[Question #2638] Unprotected oral sex hiv risk

41 months ago
Hi doctor . 

Im Malaysian and sorry for my English .  2 days ago I received unprotected oral sex from a bar girl . I was drunk that day and couldn't remember much of the details . I did wear condom while she performing oral sex for the first time . I took off the condom and continue with unprotected oral sex. ( no vaginal / anal penetration ) .  The lady is so scare and not willing to perform oral sex to me . ( I guess she worry of std infection too) . It's quite a prolong oral sex ( maybe 4-5minute) until I ejaculate . 

What scare me off she curious about the blood on the tissue ( actually the room is dark and not able to justify it ) .  I asked her a few time to clarify whether is blood and finally she say no . ( but I doubt ).

I quickly check on my penis and there is no cut or wound . And more over, there is no blood appear on my penis as well . And my pants didn't have any blood contaminated too .  

But I'm still worry.  Am I hiv risk of it ? What is my chance of getting hiv ? 

Edward W. Hook M.D.
Edward W. Hook M.D.
41 months ago
Welcome to our Forum.  I'll be glad to comment.  It is not clear to me where the blood you mention may have come from- perhaps her mouth.  Irrespective of the source however, the event you describe did not put you at risk for HIV.  There has NEVER been a case in which HIV has been proven to be acquired following receipt of oral sex.  Not ever and you are not going to be the first.  You do not know that your partner had HIV or any other STI and even if she did, even usual STIs are not regularly transmitted by oral sex. The major STIs transmitted by receipt of oral sex are gonorrhea and non-gonococcal urethritis, each of which is typically symptomatic within a few days after sex.  I would not be worried and see no medical reason for HIV testing related to this exposure.  Please do not worry.  EWH
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41 months ago
Thanks doctor. 

I think I make the statement not clear enough . I have no idea whether is blood on it because I don't see any blood at my side .  I don't see any cut or wound and there is no sign of fresh blood around my area ( penis , pants ) .  When I asked her and she say there no blood . I hope I just over worry and I hope is some kind of misunderstanding . 

However , assuming there is a blood . Is there any risk of contracting hiv this way without any cut , sore or wound on my penis ? I been paranoid of this and I keep on thinking about the possibility .  As you mention there is no one case of hiv happen in receptive oral sex , but what if there is blood ? Is the reassurance still the same ? Sorry I really worry about this . 

I read many post saying that saliva is not infectious instead is protective against hiv transmission . But how could it happen ? Hope to receive your reply soon doctor . 
Edward W. Hook M.D.
Edward W. Hook M.D.
41 months ago
Your statement was clear but apparently my answer was not.  Blood or not, irrrespective of the source, the exposrue you describe did not put you at risk for HIV!.   HIV is NOT transmitted in saliva.  This was a no risk event with no need for testing related to it.  EWH     
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