[Question #6470] Super anxious

16 months ago
Hi there. On 12/30 I gave unprotected oral sex (blowjob) 2-3 times to someone (male) I’ve been talking to for some time. I’m a very cautious person and always use protection for sex, but had thought out that this situation would be almost zero risk for contracting anything. We did not have sexual intercourse. However, now I’m freaking out and not so sure. I’m scared to death that I could have potentially contracted HIV or syphilis from this incident. I don’t believe I had any cuts in my mouth but I’m not sure. He did not ejaculate in my mouth either. He stated that he regularly gets checked, but I cannot confirm that other than him telling me that. 

1. What are my chances of contracting HIV from this incident?

2. What are my chances of contracting syphilis from this incident? 

3. Should i be worried? 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
16 months ago
Welcome back to the forum. However, in reviewing your thread with Dr. Hook a year ago, I'm a bit surprised you found it necessary. This is a different event, but it's basically the same question. Your initial thought was exactly correct: "this situation would be almost zero risk for contracting anything."

1. As Dr. Hook said, HIV is extremely rare from performing oral sex, with a CDC estimate of 1 chance in 10,000 if your partner had HIV. That's equivalent to giving BJs to infected men once daily for 27 years before catching HIV might be likely. And it sounds unlikely he has HIV:  most people don't lie when asked directly by a current or potential sex partner. As Dr. Hook advised last time, there is no medical need to be tested for HIV, but you are free to do it if you would find the result reassuring. For sure it will be negative if you have not otherwise been at risk.

2. Syphilis is almost as rare as HIV in this situation. It can be transmitted by oral sex, but uncommonly. And "he regularly gets checked" probably included syphilis testing. You can be even more certain if you don't develop a syphilitic sore (chancre) of your lips or mouth in the next 2-3 weeks. But just as for HIV, you could have a syphilis blood test in 6 weeks if the negative result would be helpful. However, I certainly wouldn't feel the need if somehow I were in your situation.

3. I see no reason for worry at all, whether or not you decide to be tested.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD
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16 months ago
On Saturday 1/04, I started to notice that I was having drainage. I immediately took medication and don’t have a runny nose or anything yet, but I am still draining and feel like I’m getting sinus headaches. I do not have a fever or sore throat yet, although the drainage seems to be irritating my throat. My throat feels funny but doesn’t necessarily hurt. I was around sick people last week and don’t know if this is related to a common cold or what. I am deathly afraid that this could be signs of HIV or an STD.

Other than the unprotected BJ that I gave, i have not engaged in any other sexual exposure for 2 years and tested negative for all STD’s after my last partner. 

1. Do you believe these are HIV symptoms?

2. Does this sound like any other STD symptoms such as chlamydia or gonorrhea of the throat? 

3. How likely do you think it is that my HIV status will remain negative? 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
16 months ago
1) I assume "drainage" means nasal. Acute HIV infection does not cause nasal drip, congestion, etc. It's the height ot cold season and you caught a cold, that's all.

2) Ditto for gonorrhea -- no nasal discharge, "sinus" symptoms etc. Indeed, 95% of oral gonorrhea causes no symptoms at all:  no sore throat, nothing. And chlamydia is a) rare in the oral cavity and b) never known to cause any oral/throat symptoms at all. 

3) 100%.
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