question may be closed without a response and return of your posting fee.  Repetitive, anxiety questions are of no benefit to the persons asking them or other visitors tot he Forum.  EWH
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