[Question #13928] Possible very brief oral contact and HIV/HPV risk

2 hours ago

Dear Dr. H. Hunter Handsfield,

About a week ago, I asked whether HPV can be transmitted through hand-to-genital contact. I believe it cannot be transmitted this way, and I have put that issue aside.

However, there is another incident from the same day that I did not mention before.

I am concerned about HIV and HPV risk. I am male. On the same day, while I was selling food, this woman came up to me, harassed me, and a brief physical struggle occurred. During this, she tried to pull down my pants and I resisted. The incident lasted about 30–40 seconds.

She suddenly knelt down and tried to bring her mouth to my penis. While I was trying to pull my pants up, she was pulling them down with both hands. Because I was wearing stretchy sports pants, my penis was partially exposed during the struggle. I felt that she was trying to make contact and I tried to protect myself.

She also tried to stick out her tongue and make contact, but I do not know whether it actually touched.

During this, I believe there was a very short 4–5 second period of oral contact with my penis; however, I do not clearly remember those few seconds (I believe there was oral contact). At the time, I did not clearly feel it. I was scared and said “stop,” but she continued and there was a brief struggle.

The contact duration was no longer than a few seconds.

After this incident, I did not consider making a police report. However, I am currently experiencing stress and anxiety due to the uncertainty.

My questions are:

1. Does such a very short oral contact pose a realistic HIV risk?

2. Are there real documented cases of HIV transmission in such situations?

3. What is the risk for HPV?

Thank you.

H. Hunter Handsfield, MD

1 hours ago

This is your fifth question, all of them reflecting your unwarranted fear of HPV. Last time you said you had gotten past those fears but obviously you have not. This is more of the same, with a touch of HIV along with your HPV concerns. The answers to these questions was given in your previous threads, or at least the answers are obvious from those discussions. You can't claim a new topic just because you decided to ask about HIV in order to get back to another HPV question. To repeat the my closing comment in your previous thread a few days ago:

Also note the forum policy against repeated questions on the same topic. Your several questions over a few years all addressed the same thing -- you irrational fears of HPV and worries about it with exposures that carry little or no risk. This one is your last. (Minor changes in circumstances -- like a different exposure of the same sort -- will not count as new topics. Repetitive questions may be deleted without reply and without refund of the posting fee. The forum sponsor doesn't want repeated payment for questions already answered (or whose answers are obvious from previous discussions) and repeated answers tend to prolong rather than relieve anxiety. In addition, such questions have reduced educational value for other users, one of the forum's goals. Thank you for your understanding.

To your specific questions:

1. Does such a very short oral contact pose a realistic HIV risk? No: HIV is not transmitted by oral contact or in saliva.

2. Are there real documented cases of HIV transmission in such situations? No, not to my knowledge.

3. What is the risk for HPV? Definitely answered in reply to your four previous questions. Zero. I suggest you go back and re-read them (11291, 11305, 11995, 13905).

HHH, MD

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1 hours ago

If she did, I don’t know whether I would have noticed her taking it into her mouth during that struggle, because my hands were constantly moving up and down, there was force and fighting.

If she didn’t, everything is fine, but it feels to me like she might have taken it into her mouth, and that’s why I’m scared. If she did take it, during that struggle I don’t know whether I would have noticed it. Is there any risk for HIV or HPV? I’m on day 9 now.

1 hours ago

Doctor, is there a possibility of HPV transmission through brief oral contact? I am very worried and I have not consulted anyone else about this. I would like to ask just one last time, and then I will stop worrying about this topic. I apologize for asking repeatedly; I am just feeling very anxious and unsettled.

This is a separate situation from the one I described earlier.

H. Hunter Handsfield, MD

1 hours ago

Repeated questions whose answers are obvious either above or in reply your previous questions.

Nobody can say the risk of HPV is zero from oral contact, even brief, if the contact is sufficiently prolonged or intense. But there are few if any cases known. And your worries continue to assume HPV is far more dangerous than it is. Assuming you are sexually active or will be someday, you can assume you have been infected with HPV or will be in the future. Get vaccinated to prevent 90% of the potentially serious outcomes then go about your life without worry over it, like almost everyone else does. Finally, it is clear your obsession with HPV is having a significant negative impact on your sexuality and general health. You should seek professional guidance and intervention. I suggest it from compassion, not criticism, but I hope you take it seriously.

This is not the first time you have been told these things but it definitely is the last. This thread is over. Please do not try again: next time you ask versions of the same questions, there will not be even this much reply. The question will simply be deleted without reply.

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