[Question #8503] oral sex
43 months ago
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Hello, I would like to briefly explain the issue. I did oral sex with a girl who was sucking my dick for 1 minute and we exchanged some kisses. 13 days later I had a rash on my arms and legs and then a slight sore throat, no fever and no muscle aches. Also within two weeks after exposure my lips started to develop a cold sore which I cut with my teeth and then it developed and disappeared within a week and now (after 5 weeks) I have three sores on my upper lip and a sore inside my lower lip. Specific questions: 1- Was I exposed to the risk of HIV from this meeting? . 2- Are my symptoms, especially cold sores and rash, a sign of HIV? 3- Do I need a test? 4- Can I continue my sexual life with my wife?
43 months ago
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I forgot to mention that the sores on the lips lasted from the beginning of the third week until now (the fifth week), but two sores disappeared and three or four remain, and they terrify me every time I feel her pain, I remember that it is one of the signs of weak immunity, and I also have enlarged lymph nodes
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H. Hunter Handsfield, MD
43 months ago
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Welcome to the forum. Thanks for your question and your confidence in our services.
Oral sex is safe sex in regard to HIV: there has never been a scientifically proved case of HIV being transmitted oral to penis. Based on HIV infected persons' beliefs about how they caught their infections, CDC calculates a risk of 1 in 20,000, if the oral partner has HIV. That's equivalent to receiving BJs by infected partners once daily for 55 years before HIV transmission might be considered likely. And that's only with known infected partners. The chance any particular sexually active female has HIV is under one in a thousand -- so your risk of HIV is zero for all practical purposes. As for your symptoms, they are not typical of a acute retroviral syndrome (ARS, i.e. a new HIV infection). No other STD is likely either; I am more suspicious of a non-HIV viral infection.
To your specific questions: 1) Probably you were not exposed to HIV; and even if your oral sex partner has HIV, the chance you were infected is near zero. 2) These symptoms are not typical of ARS (early HIV infection), but I cannot say with 100% certainty). 3,4) Therefore, it makes sense for you to be tested for HIV and to hold of on sex with your wife until you have the result. I suggest testing primarily for reassurance -- you can definitely expect a negative result, which will be very reassuring (probably a lot more reassuring than anything I can say). And to be maximally safe (and maximally reassured), have a blood test for syphilis as well. Rather than arranging testing on your own (like a laboratory you identify online), I would suggest you see your personal physician to evaluate the overall situation -- to diagnose your ongoing symptoms as well as for HIV and syphilis testing.
I'll be happy to comment further if you'd like to let me know the results of your tests and/or your doctor's opinion and advice. In the meantime, I hope this information is helpful. Let me know if anything isn't clear.
HHH, MD
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43 months ago
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Thank you, doctor. Your words are very clear. I think I was convinced that the probability of moving is zero for practical purposes, and I will not test it. Do you think my decision is correct? As for ulcers in the mouth, they are painful. Do you think that this is a symptom of syphilis because I see recommendations for testing it? Is this a symptom of herpes? Do you think that a syphilis test is necessary for my case?
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H. Hunter Handsfield, MD
43 months ago
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As I said above, I do advise that you be tested for HIV and syphilis. I would expect the results to be negative. And this information also does not change my advice that you see a doctor about your symptoms and for testing.
An initial oral herpes certainly could cause painful sores in the mouth, as well as inflamed lymph nodes of the neck or under the jaw. (Recurrent herpes outbreaks almost always are outside the lips.) However, initial oral herpes symptoms usually start within a few days of exposure, not two weeks later; so if it's herpes, you didn't catch it during the sexual exposure described. Other viral infections also can be responsible. As for syphilis, the timing is right for your oral sores, but you can't get syphilis orally unless your mouth is exposed, either by performing oral sex on your partner (which you don't mention) or by kissing her (also not mentioned). The same is true of herpes.
If you follow through with testing and/or a doctor visit, I'll be happy to comment further if you'd like to let me know the outcomes. Until then, however, I really can't say more and won't have further advice.
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43 months ago
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Hello, a test result appeared:(hiv combo 4th) negative
syphilis test remains after two weeks.
Ask about the combo test:
Does the person have corona or because he took the corona vaccine affects the result? Does anxiety and stress delay the emergence of antibodies?
Is the examination conclusive after 45 days?
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H. Hunter Handsfield, MD
43 months ago
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Thanks for the follow-up information. Yes, the HIV AgAb tests (combo, 4th generation) are conclusive after 45 days. Coronavirus infection or vaccine has no effect on HIV test timing, antibody development, or test reliability. Neither does anxiety or stress.
Your syphilis test was done "after two weeks" since when? The risk of syphilis from the exposure described is very low. However, two weeks is too early for conclusive syphilis testing; a test needs to be done 6 weeks or more after exposure, or at least 4 weeks after onset of symptoms (such as oral sores).
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43 months ago
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I will take the syphilis test again.
I have one last question and I apologize for the inconvenience. But as I told you before, I took a test (combo ag+ab 4th) 45 days after exposure
(a day later the test )i got a sore throat and fever.
Do I ignore this or do I need to retest?
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H. Hunter Handsfield, MD
43 months ago
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In relation to HIV, you can ignore the sore throat and fever. It isn't possible to get HIV symptoms 45 days after exposure, and the test result proves HIV isn't the cause. However, a more serious problem may be at hand: get checked for COVID ASAP.
That's one exchange beyond the standard of two follow-up comments and replies, and so ends this thread. I hope the discussion has been helpful. Good luck in regard to COVID!
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