[Question #3421] follow up to question #2493
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89 months ago
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hello dr hook:
regarding analingus, i have moderate gum disease and a few implants. recently after flossing (30 mins maybe more?) i engaged in analingus with a csw of unknown hiv status. i performed on her including my tongue in her anus.
is performing analingus a zero risk activity with regard to hiv?
most sources online including the san francisco clinic site claim zero risk. but i want to be sure as i don’t want to potentially infect my wife.
can you provide final clarity for me here?
thank you.
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Edward W. Hook M.D.
89 months ago
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Welcome back to our forum. I am sorry that you continue to be concerned about the risk for HIV and other STI & AIDS related to analingus. Your question is a bit redundant with your earlier question. It remains a virtually no risk event other than the risk for acquisition of gastrointestinal gastrointestinal pathogens. Lesions in the mouth and gum disease do not change this reply. Neither does flossing. There is no medical reason for HIV or STI testing related to the performance of analingus. I hope that this comment will be helpful to you and allow you to move forward without concern. EWH. ---
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89 months ago
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ok. sorry but to be very redundantly clear:
performing analingus is a zero risk even for the person performing with regard to HIV?
that is my final final question!
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Edward W. Hook M.D.
89 months ago
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Yes. EWH---
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89 months ago
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so i may as well use my last question.
since HIV risk seems highest in the context of unprotected penile to anal sex , can you comment briefly as to why unrprotected oral to anal sex carries zero risk?
the penis and tongue are entering the same place, no?
really just academically curious.
thank you again doctor.
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Edward W. Hook M.D.
89 months ago
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There are many possible explanations, any or all of which may contribute. Here are some:
1. Oral contact of any sort is lower risk than genital contact. The CDC calculates that risk of receptive anal intercourse as about 1 infection per 100 sex acts, for insertive anal intercourse at less than 1 infection per 1000 sex acts and the risk for active oral sex as less than 1 in 10,000 sex acts.
2. The cellular make up of the tongue is nor resistant to infection than the cellular make up of the penis.
3. The tongue rarely goes as far into the anus as the penis during rectal contact.
As you know, this thread, having received three replies, will now close. I hope that my comments have been helpful. Please don't worry. EWH
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