[Question #4473] Unprotected Blow Job from Hiv Positive Guy

29 months ago
Good day, Doctor.

I am so very distressed because I am quite ill, and suffering from a fever of 100.4 degrees celsius. In addition, I have terrible nasal congestion, a runny nose, a post natal drip and a sore throat. All night last night my throat drained and felt very uncomfortable. I could not sleep as I was miserable because of the symptoms. The sore throat came on gradually on Thursday night and then yesterday at work it picked up momentum, and hit me hard last night. This morning my body temperature was normal at about 36.5 to 37,2 degree celsius. But as the day progressed, the temperature kept on going up and is now 38.2 degrees celsius, which means I have a fever. I am also having chills and feel cold. There is minor muscle ache and a slight headache.

All of what I described above started exactly two weeks post my experience of getting an unprotected blow job from a guy I have now learned is HIV positive and not on medication for HIV. I am so frightened because I am almost certain that I have contracted HIV from him, and having conversion symptoms now!!!! Help me, doctor!!

Have I contracted HIV from this episode? The guy sucked my penis without a condom for 10 minutes and I ejaculated in his mouth. Do you think blood from his mouth might have got into my ureathia, and infect me with HIV? Or maybe a contacted HIV from his saliva? Can I get HIV medicine in light of this exposure? 

My fever makes me uncomfortable and the nasal congestion and runny nose seem to me to be HIV related symptoms. Oh, what am I to do?

When can I test for HIV from this episode? I have no other exposures really except a little masturbation between both of us..Do I need to test immediately? I never engage in sexual intercourse at all, and I normally just get a blow job now and then.

My fever and other symptoms are terrible. Help me.


Edward W. Hook M.D.
Edward W. Hook M.D.
29 months ago
Welcome to the forum.  I'll be glad to comment.  If your only worrisome exposure is receipt of oral sex, you need not worry.  I say this for a number of reasons.  Let me list some f them.

1.  There are NO proven cases in which persons have acquired HIV from receipt of oral sex.   You are not going to be the first. 
2.   Your symptoms do not suggest HIV. Cough and a runny nose are symptoms of  and upper respiratory tract infection and sore throat but are not suggestive of recently acquired HIV. 
3.   You do not know that your sex partner had HIV. Statistically it is unlikely that he did. 
4.   No matter whether he had blood in his throat or not it would not change my assessment. 

 Bottom line, this was a no risk event. Your current sore throat is coincidental. If you feel it is important to prove that you did not acquire HIV I would suggest you obtain an HIVRNAPCR test. If your symptoms are due to HIV, it will be positive.   I am confident that the symptoms you describe are not HIV and I are only coincidental to the exposure you describe. I hope that my comments are helpful to you. EWH. 
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29 months ago
Thank yo very much for your response, Dr Hook. 

So you are saying that the blow job was a NO RISK activity for HIV even though the guy who sucked my penis has HIV? Is testing for HIV from this episode necessary?I cant get a HIV PCR RNA test in my country. Only regular antibody tests are available.

Also you have said that my symptoms are not caused by HIV. What is causing my symptoms then? I feel so weak from these symptoms though the fever has gone down somewhat this morning.

Finally, if you are certain that I was not exposed to HIV from getting an unprotected blow job, and that HIV testing is not necessary, then I will try not to worry about it.

Thank you for your assistance.
Edward W. Hook M.D.
Edward W. Hook M.D.
29 months ago
Correct.  As I said above, there are no proven cases in which someone has acquired HIV through an exposure which only involved receipt of oral sex - you are not going to be the first.  Thus, from a medical perspective, there is no need for testing.  If you desire the added assurance that testing would provide, PCR testing should not be necessary- the symptoms of the ARS (the acute retroviral syndrome from recently acquired HIV) result from high levels of HIV virus and antibody present in the blood and when persons experience the ARS, their combination HIV antigen/antibody tests (available throughout the world) are typically positive.  

In addition, while fever and sore throat are part of the symptoms of the ARS, a runny nose is not. Your symptoms are typical of the sorts of symptoms that come from the sorts of flu-like, non-HIV viral infections that most people get from time to time.

I see no need for HIV testing.  I hope that you will be feeling better soon.  EWH
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