[Question #4617] New Question/exposure re: receiving oral sex

29 months ago
Dear Doctors.  First off, I apologies for being back here.  Since my last encounter, I have changed my habits, and no longer partake in penetrative (vaginal) sex anymore, except with my partner, and I plan to keep it that way.

Here is my encounter description: I was at a thai massage here in Korea, and I received oral sex (about 1-2 minutes in duration, and pretty gentle) and a handjob/masturbation (for about 10 minutes) from the masseuse.  She was 27 years old, thai. She had a tattoo on her chest.  I also inserted my fingers into her vagina for about a minute, and sucked on her breasts.  She also licked my ear and nipples.  No kissing.  I insisted on no sex.  I do not have any cuts on my fingers, just some small hangnails.  My nails are short.  I am pretty sure the answer to this is that it is no-risk, but I want to hear from you. Can you please comment on this?

Here is where I have some questions.  The next morning, I noticed that the edge of my glans/head, just before the shaft, has two small sores.  They are obviously too early for any symptoms.  This I know.  I am 99% sure that they are from solo masturbation, as I used a vibrating massager.  The sores would have been about a day old, but as of yet, not completely healed.  They are small, about less than a millimeter in diameter.  Is this any risk?  Does it change anything?  I understand that saliva kills HIV, which is my primary concern, but does blood in the mouth (if  she had), change anything?  She was chewing gum prior to the act, and took it out when she performed oral on me.

This happened about 41 or 42 hours ago.  I do not have any symptoms, other than anxiety now. Just trying to calm my fears and understand that this is a no-risk event, even though I had a small sore.

Thank you for your time!


H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
29 months ago
Welcome back but sorry you found it necessary.

This forum is not an appropriate source to ask such detailed questions about exposures. All I can do is reiterate what you already know, discussed by Dr. Hook in your previous threads:  that oral sex is pretty safe, with low risk of all STD and virtually zero for some. Fingering is zero risk as is oral contact with skin, including breasts and nippes. Fingering also is totally free of risk, regardless of cuts on the finger. Blood in the mouth means nothing in terms of HIV risk. 

I don't really don't know what ot make "two small sores" that are causing "no symptoms" (meaning painless?) except that if they have anything to do with the sexual exposure, they must be from minor trama. No STD can ever cause skin breakdown or any other symptom in under 1-2 days and certainly not the next morning. If you're concerned these "sores" were present before the exposure and increased your risk of HIV, they did not. Oral sex is not known to transmit HIV (mouth to penis at all); any increased risk on this account is trivial, since oral sex is so safe in regard to HIV.

Here is what you need to avoid sexually acquired HIV:  do not have unprotected vaginal or anal sex with new, unknown, or otherwise risky partners. That's all. No need ever again to ask about any other kind of sexual exposure.

Got it?

I hope this information is helpful and helps you get beyong your unwarranted fears! Best wishes and stay safe.

HHH, MD
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29 months ago
Thank you Dr. HHH for your response and words.  They have reassured me.  I have developed anxiety over health the past year and a half, and your expert guidance, along with Dr. Hook's have greatly alleviated it.

To clarify for you, what I meant by "small sores" and "no symptoms": they are small lesions that were present before the episode in question.  They appeared from masturbation using a "vibrating massager", aka, they were caused by friction.  The time of that masturbation was 12-20 before the oral sex episode.  From my understanding, at this point, the healing would have been enough that blood stream would not be able to be reached by ANY virus/bacteria, correct?  There wasn't any scabbing on the sores that I know of, but rather, just the time stated above had passed between that and the oral episode. They are on the glans, right by the curve going to the shaft.  I am circumcised. By "no symptoms" I meant that I know it was too early to be caused by any STD.

So, based on your assessment, my risks are: 

HIV Risk from fingering: 0%
HIV Risk from oral sex: 0%
Risk from her kissing/licking ear and my nipples: 0%
Risk of other STD's from the oral sex: small, but most likely minimal risk

You are correct in stating that my worry is about the sores being present during the oral sex episode.  The episode was 66 hours ago, and still no symptoms. Would you say I am in the clear for everything?  Do you suggest any testing for anything?

Thank you guys for what you do.  I can just imagine how many people you have helped over the years.  You are good men!
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
29 months ago
Your anxiety is contributing to overthinking. I cannot way whether or not "healing would have been enough that blood stream would not be able to be reached by ANY virus/bacteria". But I do know that oral sex is safe sex, with low risk for all STDs; and people have oral sex all the time with various penile skin problems and minor masturbation injuries, yet still low risk.

The risks you list may not be truly zero risk, but they are close to it. Low enough that you should move on without worry. 
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