[Question #5121] HIV risk from Oral sex

24 months ago
Hello, doctors. I am a 30 years old male, from China. Sorry for my poor English, please try to understand me.
First of all, I would like to thank you guys doing a great job here, you helped a lot of people, also you are very famous at the Chinese HIV forum, people believed in you.
Here is my concern, a couple of days ago, I went to a massage which provides masturbation  and oral sex. The female sex worker provided an oral sex twice each about 2 minutes, and a hand job for ejaculation.Her lips were dry and cracked,  I don't know the situation inside of her mouth, whether she has canker sore or gum bleeding. I think my penis was OK.
I have questions below:
1. One of a Chinese doctor who also is a professional at HIV, and he said even both of us have wounded and bleeding of her mouth and my penis, there is still no chance to get infection of HIV through Oral sex. Is he too radical?
2.Do I need to get the HIV test?
3.I have read both of your doctors ' opinion from Medhelp to here, do you still think the oral sex is 0 risk of HIV, people no need worry about it?
Sorry for my English skill again, please forgive me if I have any disrespectful words.
24 months ago
Forget to mention, is was an unprotected oral sex. 
Edward W. Hook M.D.
Edward W. Hook M.D.
24 months ago
Welcome to our Forum and thanks for your confidence in our advice.  Your English is fine.

1.  I agree with the doctor you spoke with.  The encounter you describe was not a risky event.  Although it is not common for persons to have cracked lips, gum disease, or sores in their mouths there are no instances in which a person has been proven to acquire HIV from receiving oral sex.  I would not worry.  

2.  Everyone should be tested for HIV at least once and thereafter, based on the risk of their exposures.  Exactly how frequently however is a personal decision.  Nothing in the encounter you describe above suggests a need for testing related to it.

3.  There is a small risk of infection from performing oral sex on a man with HIV but, as I said above, no proven risk from receiving oral sex.

I hope this information is helpful to you.  EWH
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24 months ago
Thanks for your advice. I had test 4 months ago was negative. So in this case, I need not worry about it move on my life and also need not to test? Thank you.  
Edward W. Hook M.D.
Edward W. Hook M.D.
24 months ago
Thanks for the additional information.  Based on what you've said, I see no scientific need for testing.  EWH---