[Question #3329] information

36 months ago
Good evening im sorry about my english, I live in mexico city and I had an episode with a girl who works on a bar, is not a table dance but more like a restaurant but only with girls servers, after many drinks the place was closing and I offer to take her home, on the way, stupid as I am, I offer her money for sex and she ACCEPTED so I have no idea if this is usual for her, she seems a nice person well groomed not crack ho but still,  So what really has me worry is that in order to get an erection she gave me a blow job with NO condom and after we had sex (vaginal) with condom all the time until i finish, Im really scare because its been one month and I had last week a nose congestion with runy nose like flu, I took medicine and it went away, then a week after I had diarreah, but on my defense the day before i got it, I hate a bunch of stuff (nachos,yogurth ice cream,hot dog,pop corn,peanut butter) and like usual here in mexico with a lot of salsa and stuff, i took medicine and it also went away after a few days, but I was reading about hiv and im worry 
Edward W. Hook M.D.
Edward W. Hook M.D.
36 months ago
Welcome to our Forum.  Your English is fine.  I'll be glad to comment.  The exposure that you describe was low risk for HIV and other STIs.  Most persons, even commercial sex workers, do not have STIs and oral sex only relatively rarely leads to infection of any sort.  When it does it is typically symptomatic and now, about a month after your exposure the fact that you do not have burning on urination or an obvious penile discharge is strong evidence that you were not infected. The most common STIs following oral sex are either gonorrhea of non-gonococcal urethritis NGU) caused by mouth organisms introduced in to the urethra during sex and, as I said, these are typically symptomatic.  There was no risk for HIV from the exposure you describe.  Not only is it unlikely that your partner had HIV but there has NEVER been a case of HIV proven to have been acquired from receipt of oral sex.  in my opinion, at this time there is no medical reason for testing related to the exposure your describe. 

Finally, a suggestion.  Please do not search the internet for information regarding risk.  Much of what is said there is sensationalistic, taken out of context, or just wrong. 

I hope these comments are helpful.  Take care.  EWH

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36 months ago
DOC  it took me a while to get back to you, because im been reading all the post here, you guys are the shit, your like celebrities for sexual health ok so my questions #1 almost no one here post their results, wich will be a lot easier to keep track of exposures vs results would´nt you say ? #2when you say there has NEVER been a case of hiv mouth to penis, where do you get the data for that, from the clinic you work in ? or is there a national data control on sexual health on the US ? I meanhow do you know ? ( no ofense intended, just curiosity) #3 If getting a blow job is risk free for hiv, why is EVERYONE in this site keep asking about it, Im glad im not the only one #4I read that you used to work on a site called medhelp, there they mention about a study in SPAIN where they followed like 150 partner and their oral sex activity and no one seemed to get infected, do know of this ? #5 When dr h says that saliva kills the virus hiv that is and that the mouth is an unfriendly enviroment, can you elaborate on this #6 I read here that GIVING a bj is in the 1 to 10,000 ratio of beeing infected, but you dont mention, whats the ratio for RECIVING and the fact that someone does not know their partner hiv status, increases or decreases the odds ? #7 ARS symptoms when they happen if you take medice, do they go away ? #8 and final question Have you guys gotten a risk estimated wrong so far ? thaks a bunch doc you are truly a gentleman 
Edward W. Hook M.D.
Edward W. Hook M.D.
36 months ago
Thanks for your thanks.  We want our comments and information to be helpful to clients.  On to your questions/comments:

1.  We agree with you that it would be helpful to others and provide useful feedback to us if clients would post their results.  Of course, whether or not they do it is up to them.
2.  Our data on this and other subjects come from a variety of sources.  We each work in academic medical centers which are leaders in STI, HIV and sexual health research.  In addition, we conscientiously read the published medical literature for new data and attend scientific conferences where these topics are discussed. 
3. You are correct, there are lots of repeat questions.   Lots of people ask similar questions, perhaps worried that their situation is different or just because hearing what they have heard before is reassuring. 
4.  We did work with MedHelp in the past until their ownership changed and led to their decision to no longer provide the service  I do not recall the specific study you mentioned but you statement is certainly in line with the information we provide.
5.  Saliva has aa number of enzymes in it which begin the digestive process even before food is swallowed.  These same enzymes are toxic for viruses and many bacteria.
6.  The CDC quotes the same figure- 1 in 10,000 for giving and receiving oral sex.  We have each seen persons who acquired HIV from performing oral sex on infected partners (very rarely) but have never seen nor heard of anyone who acquired infection from receipt of oral sex. 
7.  The ARS occurs when the body is beginning to make antibodies to recently acquired HIV.  ARS symptoms go away even without treatment.  There are no data as to how treatment might affect ARS Symptoms but conceivable they might shorten then slightly (not much, by a day or two).
8.  For all of the reasons noted above, we stand by our advice and are not aware that we have misled clients.

take care.  EWH
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36 months ago
Ok doctor so given my situation, one exposure of reciving oral sex (only this), the fact that I dont know her hiv status, that saliva is not a body fluid that trasmitts hiv (from what I read here) and that both you and Dr h neveer seen a case of hiv throu this route, even with bleeding gums and sores on her mouth (wich I dont recall beeing the case ) WHAT IS YOUR FINAL MEDICAL ADVISE REGARDING HIV, I ask this because Im bulding up the courage to go get tested from this incident. I will much apreciette your final input, in what you believe, the OUTCOME of my test results will be. I have nothing but gratitude for your time and expertise,  
Edward W. Hook M.D.
Edward W. Hook M.D.
36 months ago
This was a no risk event.  From a medical perspective there is no reason for testing.  If you choose to test, I am confident your test will be negative and will prove that you were not infected.  

This is the third and therefore final response as part of this thread.  Thus as per forum guidelines, this thread will be closed shortly and there will be no further answers.  Take care.  EWH
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