[Question #11735] Oral sex
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12 months ago
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Hello, please help.
I met up with a sex worker on February. We did the oral sex in my car. I leaned my seat back a took off my pants and underwear. I put a condom on. She gave me oral sex on my penis. This lasted about 10 minutes.
The problem:
This was a very very very wet blowjob. I want to make it clear that the amount of saliva was excessive to the point the seat was wet. So my concern is not my protected penis but my unprotected anus.
My question:
What are my risk for hiv assuming she is positive?
I know the saliva is no issue for my butt, but can the saliva get into my anus? When a person clenches the external splincter does that force fluid into the anal canal? I thought the anus is always closed? Is this true?
About 2 weeks after this incident I had the following: minor sore throat for 3 days followed by congestion, sneezing, and cough.
What concerns me the most I had a flare in Seb derm (self diagnosed) 2 months from the exposure.
I’ve been suffering from depression for the past several months so my weight has fluctuated. The most lost is 8lbs.
August cbc shows a drop in lymphocytes from 1700 to 1000.
Thoughts?
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H. Hunter Handsfield, MD
12 months ago
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Welcome to the forum. Thank you for your question.
Saliva rarely if ever transmits HIV, no matter what body areas or cavities it contacts. That there might have been contact of saliva with your anus does not elevate your risk of HIV. I have no idea whether tightening the anal sphincter can "force fluid into the anal canal", but it would not matter even if it does.
As for your symptoms, acute retroviral syndrome (ARS, i.e. initial HIV infection) does not cause nasal congestion, sneezing or cough. The "flu like" symptoms often described mean headache, muscle aches, sore throat, and fever -- but not symptoms like yours. Your fluctuating weight or lymphocyte count don't mean anything. Worsened seborrheic dermatitis also means nothing.
Since you had a lymphocyte count, it seems likely you were tested for HIV -- but you say nothing about the result. If done and negative more than a few weeks after the exposure, you can rely on the result. If not tested yet, or course that is what you should do. In the meantime, I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
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12 months ago
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Thanks for the reply.
Quick question. To clarify, this is not worsened seb derm, this is new onset. I’m 36 male. Does that change your assessment? I have not tested as I was told this was no risk and to test at my annual. The lymphocyte count was from my CBC which was done at my semi annual. I know saliva is supposed to be not infectious but I’m afraid I’m going to be the unlucky one here. If the Seb derm didn’t happen I would be much less concerned. I agree the weight loss is likely unrelated and due to stress. Regarding the seb derm, it’s not chronic or anything, I just keep getting dead skin on my nose and ears. Thanks again.
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H. Hunter Handsfield, MD
12 months ago
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New onset seborrheic dermatitis doesn't change anything.
If you have had a negative HIV test done a few weeks after your contact last February, you can rely on the result. No matter what symptoms are present, the HIV test is reliable; there are no exceptions.
You have one more follow-up comment available in this discussion. If you have been tested for HIV, let me know the result. If not, get tested now. I will have further comment or advice in this thread until or unless you let me know your test result.
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