[Question #4448] Gay male

29 months ago
Hi Dr,

I am at 29 yr old gay male, in the last 8 months my encounters included kissing, bodyplay (getting fingered and rimmed) , recieving oral sex. Guving oral sex( with a condom). I also got a hickey or love bute a few times. I have NOT had anal sex ever. 
Recently , since 3 months i am noticing a lot of symtoms. I had oersisitent jocks itch , which is much better now.
Howveer sicne a week i have been having a very very dry mouth and my lips also look very dry at times.  I havelost some weight but my energy levels are still very good. I am really worried about getting HIV.
Is dry mouth and lips and jocks itch symtoms of hiv? Please help
Edward W. Hook M.D.
Edward W. Hook M.D.
29 months ago
Welcome to our Forum and congratulations to your commitment to safe sex.  I'll be glad to comment and provide reassurance that the activities you describe have not put you at risk for HIV or, for that matter, other STIs.   There are no scientific data to suggest that there is any risk for HIV from kissing, masturbation activities such as getting fingered or rimmed, or from receipt of oral sex. No one has ever been proven to have acquired any STIs in that way.  The same is true for performing condom-protected oral sex on an HIV infected partner- no risk as long as the condom is used throughout the exposure and does not break.  Thus, based on the activities you report, I see no reason for concern or for HIV testing.  

In addition, the symptoms you describe are no symptoms which suggest HIV.  Sometimes when persons are worried about symptoms and are looking for them, they tend to notice normal sensations which would be normally overlooked.   In addition, when persons are nervous, they sometimes lick their lips more than they would otherwise, causing them to dry out.  

Finally, I should add, for the sake of completeness that recently in some scientific circles, there has been debate about whether or not gonorrhea can be passed from one person's mouth to another through open mouth kissing in which saliva is exchanged.  Most experts are skeptical about this but it has been discussed and I want to provide you with all available information.  Personally I would not be worried at all about STIs of any sort from any sort of kissing.

I hope this information is helpful.  EWH
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29 months ago
Hi Dr Hook,

Thanks for your response. Hoeveer i am experiencing a dry mouth since a week and cracks on d sides of my lips. I read that a dry mouth can be caused by Hiv and also jocks itch can be a symtom of hiv , since hiv weakens the immine system and the body is susceptible to many infections.
Request yout to please advise. Thanks 

Edward W. Hook M.D.
Edward W. Hook M.D.
29 months ago
It sounds to me like you have been on the internet which is a common source of misinformation.  "Jock itch" sometimes refers to fungal groin infections which are common in all persons and may slightly more common in persons with advanced HIV infection.  Neither jock itch nor dry, cracked lips are special signs of HIV as I said above.  

If you are really worried, and it sounds like you are, I suggest you just get tested for HIV.  If your symptoms are due to HIV, the test will be positive.  If you choose to test however, I am confident that the result will be negative and  you did not acquire HIV from any of the activities that you describe above.  

My final advice is to stay off the internet.  It is a common source of misinformation - much of what is there is out of date, taken out of context or just plain wrong.  EWH
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29 months ago
Hi Dr Hook,

Thanks for your response.  What could be thr cause of a very dry mouth at times? It has been happening just since a week . 
Also is gettung a love bite a risk for hiv? I had a bruise after I recd the love bite and it was quite prominentlu visible.
Also , strictly from a medical perspective, based on my history,would you recdonmend me to test if I was your patient?

Sorry if I have been repetitive. Thanks 
Edward W. Hook M.D.
Edward W. Hook M.D.
29 months ago
I'm sorry, I do not have a good explanation as to the cause of dry mouth but I can assure you that HIV is not one of them.  I would suggest asking your regular doctor or dentist.  

Love bites ("hickeys") are not risk factors for HIV, even when they leave prominent marks behind. 

From a medical perspective none of the activities that you describe would put you at risk for HIV and for that reason I see no medical reason for testing.  

I hope you have found my comments helpful.  As you probably know, our Forum guidelines call for up to three responses for each client. This is my 3rd response. Thus this thread will be closed later today.  Take care.  Please don't worry. EWH
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