[Question #13497] Cunnilingus more details
15 hours ago
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Hello doctor . Can you please elaborate more in the risks of giving cunnilingus and receiving fellatio . Primarily hiv . But other stis as well . I undertand cunnilingus is low risk or perhaps lower risk from previous reply . Are there any numbers on this . Could you please elaborate what are the chances of catching hiv from performing cunnilingus on a woman of unknown hiv status . are there any proven cases of catching hiv this way . Under what situations.
15 hours ago
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i understand receipt of fellatio is extremely rare . How about performing cunnilingus . Is it at the same level ?
14 hours ago
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Could you also please elaborate on frottage when standing up . Where female rubs penis against vaginal area
8 hours ago
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Its been 24 hours since . Should i consider PEP for peace of mind . Given i had a history of pancreatitis my doctor suggested it might be hard on my fatty liver and pancreas to take hiv pep for 28 days.
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H. Hunter Handsfield, MD
7 hours ago
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Welcome back but I'm sorry you found it necessary. This will have to be your last question about oral sex, frontage, or any other sexual risks for HIV aside from intercourse (penile penetration). There isn't much to add to the prior replies from both me and Dr. Hook.
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There has been no research on cunnilingus or frontage and HIV risk. What we know is that there are no known cases of HIV transmitted by such exposures. Must busy HIV/AIDS clinics probably have never had any patients whose only possible exposures were cunnlingus, frontage, massage, or genital contact without penetration (regardless of standing up or any other body position). That doesn't prove HIV cannot be transmitted, but if it does, it is extremely rare.
I don't recommend even being tested for HIV on account of such events, but of course you are free to be tested if you would like the additional reassurance of a negative test result. Certainly you should not take PEP and I would never advise it just for "peace of mind". And I doubt you could find a clinic or doctor willing to prescribe PEP in this situation, assuming you told the truth about your exposure(s) and reasons for worry about it. I know of no reason that past pancreatitis would raise the risk of more serious outcomes from HIV infection. But this obviously doesn't matter since you are not at risk for HIV anyway.
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
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38 minutes ago
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sincere thank you doctor. I am working on myself to not get into anything risky . I take this very seriously. I am hoping this will be my last message on this forum and not indulge into any outside distractions and ensuring steps moving forward. I happen to be an anxious person about STIs and HIV in particular due to social stigma surrounding my personal life.
What concerns me is following.
1. my gums bleed during flossing . I don't floss regularly. But ever time I try to , they have some tiny bleeding. I don't bleed from brushing. But do get little bleeding from flossing. Should I be concerned about this gingivitis affecting this . I read some resources online stating oral hygiene does impact risk. (https://i-base.info/guides/testing/oral-sex) .
2. About my pancreatis, to clarify what my doctor said was if I take PEP , it would have a stress on my liver and some extent my pancreas. Given that I have fatty liver and had an episode of pancreatis 4 months ago , there would be a risk of a flare up . So the doctor told me to think about it warning me potentially ] there is a chance that a heavy medication like PEP for 28 days would be hard on my liver and pancreas given where my fitness was.
3. Can I forget about this exposure totally and move on
4. is it safe for me to say this is a near zero risk event.
5. Should I be concerned about any other STIs outside of HIV for this exposure .