Hello doctors.

Unfortunately I am again in need of your good advise.   A couple of days ago I went out partying and ended bringing a young man home.  I usually don't have sex with other men, it seldom happens (like once every two or three years) and when it happens I always keep it very low level, like frottage/masturbation, and very rarely oral sex (receiving, never giving).

As so it was this time as well: both naked in bed, we masturbated together, twice or thrice the licked my testicles/penis shaft, but I didn't allow him to put my penis inside his mouth.  He may have done it for a very briefly time before I managed to stop him, I'm unsure, but if so it wasn't deep. We didn't have any kind of anal sex, and before falling asleep I made sure to wear underwear to avoid any accidental contact while sleeping (yes I am like that, getting more and more paranoid an anxious about STDs after every year :/).

My questions:

1) The same day earlier (or the day before, cant remember) I trimmed my pubes and penis and had a little nick on the penis shaft.  Considering the guy licked it, would this be a risky situation STD/HIV wise?

2) Before this happened I booked my annual health check (that includes STD/HIV as well) for the 12th of August.  Would I be wise to cancel and re-book for later in September due to this episode?  (12 of August would mean 3 weeks after episode).  Or not worth it?  What would you do?

3) My family doctor is supposed to be very knowledgeable on STDs and in particular HIV.  However, he is adamant on _not_ routinely testing men for gonorrhea or clamidia (urine tests) in the absence of symptoms.  This means that I never have these tests on my annual checkups, because I have never had symptoms.  Do you think I should insist on having these tests as well?  You seem to recommend them very often in the forum.

Thank you, as always.

1.  HIV is not transmitted by contact with saliva. In addition, trimming your pubic hair, even if you happen to nick yourself, is not a meaningful risk for acquisition of HIV even should you come in contact with infected secretions or blood. This scenario is no reason for concern.

2.  I see no benefit or scientific reason for changing your appointment time. The exposures you describe were no risk for HIV and other STI’s.

Hi Dr. Hook.

Thank you very much for your prompt and clear reply.  Will follow your advise and try to not worry about this event.  I still have lingering doubts and anxieties and whatifs popping out... but I guess it can't be helped and I won't make you waste your time with them.

Regarding my doctor and the urine tests, I will raise the issue at the upcoming appointment, and insist on having these tests as part of my regular checkup.

Wish you and Dr. Hansfield a great summer time.

Sorry, but I can't stop thinking about this event and the possible consequences from it :/

The trimming nick I had on my penis was a bleeding one, and was made like 12 hours before the guy licked and sucked it.  Still not a cause for concern, even if the guy giving oral (the person sucking) was HIV positive?