[Question #5615] Unprotected Oral
 |
74 months ago
|
5 days ago I received unprotected oral sex from a woman , I am a man. I’m worried about possible diseases , including herpes , which I had been negative in past. We kissed as well and had protected vaginal sex. Very anxious and worried now. I know some say it’s low risk, but obviously it happens to people. As of right now, no sores or blisters.
 |
Terri Warren, RN, Nurse Practitioner
74 months ago
|
It does happen to some people, yes. Have you ever in your life had a cold sore on your lip or in your nose? If yes, then you already have HSV 1 (I know you said you tested negative in the past but since the HSV 1 IgG test misses 30% of infections compared to the gold standard western blot, I always ask about symptoms). The average time from infection to symptoms is 5.5 days with the range being 2-10 days. So you're half way out of the woods IF you are going to develop symptoms with infection.
Terri
--- |
74 months ago
|
I’ve had canker sores , but nothing on lips or outside. I am an anxious person to begin with with and I’m extremely frustrated with myself. So far , no symptoms besides high stress. I’m planning on getting full round of test again but would like to ask if at 4 weeks would that cover HIV, herpes, etc? So if no sores after 14 days , is that a fairly good sign of no infection ,and even though very low risk, 4th generation test at 4 weeks would be ok? Thank you
|
74 months ago
|
What are odds ( probability) of oral transmission even if woman did indeed have HSV1? And for HIV?
|
Terri Warren, RN, Nurse Practitioner
74 months ago
|
If no sores at 14 days, there is an excellent chance that you are not infected with herpes.
I think a 4th generation HIV test at 6 weeks should be a final result for herpes. We like longer for a final herpes test - 12 weeks is best. But the IgG test for HSV 1 misses 30% of HSV 1 infections, so not a great test, compared to the gold standard herpes western blot. And HSV 1 would be the concern here.
We don't have statistics about oral transmission of HSV 1 but I know that Dr. Handsfield would tell you that oral sex is not a risk for HIV transmission.
Terri
--- |
74 months ago
|
Okay - last question. If were to experience tingling on my lip , is it just the spot where a potential sore would be , or my whole lip? Feel like both of my lips are starting to tingle ,but like I’ve stated, anxiety is very high right now. Thanks for your service.
|
Terri Warren, RN, Nurse Practitioner
74 months ago
|
Usually, when people have oral herpes, tingling happens in a specific spot, not the entire lip.
Terri
---