[Question #6396] Unprotected oral with woman of Cameroonian descent
66 months ago
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Edward W. Hook M.D.
66 months ago
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Welcome back to the Forum. As a previous user you know that it is not unusual to receive a response this quickly but I happened to be on the Forum when your question arrived. If there are follow-up questions responses may not be so rapid.
The exposure you describe was very low risk- kissing and mutual masturbation are no risk events for STIs, including HIV and receipt of oral sex rarely leads to infection and has never been proven to lead to acquisition of HIV. Further, you are protected from hepatis B based on your vaccination and can be confident that your partner did not have HIV-2 based on the recent tests you both had. In answer to your questions:
1. I would rate your risk for HIV as ZERO, based both on the sex acts you took part in and the test results. I suspect that the research you have performed was in the internet where much of what is said is incorrect due to being out of date, taken out of context, or because it was simply wrong.
2. HCV is very, very rarely transmitted sexually. When sexually transmitted, transmission typically occurs in the setting of receptive rectal sex. I would not worry in the least about hepatitis C.
3. With the sorts of exposures you describe, once yearly testing is a good idea. More than 90% of gonorrhea leads to obvious symptoms and both gonorrhea and chlamydia are somewhat uncommon following oral sex. If you do not develop symptoms, I would not be particularly worried.
4. Were I you, I would not be worried about resuming sex with your wife.
I hope these responses are helpful. Take care. EWH
66 months ago
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Edward W. Hook M.D.
66 months ago
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66 months ago
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Edward W. Hook M.D.
66 months ago
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As you know, since this is my 3rd reply, it will be my final reply. Following the reply, the thread will be closed. I trust you will not need to return with additional questions related to the virtually NO RISK event we have been exchanging information on.
I states above that "...your risk for HIV as ZERO." This includes HIV-2 and all subgroups of HIV-1. Your concerns related to the fact that she was from the Cameroon are misplaced.
Thanks for your Christmas blessings. Same to you. EWH