[Question #5065] Receipt of oral sex.

23 months ago
I'm a male and received oral sex from a female I have known for a couple of months.  No biting nor did I notice any visible blood from her or me during or after the event.   I did ejaculate in her mouth which she swalllowed.  I had masturbated her with my fingers on a couple of occassions a couple of weeks back. HIV or other STI risk?  
Edward W. Hook M.D.
Edward W. Hook M.D.
23 months ago
Welcome to the Forum, thanks for your question.  The bottom line is that there is zero risk from the exposure you have describe.  To elaborate, there are no proven cases in which someone has acquired HIV from receipt of oral sex, irrespective of the condition of the mouth of the person performing oral sex and even if there is blood in their mouth.  Similar masturbation is safe sex, even when you get your partner's genital secretions on you.  No risk from the encounters you describe. No need for testing.  Hope this helps.  EWH---
23 months ago

Dr. Hook, thank you for your reply.  Very helpful.  I guess I read on one of the posted responses that oral has some risks for HIV and there have now been documented cases from oral sex.  ("It remains true that there are few if any reported cases of HIV transmission mouth to penis or by cunnilingus in either direction. A few cases of penile to oral transmission clearly have occurred")....probably just reading too much into it.

Also, am I risk for other STD's such as HPV from the encounters?

Thanks again.


Edward W. Hook M.D.
Edward W. Hook M.D.
23 months ago
I am not aware of any proven cases of HIV acquired through receipt of oral sex.  On occasion we write cautionary notes and it is theoretically possible that you could acquire HIV from oral sex, just as it is theoretically possible you could be struck by a meteorite from space.  Both however, while theoretically possible  are not realistic concerns.  

With receipt of oral sex you might have developed gonorrhea or nongonococcal urethritis but both are typically symptomatic.  Syphilis is extraordinarily rare.

Virtually everyone who is sexually active and has not had the HPV vaccine has HPV.  The exposure you describe does not meaningfully increase your risk.  There are many other posts about the risk of HPV from oral sex on the Forum, you may want to look at them.  EWH
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23 months ago
Again thanks for your help.  The woman I had the encounters with was with another man in June 2018 which gave her concern about stds.  I have talked further with her and under the direction of her ob/gyn she was tested for all stds last year.  She described to me going back in six weeks and even at six months for follow up testing so sounds like she followed through with recommended testing.   She says all came back negative and I don't have any reason to believe she's not telling the truth.  It doesn't sound like she has had any new partners since last June.  She even had a pap smear so not sure if that would have been tested for hpv or not.  Anyway, I know this is my last comment allowed so thanks again for your help.
Edward W. Hook M.D.
Edward W. Hook M.D.
23 months ago
Thanks for the follow-up information.  I agree with your sense that this woman is very unlikely to have had an STI. The description of testing and the testing sequence should certainly have detected an STI if present.  Further, I'm pleased that you believe her- most people really do tell the truth and the detail she provides is more consistent with a truthful answer than not.  I would not worry.

As you point out, as this is my 3rd response, this thread will now bel closed as well.  Take care.  EWH
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