[Question #6007] Concerned over this situation
71 months ago
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Hello to Ask The Experts community.
I would firstly like to thank you for the wonderful service you are providing.
About three weeks ago, I met a girl at a bar. We had a bit of conversation and based on what she was saying, she might have had sexual intercourse very recently. She might as well have been a sexually active person. So her status with respect to HIV is really unclear to me.
After we had dinner, we proceeded to participate in deep kissing, tongue was included, it lasted a couple of minutes.
I do not recall whether I had any cuts in my mouth or not, I also do not recall tasting blood.
However I know that I might have gingivitis, this is because my gums usually bleed after brushing.
I don't know if she has the same issue or not.
The next activity we engaged in was me licking her neck and nipples. I stopped sucking her nipples since there was a fishy smell to them. (This has got me concerned) please let me know of any possible risks here.
Last thing we did was I received blowjob from her, the blowjob was unprotected (withouth condom)
By receiving, I mean I put my penis in her mouth, insertive oral sex
With ejaculation. It lasted 10-15 minutes.
I don't recall having cuts on my penis or anything like that, but that might not be the case and I might have had cuts.
Afterwards I didn't wash my penis for another 2-3 hours, and then I took a shower.
This whole incident has got me worried, the reason is that I am planning to enter a relationship with my ex again and I want to know whether I can continue having unprotected sex with her or not?
Do I need HIV testing or not?
I do not want to risk giving her HIV in any way.
Sorry for the long question. Your help will be greatly appreciated,
Thanks
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Edward W. Hook M.D.
71 months ago
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Welcome to our Forum and thanks for your confidence in our service. I can assure you that the exposure that you describe did not put you at any risk for HIV at all. Most women do not have HIV but, even if your partner did, HIV is not spread by kissing, including deep kissing. It does not matter whether or not you, she, or both of you had gingivitis, mouth sores or cuts- still no risk whatsoever. Similarly, no one has EVER gotten HIV from licking the breast of a woman with HIV, nor has anyone ever been proven to have acquired HIV from receipt of oral sex from an infected person. Thus there was no risk to the events you describe, no reason for testing, and no reason for concern. Similarly, there is no reason to abstain from unprotected sex with your ex because of the events you have described.
I hope that this information is helpful to you. Please don't worry. EWH
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70 months ago
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Thank you so much for your response. I read that you consider having unprotected sex with my girlfriend is safe. Is your comment still the same with respect to other STI/STD ?
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Edward W. Hook M.D.
70 months ago
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There is a slight risk that you may have acquired gonorrhea or chlamydia from receipt of unprotected oral sex (all of the other activities you describe did not put you at risk for other STIs). Gonorrhea can be acquired as a result of receipt of oral sex but is symptomatic in over 90% of persons who become infected. Acquiring chlamydia from receipt of oral sex is very, very rare as there are fewer chlamydial throat infections in comparison to gonorrhea. In addition, genital exposure to an infected person's mouth leads to infection in substantially less than half of exposures.
It has now been a month since your exposures. If you were going to develop symptoms, you certainly would have by now.
Thus, your over all risk of any STI is quite low but not zero. If you wish to be completely sure you were not infected, you should have a urine test for gonorrhea and chlamydia.
Hope this information is helpful. EWH
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70 months ago
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Thank you for your response, one final question, in my original post I was concerned over the risk of HIV due to licking nipples, I would like to clarify that it wasn't licking and in fact it was sucking the nipples. Does that change anything? Also does the existence of breast milk make any difference?
Also regarding gonnorhea and Chlamydia, I have developed one single symptom that I don't know if it's an STI or not, the symptom is a dull pain close to the back of my left testicle. And also close to my groin area. Is that suggestive of an STI?
Thanks
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Edward W. Hook M.D.
70 months ago
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Neither licking, nor sucking the nipples of a person with HIV had ANY risk for acquisition of infection by an adult. It would make no difference if breast milk was present, still no risk.
Testicular pain of the sort is non-specific and does not suggest STI. As I have already told you, your risk for any STI from the exposure you describe is very low.
This is my 3rd response to your questions. Therefore, as per Forum guidelines, this thread will now close. EWH
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