[Question #12936] HIV concern from giving oral
3 months ago
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Hello Dr.
I have recently become concerned about my HIV risk from giving brief oral to a TS during a massage about a year and a half ago. Although she did not finish in my mouth, she did finish outside so some could have gotten in my mouth prior or after if there was residual. I am hoping this is too low of a risk to worry as much as I have been and that testing is not required but wanted to get your opinion to set my mind at ease and what steps you suggest I take.
Thank you
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Edward W. Hook M.D.
3 months ago
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Welcome back to the forum. I’ll go directly to your question. The estimated risk of acquiring HIV from performing oral sex on a person with untreated HIV is less than one infection in 10,000 exposures. It is unknown whether or not having a partner ejaculate in your mouth changes that risk. Certainly if your partners genital secretions got on your face and cheeks that would not increase risk in the least. Further, you do not know that your partner had HIV. In fact, most transsexual persons do not.
Whether or not to test is a personal decision. I would estimate your risk of having acquired HIV from the encounter you described as being one in 100,000 or less. Only you can decide whether that tiny risk is worth bothering to test for. Personally, I would not be worried in the least about the encounter you describe. EWH.
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3 months ago
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Thank you for your response. I am hoping that this is my anxiety that is kicking in as I suffer greatly from that. I will try not to worry about the experience as you suggest but should I want to test is the Oraquick test at CVS reliable to put my mind at ease?
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Edward W. Hook M.D.
3 months ago
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The Oraquick test is an antibody only test which gives reliable results any time more than 8 weeks after an exposure. 4th generation laboratory based tests are more than 98% conclusive at 4 weeks and 100% conclusive any time after 6 weeks. If your anxiety is getting to you, an HIV RNA PCR test will provide conclusive results any time more than 11 days after your exposure. EWH ---
3 months ago
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So just so I am clear, since the possible exposure was from more than a year and a half ago, the oraquick antibody should be reliable since it is well past the 8 weeks?
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Edward W. Hook M.D.
3 months ago
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Thanks. I missed that it was over a year ago. Sorry.
Yes, your OraQuick results will be reliable at this time. I anticipate that they will show that you were not infected.
As you know, we provide up to 3 responses to each client’s questions. This will be the final response. EWH
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