[Question #12191] Numerical risk assessment for oral sex w/dental work
9 months ago
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Hello Dr. HHH/Dr. Hook/ Terri,
Thank you for answering my past questions, and I would appreciate your expertise this time as well.
I began a connection/relationship with a man who’s been in a long-term relationship prior to me. Same with me, and I’ve been testing myself regularly.
Recently we had mostly protected vaginal sex and twice unprotected vaginal sex without ejaculation.
He agreed to test, and I will be testing in the next few days as well. However, what causes anxiety for me is the fact that we had oral sex and he ejaculated in my mouth. I wouldn’t be concerned normally, but about two weeks ago I had a molar extraction and thereafter a dry socket with an exposed bone. It’s been two weeks post procedure but the area is far from having healed.
Not knowing his status I am concerned about his ejaculate coming in contact with my dry socket/exposed tissue. I’m mostly concerned about HIV.
What do you think about this exposure? How would you numerically state the risk level?
As mentioned, I wouldn’t normally be concerned about ejaculate in oral cavity, but it came in contact with my exposed socket and that concerns me.
Please advise and thank you!
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H. Hunter Handsfield, MD
9 months ago
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Welcome back. Thanks for your continued confidence in our forum.
Although your several previous questions were a few years ago, most if not all the exposures you describe are very similar to each other. In addition, you describe the events with details that have As you might imagine, our advice hasn't changed. Once again you describe a partner likely to be at low risk for HIV and other transmissible STDs; and other exposure details that really don't matter. Ejaculation in the mouth probably makes no difference in risk compared with fellatio without ejaculation. Sores in the mouth, bleeding gums, and things like recent tooth extraction generally make little or no difference in risk. And any wound two weeks previously, including tooth extraction, probably is well sealed by healing tissues.
In any case, you soon will know your partner's HIV status, which almost certainly will be negative. In the meantime, I see no cause for serious worry about this and would not recommend testing for HIV or anything else, at least not until you know his test results. I hope these comments ease your fears while you wait to know.
HHH, MD
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