[Question #13919] Case studies suggested hiv transmission through insertive oral sex (mouth to p)

2 hours ago

Hi Doctor Handsfield. I asked a question for risk assessment of a blowjob from female last week. Again thanks for your reply.

I understand most websites, CDC, you and experts from this website have said the risk for blowjob is little to no risk. There is not a single reliable case reported hiv infection through insertive oral (mouth to penis).

However i found few publications dated back in 1989 case studies of hiv infection from mouth to penis.

1. 60 year old man seropositive with a female via insertive oral https://www.latimes.com/archives/la-xpm-1989-01-25-mn-1041-story.html

2. Two men from Sweden. (sorry no full access to the article) https://journals.sagepub.com/doi/abs/10.1258/0956462971920695#:~:text=Whether%20HIV%2D1%20can%20be,®cation%20is%20legally%20regulated3.

1. Are you aware of these cases? I would like to know your thought about these cases or other details you might know

3. After 2002 why werent more studies for oral?

In my case "receiving blow job from csw at massage parlor" can be moved on? in the back of my mind, somehow thought "oh it could happen to be first"

Thank you in advance for your time and patience, Doc

Edward W. Hook M.D.

1 hours ago

Welcome back to the Forum although it saddens me that you felt the need continue to search the internet regarding your exposure and felt the need to return. Clients do not get to request who will answer their questions and on this occasion I happened to pick up this question. In preparing to respond I reviewed your recent interaction with Dr. Handsfield and agree with all that he said. The was no credible risk of HIV from the exposure you described. One of the references you mention was an un-reviewed letter to the Editor of the New England Journal of Medicine, the other is a case report in a lower tier journal. Both are more than 25 years in the past and both are unsubstantiated. In the intervening decades, there have been no further suggestions that there is meaningful HIV transmission through oral sex. I happen to know some of the authors of both reports, both of whom are now retired and am confident that they would agree with Dr. Handsfield's assessment. In your case you do not even know that our partner had HIV and in fact, it is statistically unlikely that she did.

Could HIV possibly be transmitted through fellatio- perhaps somewhere, somehow but not frequently enough to be a meaningful concern. To put it in perspective, I will also assure you that, just as there is no meaningful risk of HIV from your exposure of concern, there is no meaningful risk of being struck by lightening while reading this response. Our response is unchanged- there was no meaningful risk of HIV from the exposure you describe and no scientific reason for testing. That said, testing is a personal choice and you are free to continue to test for HIV- the results are not going to change. Please do your best to move forward. EWH

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1 hours ago

Got it Dr Hook. Thanks for the reassurance.

I will move on

Edward W. Hook M.D.

53 minutes ago

I encourage you to do so. Take care. EWH---