[Question #9948] oral sex . hiv risk
27 months ago
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started with about a minute of french kissing. and I received an unprotected oral fellatio (blowjob) from a trans CSW a couple of weeks ago. While i strictly told her to put a condom on me before before doing it , She lied gave me unprotected fellatio . IRealized it after a minute and immediately backed out furious and panicked and wore a condom myself . She showed me her HIV test a month ago and it showed negative. (Anti body test). I made her do an HIV test the following day as well (since i was furious she lied to me ). She did an antibody only blood test (HIV 1 & 2 ) and it was negative. But at the same time i understand that these tests have window periods. and i cannot rule out the fact if she was under a window period .
1. What is my risk here. Do i need to get tested for HIV ? Please advise. I have a small sore on my right tongue at 2 week mark.
2. I understand oral sex is generally less risky for HIV. But what if she has bleeding gums , or some sores in mouth that i cant see. and her BJ was a bit rough too. What if she massaged those small blood into my Penis area from her mouth .
3. I have a small sore on the right of my tongue. Otherwise I dont feel any different .
Kindly advice. What should i Do . I tried to minimize all risk and insisted her to put condom before doing it. But i got tricked for the first minute. Im a bit worried about my exposure.
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H. Hunter Handsfield, MD
27 months ago
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Welcome. Thank you for your confidence in this forum.
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From time to time an accurate reply is possible based on nothing more than the title of the question. Yours may be in that category ("Oral Sex HIV Risk"). HIV is extremely rarely transmitted by oral sex, and perhaps never by oral to penile exposure.
Now I have read the rest of your question. Guess what?
Sorry to hear of your experience. I understand how disturbing it can be to do one's best at sexual safety and then be blindsided by an unexpected aspect, a partner's actions, and so on. Still, you were at little or no risk of HIV.
It's good to see you understand oral sex is low risk. To elaborate a bit, in the 4 decades of the known worldwide HIV/AIDs epidemic, there has never been a scientifically proved case of HIV transmitted oral to penis. That doesn't prove it can't happen, but based on how people think they were infected (which often is wrong), CDC has published a calculation of approximate risk of one chance in 20,000. That's equivalent to receiving BJs by infected partners once daily for 55 years before infection might be likely. And no, there is no evidence that oral sores, bleeding gums, and so on make any significant difference. (If you think about it, there must have been millions of exposures in the present of these problems, and still no known transmissions of the virus.) And in your case, your partner has provided strong evidence she doesn't have HIV.
Those comments pretty well cover your three questions, but to assure no misunderstanding:
1) There is little or no risk. If somehow I were in your situation, I would not be tested for HIV and would continue unprotected sex with my wife without worry. That said, of course you are free to be tested if this reassurance doesn't entirely settle things for you. In that case, have an HIV antigen-antibody (AgAb, "4th generation") blood test 6 weeks after the event.
2) Discussed above. These things probably make little or no difference in risk.
3) Oral sores are extremely common. This doesn't change my evaluation or advice.
I hope these comments are helpful. Let me know if anything isn't clear. Best wishes and stay safe.
HHH, MD
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