Hi doctor hook, Im a male 39 fron mexico for the last 3 years i had 12 sexual partners all protected vaginal only, 4 of them were sexual workers and the rest girls I met, my really worry comes from the amount of oral sex I have recived (reciving blowjob) around 13 diferents (basically the same persons i had vaginal sex with) 1- is there really no risk for reciving oral, why not ? 2- when you mention that unproctected vaginal sex from woman to man only an infection takes place for every 2,000 I would like to know the medical aspect of that risk number, I mean why ist that could be with an infected person and not be infected why is that ? 3- in your experience, how many patientes have you told " your risk for unproctected vaginal one exposure are low risk" and then they came back to the forum and told you they were hiv + ? 4- Do you consider nigth sweats with out fever a comon ars symptom and when ( if infected) do nigth sweats show up, how heavy they are and can you coment on things that could cause nigth sweats, I´ve read that even low blood sugar, green tea and execive work out are a cause also.

Welcome to the forum. I'm pleased to answer these common sense questions. Dr. Hook and I take non-herpes questions on our own schedule, without regard to requests for either of us. We have worked together closely for 30 years and our opinions and advice are always the same, even if we have somewhat different styles. My first reaction is to congratulate you on your commitment to condoms for these sexual encounters. The chance you have HIV is nearly zero, and the risk of other STDs also is very low. Directly to your questions:---

Hi doctors here with a follow up, I couldn´t think of the number ofu unproctected sexual intercourses that take place in one day in mexico or the us for that matter(vaginal or anal) but Im willing to bet that is twice the number of people that recive unproctected oral sex, because its easier to perfom, so it got me thinking, if in deed this was a cause of transmision, there wil be at least a 40 percent more of total cases of hiv infected people in mexico or the us, does this make any sense ? taking in consideration that is the easiest and probably most comonn sexual act (recieving oral sex ) questions 1-Do you know if the risk numbers for female to male vaginal intercourse in mexico also apply in the 1 to 2000 ratio 2-If you were a  male uf unknow hiv status ans had sex 5 times with a female and after 6 months she tests negative, would this give you some reasurance that you are also negative ? 3- Have you ever heard nose bleeding to be a symptom of ars ? 4- Do you recall your wost case scenario patient, one who you said "I think this one is doom" and came back negative ? 5- If you are reciving oral sex and her mouth is bleeding, can you get hiv ? 6- There is a rapid test "NEOGEN" by MedLab here in mexico after 6 months would it be conclusive and ist reliable ? 7-Im nervous to take the test bacause of the amount of sexual partners(12) over the last 3 years but they were all protectedvaginal intercouse is the oral sex that I recived that worries me, does it make any diference that they were 12 diferent females giving me oral sex ?8- have you had a patient with this many partners of reciving oral sex, what was the outcome ? thanks so much for all you do

I don't follow your reasoning about 40% more HIV cases in Mexico compared with the US. You'll have to take me through those numbers and your assumptions -- but I very much doubt this is the case.---

Please note that each question comes with two follow-up comments and replies. I suggest you not post anything else until you are tested, then return to let me know the test result. Until then, I won't have any different advice.---

Im sorry doctor but since the begining I bougth 2 questions because I have a lot of doubts, I think that if you ask what´s the common denominator in all of us that come to this forum, its that we are all desperate and reach out to you for some reasurance, I dont think you know how valuable you answers are to us. What i meant when I mention the 40 percent more cases of hiv, was that if reciving oral sex was a way of transmision, in stead (for example) of beeing 10 cases of hiv+ in all of the us, there will be 14(for example) because is the most common act of sex, Dont you agree ? questions 1- If I had 100 sexual partners, but they were all protected vaginal intercourse, with out condom failure, will that make a diference in your risk infection ? 2-If a person gets ars symptoms wich, out of all the symptoms, would you say is always present ?3-How many woman have you found to be infected after only one exposure, from an hiv+ men in your clinic or in the forums? 4-Would you please explain from a medical stand point, why reciving oral sex is not a way of transmision, and I read in one of your forums that there would have to be a considerable amount of blood in the mouth, to be at risk of getting infected from reciving oral sex, is this true ?5-Is hiv really that common? 6-Would you agree that there are many different causes for nose bledding 7- My situattion again: 12 sexual partners over the last 3 years vaginal intercouse all protected, but 12 acts of reciving oral sex unproctected8- In your last stament, you mention that in your clinic you had hundreds of patients, with far more sexual partners than me, and almost no one tested positive, of those patients you mention, did their risk was also from unproctected reciving oral sex or also from unproctected vaginal sex and other sexual acts(assuming they are all male ) Once again thank you for your expertise and patiance !

1) If I understand your reasoning, you mean that there might be a 40% higher chance of HIV from receiving oral sex in Mexico because you think oral sex might be more common among Mexicans than in the US. I don't accept that premise; I doubt there is much difference. But even if that is correct, what does it matter if there were 14 such infections in your country each year instead of 10? It makes no difference in overall risk of HIV at a national level, or for any particular person.---