[Question #5575] Oral encounter

21 months ago
Dear Dr. H.,

Hope you are well. Around 20 days ago i gave oral to a british white 23 ye old girl. I also fingered her hard that casued her to bleed significantly. It was in a very dark room so neither I or her realised that she was bleeding. I kept going with giving her head and fingering her. Until i realised and noticed that i have been licking her blood for about 5 min. So of course when saw the blood,i stopped and freaked out.  On the same day after the encounter a tiny cut in my finger above the nail, which usually happens due to dryness of the skin. I squeezed it and it bled which might mean that was an open cut although it was tiny. I am hoping the girl is hiv- but assuming she is + whats the risk.
Thanks you
Edward W. Hook M.D.
Edward W. Hook M.D.
21 months ago
Welcome to the Forum.  I happened to arrive on the Forum soon after your question arrived so you are receiving an answer far earlier than is typical.  Follow-up responses may take longer.  I'll be glad to comment.  The event you describe was a virtually no risk.  While you can argue that there is a theoretical risk from the sort of event you describe, the FACT is that there are not instances in which persons have been proven to have acquired HIV through the sorts of events you describe.  Here are the reasons I would not be worried:

1.  The chance that your partner was HIV+ is low.  Far less than 1% of white British women have HIV.
2.  Masturbation of your partner with a recent, open cut on your finger.  With cuts the flow of blood is outward, not inward.  Millions of persons with open cuts on their fingers have masturbated HIV+ persons yet have not become infected.
3.  The are no recorded instances in which cunnilingus has led to acquisition of HIV.  This is the case despite ingestion of genital secretions in the process.
4.  There is no data to suggest that ingestion of blood from a person with HIV leads to infection.  HIV quickly becomes non-infectious in the mouth and the gastrointestinal tract.  (BTW, the amount of HIV in blood and genital secretions in persons with HIV is about the same- if anything, there is more HIV in the blood than the genital secretions.

This is not an exposure I would worry about and, personally, I would not even bother to test.  If you wish to test to prove to yourself, I would suggest testing with a combination antigen/antibody test (4th generation) about 6 weeks after your exposure.  At that time, your results will be definitive and, I'm sure, will prove that you were not infected.  EWH