[Question #1410] hiv through oral

48 months ago
im married guy 32yr from israel tel aviv. before couple days i stupidly had an encounter with transexual street prostitue. she gave me oral without condom for few minutes. i didnt penetrate her, all the act was just include oral she perfomed on me (she sucked).  now im in panic that hiv could pass that way. i know the chances are low but still... do you think i need to test for hiv? is it any risk or not?
i didnt noticed any cut or bleeding in her mouth, but it was dark so maybe...
from what i know, the hiv rates among ts in israel is similat to u.s.a.
thanks alot.
Edward W. Hook M.D.
Edward W. Hook M.D.
48 months ago
Welcome to our Forum.  I'll be pleased to comment.  In terms of HIV this was a no risk event.  Even if your partner had HIV (even among transsexual commercial sex workers, the majority do not have HIV), there has never been a case of HIV documented to have been acquired by receipt of oral sex, not even one.  This is the case irrespective of mouth sores, bleeding gums, dental disease in the person performing oral sex.  You will not be the first.   There is no medical reason to even test for HIV related to this exposure.

Several STIs are occasionally acquired from receipt of oral sex.  Nongonococcal urethritis (NGU) due most often to acquisition of mouth bacteria into the urethra is most common and more rarely Gonorrhea can be acquired from oral sex performed by a person with gonococcal pharyngitis.  Both of these problems are typically symptomatic, presenting with burning on uriantion or a penile discharge.  If these do not occur in the few days after sex, you realistically have nothing to worry about.

I hope this information is helpful.  If not, please let me know.  EWH
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48 months ago
thank you for you're answer.
yesterday, 5 days after the encounter I described I started to feel a little pain in the right testicle. it's not a hard pain, just come an go light pain. it's not swollen and there's not any discharge or burning when I urinate.
is it possible STD symptoms?
I don't know if it's safe to have sex with my wife.
Edward W. Hook M.D.
Edward W. Hook M.D.
48 months ago

The sort of testicular discomfort you suggest does not suggest an STI.

Most commercial sex workers, including those who are transsexual, do not have STIs and receipt of oral sex only relatively rarely leads to infection.  When it does, the most common problems are either gonorrhea of non-gonococcal urethritis NGU) caused by mouth organisms introduced in to the urethra during sex.  This sort of non-chlamydial NGU is not clearly and STI in the traditional sense, is not readily transmitted to sex partners like other STIs, and in not associated with complications.  In the Unitized Kingdom, many specialists do not treat NGU associated with oral sex.  When treated, oral sex-related NGU typically resolves quickly.  As for gonorrhea, most gonorrhea becomes symptomatic within 2-4 days of exposure.

If I were you, I would not worry and would not hesitate to have unprotected sex with my wife.  EWH


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