Dear Dr,

I just need to add also that the lady told me that she fell unwell 3 weeks ago with fever and headache that was worst she ever had. She had a cut on her foot that had got badly infected at same time. She went to walk in doctors surgery and was told the fever was due to the infection in blood from the cut on foot that had got badly infected. She went on antibiotics and felt better after the 5 days of antibiotics. She had finished the antibiotics 4 days prior to me seeing her and that was 2 weeks after she was first feeling unwell. I am worried her fever might have been ARS and therefore worried she had hiv with high viral load as well.

Welcome back to our forum and thanks for your questions. I’ll be glad to provide some comments. ---

Hi Dr , many thanks for this feedback and I understand your point that it has not been proven to pass hiv with oral sex from mouth to penis. In my specific situation where my penis was being licked rather than inserted into mouth, why is it so that this means no chance of HIV can be passed to the penis from tongue licking the penis? Would it make any difference being circumcised for example. Also worried especially where the penis was licked at the base of the penis head where I presume the access point is sometimes for hiv in the skin where I have been circumcised at base of head of penis.

Licking the penis is similar to kissing and like kissing, there is no risk.  HIV is not transmitted in saliva.---

I am really struggling this time round to accept the perfectly logical and accurate advice. I just keep playing over in my head that if the viral load of the masseuse was sky high and she licked the penis all over but specially top of the shaft of penis all around the bottom of the penis head (where skin is stretched and soft and attached to head of penis) then could the saliva have enough hiv viral load to infect me via that membrane area or somehow into the urethra once penis flaccid and touched up against that skin that she licked? So sorry to bother you again but would you provide info on if saliva at any highest viral load (during or just after ARS symptoms period) could transmit hiv generally to someone and also specifically in this instance scenario? I have checked penis and no visible cuts and also I washed my penis straight after over the sink with soap.

I’m sorry you were having so much trouble excepting the facts that you were encounter represented no risk for HIV. Please remember that the skin of the penis, even the  skin on the head of the penis, is thicker and much much more resistant to acquisition of HIV than the mucosal surfaces on the inside of the urethra.  There are no data that I’m aware of measuring viral load in saliva during the ARS.---