[Question #4425] HIV/STD Risk of oral sex

30 months ago
Hello Dr.
          I had an encounter 10/20/18 in which i made out with a lady (twice for no more than 20 seconds each time) in her low to mid 40s. She unbuttoned my pants, i covered the head of my penis and only licked the shaft of my penis and testicles and sucked on one. This act lasted for no more than 30 seconds. My question is.
1. What are the risks of contracting hiv and or std's
2. Should i go get checked?
3. I dont have health insurance yet, however a clinic offers to check hiv for free with the INSTI rapid hiv test. They say these tests can be taken as early as 2 weeks. What is your take on this? Should i go get tested and consider these results conclusive?
Edward W. Hook M.D.
Edward W. Hook M.D.
30 months ago
 Welcome to our forum and thanks for your question. The encounter you describe was very low risk for all STI's. First, most people do not have STIs.  Second most exposures,  no matter what the site of exposure,  to infected partners do not lead to infection.  Finally, oral sex particularly when it does not involve the penile urethra almost never lead to infection of any sort. There is no risk to you from the exposure you describe for gonorrhea, chlamydia, trich, or NGU.  Further no one has ever been proven to acquire HIV from receipt of oral sex. Thus, From a medical. perspective, there is no testing needed for this exposure.

In answer to your specific questions:
1.   This was a no risk exposure. 
2.   I see no medical reason related to the event you describe for evaluation or testing. 
3.  The INSTI  test is highly reliable however results for this test are not conclusive until six weeks after exposure. At four weeks results are 99% conclusive but the last percent requires an additional two weeks. As I said above however,there is really no read reason for you to test related to this  exposure 

 I hope this information is helpful to you. If anything is unclear or there are further questions you may use your up two to follow up questions for clarification. Take care. Please don't worry.  EWH
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30 months ago
Thank you foryour response dr..
And by the penile uretha you mean the penis shaft? She did lick my penis shaft but did not put the head of my penis on her mouth, neither did she lick it.  She also sucked on one of my testicles. Like i mentioned this act only lasted no more than 30 seconds. What risk is there? Should i worry about hiv? What are the chances of getting this infection by this act? Can i resume sexual activity with my wife without worrying about infecting her?
Edward W. Hook M.D.
Edward W. Hook M.D.
30 months ago
No, the penile urethra is the tube that urine flows out of.  You point out that it was covered during the encounter you described, thus you are not at risk for any of the STIs I mentioned above.  As I've already said, the events you describe DID NOT put you at risk for any STI.  Please don't worry.  EWH---
30 months ago
Thank you. 
Im not really worried for stds, i am worried for hiv. I didnt cover it, i just pulled it away from her and as mentioned did not have oral contact with her mouth. So would i be cleared as far as resuming sex with my wife without worry? Has someone ever been infected by this as far as hiv goes?
Edward W. Hook M.D.
Edward W. Hook M.D.
30 months ago
HIV is an STI. Thus, I will say this one more time.  The encounter you describe was a NO RISK exposure ffor HIV or any other STI.  There is no reason for concern, no reason for testing, and no reason related to the events you describe to refrain from unprotected sex with your wife.

This is my third response to your questions.  As per forum guidelines, this thread will be closed later today without further responses.  I hope the information I have provide has been helpful and will allow you to move forward without concern.  EWH
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