[Question #9455] Do I Need Testing

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32 months ago
Hi, the Sunday before last Sunday I met a guy (I’m male as well) and we engaged in some deep kissing, frottage, and mutual masturbation. At one point, I also licked his scrotum. He also slid a finger in my rectum for a couple minutes at one point. He finished by grinding on me on ejaculating on my stomach. There was no oral or anal sex. This weekend, I developed a sore throat. It started up on Saturday but symptoms stopped yesterday and I feel fine today. I’m thinking it’s just run-of-the-mill sore throat typical of this this time of year. My question is — based on what I have told you, do I need testing and would I be safe resuming normal sexual relations with my wife. Thanks!
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H. Hunter Handsfield, MD
32 months ago
Welcome back. FYI, I read your recent discussion with Dr. Hook and agree with all he said.

From that discussion, it is apparent you are new to sexual experiences with other men, which makes it even more understanable that symptoms appearing soon after a sexual experience might be of concern. However, you are exactly right in understanding that your symptoms are typical of a "run-of-the-mill sore throat typical of this time of year." The sexual contacts described were entirely free of HIV risk:  HIV isn't transmitted between men without penile-anal penetration; even unprotected oral sex carries little or no risk. Hand-genital contact, fingering, kissing, and frottage are risk free. And sore throat alone is not likely due to HIV.

So from a medical or risk perspective, I would not advise testing and it will be entirely safe to resume unprotected sex with your wife. For still more reassurance, you could get in touch with your partner and confirm his presumed negative HIV status. That said, as you enter this new sexual world, I would strongly urge you to never have sex -- even entirely safe sex as described here -- without first discussing HIV status with your partner. Intended safe sex often becomes unsafe in the heat of the moment, so don't take chances! People rarely are untruthful about this when asked directly. In adddition to HIV negative partners, those who are infected and on effective treatment -- with undetectable viral load -- are entirely safe.

I hope this informtion is reassuring and otherwise helpful. Let me know if anything isn't clear.

HHH, MD
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32 months ago
Thanks. I’m not at all worried about HIV in this circumstance. Just wanted to know if I was at risk of any other STIs in light of the activities I participated in (deep kissing, fingering, frottage). I’m thinking no, but just want your opinion. I did ask my partner about his status and he was adamant in saying he is tested frequently (monthly). He was straight up about everything else, so I feel he was being honest. Seemed as scared as me at catching something. We also set ground rules beforehand — these activities were on the table; these were not, and he was extremely respectful of that.
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H. Hunter Handsfield, MD
32 months ago
The exposure was equally low risk for STDs other than HIV. And no STD is a likely cause of sore throat. Gonorrhea can do it, although >90% of oral gonorrhea is entirely asymptoamtic; and in any case, you're not at risk for oral gonorrhea unless you perform oral sex on an infected partner. Your partner's adamant response seems reliable as well.---
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