[Question #747] Oral sex with possible semen/precum

103 months ago

Dear Doctors,

I recently visited a German FKK sauna club where men can avail of sexual services from female prostitutes. More than half of the prostitutes there were from western Europe and the rest from eastern Europe. The women also pay to use the facilities so they are esentially freelance there, however there is a 'set menu' of sexual services offered including: unprotected oral sex ( with ejaculation in the mouth for an extra fee) and protected vaginal / anal sex.

I received unprotected oral sex( i didnt ejaculate) and protected vaginal sex from two girls there (both claimed to be german, but one may have been eastern europe originally - but spoke fluent german).

Im aware that generally oral sex doesnt transmit HIV but what if another (possibly infected) client ejaculated in their mouth just minutes previously? Or if not ejaculated, then in the presence of pre-cum. It was a busy club so its possible they were with other clients say 3 - 5 minutes previously.

Is this a realistic mechanism to get HIV or anything else. Should i test?

Apologies for the explicit details.

Thanks

Edward W. Hook M.D.

103 months ago

Welcome to the Forum and thanks for the explicit details of your question. The details allow me to be more specific in my reply. As you might imagine, the specific scenario you describe with the possibility of a person transmitting HIV through rapid sequence, serial fellatio has not been studied. At the same time however, without doubt you are certInly not the first to have an experience of this sort and,therefore, for this reason I find it inconceivable the this put you at risk for HIV. I say this because there are absolutely no reports of HIV ever being acquired as the result of receipt of oral sex. Irrespective of the details.

Part of the reason that HIV is not spread through fellatio (oral sex)'is that this is a less traumatic sex act that rectal or vaginal sex. Less friction, less risk for acquisition/transmission of infection.

In addition, I would add that, even with freelance CSWs, odds a re that your partners did not have HIV since most CSWs do not.

My advice would be not to worry about these exposures. I see no Medica reason to recommend testing related to this exposure. EWH

---

103 months ago

Thanks for your reply which makes sense to me. I would add that the CSWs there were all young, well groomed, well spoken etc and the club was a very upmarket type of place. Also, these acts took place in private rooms, and after each session the ladies would usually go briefly to wash up. I imagine that they would/should wash their mouths also but cant be sure...but at a minimum this puts time between clients.

I will try to forget about it as suggested.

Thanks.

Edward W. Hook M.D.

103 months ago

Thanks. I'm pleased that you found my comments helpful. You are correct- it is likely that following performance of oral sex, it is likely that the women did gargle or perfrom some sort of oral hygiene as well. Take care. EWH
---