[Question #2793] Unprotected Oral

40 months ago
Good morning.  Received unprotected oral for a few minutes a few weeks ago from "high end" escort.   (This has become my annual "mistake" as the same event occurred last year).     Took a urine test five days post exposure for gonorrhea, chlamydia and trich.   All negative.  No symptoms at all.   Do I need any further testing (HIV) or should I move forward and avoid this "mistake" in the future.  Based on what I have read it appears further testing is not necessary.  Thanks for your assistance.  
Edward W. Hook M.D.
Edward W. Hook M.D.
40 months ago
Welcome to the Forum.  There has never been a case of HIV proven to be acquired from receipt of oral sex and your tests for more common, readily curable STIs are all negative.  You are in the clear and there is no need for concern, no need for further testing of any sort and no need to abstain from unprotected sex with your regular sex partner.  You are in the clear.  EWH
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40 months ago
Thank you for your fast reply.  Appreciate the informed advice which you and your colleagues provide in the Forum.  
40 months ago
Asking a question that I probably know the answer to but my guilt from the exposure got the best of me.  29 days post oral exposure I chose to take a 4th generation HIV test, which was of course negative.  I assume this is sufficient and probably was not even necessary (as you stated).    Unfortunately at times ones mind and the internet create uncertainty........despite receiving good advice.   Thanks.  
Edward W. Hook M.D.
Edward W. Hook M.D.
40 months ago
You are correct.  While the CDC recently revised its guidance to suggest that 4th generation HIV test results are not entirely definitive until 6 weeks after exposure, over 99% of results are definitive after 4 weeks.  Given the nature of your exposure, my advice, is to consider these results definitive and move on without concern.  I hope you can/will do that.  EWH
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