[Question #9845] Receiving Oral
 |
28 months ago
|
Hi Doctor,
Quick question here. I had an encounter with another man today. I am also male. We deep kissed for a long time, with lots of saliva exchange, I also have chapped lips. I did not do anything else, however he did give me unprotected oral sex for a while. I did not give him oral. We also had lots of frottage and touched our penises.
I am no longer on PREP, and only planned on kissing and masturbating as I believe those are no risk. However, the fact that he ended up giving me a blow job unprotected, and that I’m not on prep gives me some anxiety, even though I have read this is no risk (or is that statistic only for straight partners?).
Can you confirm that I was at no risk for HIV from this encounter? I do not plan on doing much more than kissing and masturbating going forward, as I think that is what I feel comfortable with. Do you think receiving oral can safely be added to that and still maintain no risk of HIV?
I don’t wish to test for this encounter, would that be safe to do if there’s no risk?
 |
Edward W. Hook M.D.
28 months ago
|
Welcome back to the Forum. I'm pleased to confirm that the activities that you describe did not put you at risk for HIV, even if you partner happened to have HIV. Frottage, mutual masturbation, and deep kissing are all considered no risk activities for risk of HIV. Similarly, there are no proven cases of HIV related to receipt of oral sex. I see no reason for concern or for testing related to the encounter than you describe.
A minor additional suggestion. In future encounters, there is no reason not to ask partners about their HIV status (infected or not), if infected whether or not they are on therapy (since effective therapy makes HIV no longer transmissible), whether or not they are on PrEP even if you are not, and when they were last tested. Most people tell the truth in such situations and asking these questions might make you more comfortable.
EWH
--- |
28 months ago
|
Thank you for the reassuring response Doctor. I’m relieved to hear that unprotected receptive oral did not put me at risk for contracting HIV.
Just to confirm, this would be the case even if the man who gave me the oral was bleeding or had sores in his mouth? I don’t think he was bleeding, as I did not taste blood when we kissed right after or before the oral, but in case he was, then I would still be at no risk for HIV right?
I feel guilty for this encounter, my long term partner and I were taking a break and I wasn’t thinking straight. We are talking and hopefully will reconcile, am I good to continue unprotected intercourse with her and not put her at risk for HIV due to my receptive oral encounter with another man, right?
|
Edward W. Hook M.D.
28 months ago
|
Even if your casual partner had dental problems, an oral sore, or areas of bleeding in his mouth this would still be a virtually no risk exposure for HIV. As I presume, you know, occasionally oral gonorrhea, and very, very rarely oral chlamydia are acquired through performing oral sex on the infected person. While your risk of these infections is quite low, if you want to be 100% sure that no STI was transmitted, I recommend getting a throat swab for gonorrhea and chlamydia. While I anticipate the results of a throat swab would be negative Testing is the only way to be sure. EWH.
---
|
28 months ago
|
Thanks Doctor. I will test for Gonorrhoea and Chlamydia (what is the timeline for these to be accurate?), and I am not planning on testing for HIV, as you suggested that is not necessary. Does that sound ok?
|
28 months ago
|
Also, I should only test for the oral varieties of G and C? Or also urine?
|
28 months ago
|
Sorry for the third response here. I assume the Oral swab is due to kissing? I did not give him oral, only he gave me oral.
|
Edward W. Hook M.D.
28 months ago
|
Thanks for your follow-up questions. Your summary is correct- no need for HIV testing and the reason for an oral swab is due to deep kissing and saliva exchange. To be honest the data on deep kissing as a route of infection with gonorrhea and very, very rarely chlamydia is controversial (transmission does occur, the controversy is how often it occurs) but, "reading between the lines" of your questions, I presume you want to be completely confident that there was no infection transmitted. I anticipate that your tests will be negative.
There is no need for a urine test- gonorrhea and chlamydia are local infections.
As you point out, this thread will be closed very shortly. EWH
--- |
28 months ago
|
Thank you so much Doctor! You really gave me some peace of mind. Glad to also hear that receiving oral didn’t place me at risk for gonorrhoea or chlamydia. Thanks again.
|
Edward W. Hook M.D.
28 months ago
|
I apologize. By focusing on your kissing I overlooked your receipt of a BJ. There is a modest risk for having acquired penile Gonorrhea and theoretically chlamydia. I encourage you to have a urine test as well.
Again, I apologize for my misstatement
EWH
--- |
28 months ago
|
Oh ok I see, I will test for that too then. Is 5 days enough for accurate results? And you mentioned you overlooked the BJ, I assume you mean you only overlooked it for the gonorrhoea and chlamydia and not for HIV right?
So overall, me getting a BJ puts me at no risk for HIV, so no HIV test required. There is a small risk for oral and urethral chlamydia and gonorrhoea, so I will do a urine and oral swabs soon. Please confirm this and we can close the thread. Thank you again!
|
Edward W. Hook M.D.
28 months ago
|
Yes, results will be conclusive at any time more than 4-5 days after your encounter. Agree with your plan for a urine test. No need for an HIV test. Closing the thread now. EWH ---