[Question #13559] HIV - Deep kissing

 
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2 hours ago
Hello Doctors

I would appreciate your guidance please.

I have just started dating a girl (33). She advised me that her last episode of sexual intercourse was a month ago and it was condom protected. She added that she was last tested for STI’s 3 months ago.

She is not a sex worker or injection drug user.

Over the weekend - the first and second date - we engaged in deep tongue kissing multiple times. We did not have intercourse of any kind; or engage is anything like BJ / oral sex etc. 

I have read previous posts on this forum that kissing of this sort is zero risk for HIV. Further, I understand that the only way an adult can be infected with HIV (if not infected at birth), is by unprotected vaginal / anal sex; or exposure to huge amounts of blood (i.e gunshot victim). Everything else is meaningless (?).

It is now four days after the last episode of deep kissing and I suddenly have an awful groggy head, a sore throat; and runny nose / nasal drip.

I could not taste blood when we were kissing and did not notice any wounds.

Am I worrying for absolutely nothing and can I move on without concern?
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H. Hunter Handsfield, MD
49 minutes ago
Welcome to the forum. I'm happy to address these issues.

Thank you for reviewing other forum questions similar to your own. You correctly understand the basics of sexual transmission of HIV.

Assuming you are in the US, Western Europe or other industrialized country, the chance a female partner like your would have HIV is well under one chance in thousands. From your description, she has been sexually very safe. You also can safely assume she had a negative HIV test 3 months ago, since HIV testing is almost always done along with other STI tests. Equally important, HIV is not transmitted by kissing, including prolonged open mouth ("deep") kissing. Can we say it never happens? No, it's impossible to prove a negative. However, even the world's busiest HIV/AIDS clinics have rarely if ever reported a patient whose only possible exposure was kissing. So if it happens, it is exceedingly rare. Considering both the low chance your partner has HIV plus the near zero chance of transmission by kissing, the chance you have HIV as a result is well under one chance in billions.

As for your symptoms, the cause is obvious. Colds and other common upper respiratory viruses are exactly the opposite of HIV in terms of oral transmission risk:  if your partner had such a virus (not necessarily with symptoms) there is 100% certainty you would catch it. That is the only possible cause of your symptoms. Not only are they typical for a new infection with such a virus, the timing was perfect. In contrast, HIV symptoms don't start sooner than 8-10 days after exposure, and HIV doesn't cause nasal congestion or drip.

You definitely can move on with no further concern about HIV (or any other STI as well). Just deal with your cold as you usually would, including protecting others around you (cover sneezes and coughs, wash hands often, and avoid kissing and hand-to-hand contact with friends, co-workers, and others in your household).

I hope these comments are helpful. Let me know if anything isn't clear. 

HHH, MD
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