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HIV Prevention (Expert Forum)
Fear, Guilt, Anxiety and Brief Oral
Answered by
University of Washington
Seattle - WA
This forum is limited to prevention of HIV and to safe sex in general. If you believe you might have been exposed to HIV and want help to judge your risk, would like advice about HIV testing, or have questions about the effectiveness of condoms or the risks associated with specific sexual practices, this is the site for you.
IMPORTANT
No questions will be accepted on the treatment of HIV/AIDS or its complications, viral load, and similar topics. If you have questions about a specific STD other than HIV/AIDS, please visit the STD Forum. Questions that do not pertain to the above topics will be removed from the forum.
If you have not done so, please review other threads in our archives for questions similar to yours and Dr. Handsfield's replies. Questions that duplicate other frequent ones, for which abundant replies exist, and that have little educational value for other forum users, will be DELETED WITHOUT RESPONSE. YOUR PAYMENT WILL NOT BE REFUNDED. The most common examples of such questions are those about low risk exposures to HIV, such as oral sex, condom- protected intercourse hand-to-genital exposure, and nonsexual contact with possibly infected blood or body fluids as well as symptoms of early HIV infection.
No questions will be accepted on the treatment of HIV/AIDS or its complications, viral load, and similar topics. If you have questions about a specific STD other than HIV/AIDS, please visit the STD Forum. Questions that do not pertain to the above topics will be removed from the forum.
If you have not done so, please review other threads in our archives for questions similar to yours and Dr. Handsfield's replies. Questions that duplicate other frequent ones, for which abundant replies exist, and that have little educational value for other forum users, will be DELETED WITHOUT RESPONSE. YOUR PAYMENT WILL NOT BE REFUNDED. The most common examples of such questions are those about low risk exposures to HIV, such as oral sex, condom- protected intercourse hand-to-genital exposure, and nonsexual contact with possibly infected blood or body fluids as well as symptoms of early HIV infection.
Fear, Guilt, Anxiety and Brief Oral
by bw123123, May 28, 2006 12:00AM
First of all, thanks for your time and providing a resource for people like me to ask questions.
I received a massage recently. Towards the conclusion of the massage, the therapist began giving me a hand job. I was laying back and had my eyes closed. I then opened my eyes and her head was close to my groin and I thought she had quickly put her mouth on the tip of my penis. I immediately ask her to stop and asked if she had in fact put her mouth on me. She said no and that she was just mimicking oral sex to get me more excited. If she actually did put her mouth on my penis is was extremely brief (a few seconds at best) and I didn’t notice any cuts or blood either on my penis or her mouth.
At this point, I am very confused and fear, guilt and anxiety and eating me alive.
5 days later, I got a slight headache, sore throat, general fatigue and an upset stomach, 10 days later the I have a slight fever, a few aches and pains, sore throat is worse and I have yellow mucous when I blow my nose.
What are my chances or contracting HIV from this activity if she did in fact put her mouth briefly on my penis?
Also, I have read that the chances of oral sex transmission, during full oral sex is 1 in 10,000. Does this mean with extenuating circumstances (i.e. blood in the mouth?)or that the tranmission can in fact occur just through saliva to Urethra?
Thanks in advance for answering my questions.
I received a massage recently. Towards the conclusion of the massage, the therapist began giving me a hand job. I was laying back and had my eyes closed. I then opened my eyes and her head was close to my groin and I thought she had quickly put her mouth on the tip of my penis. I immediately ask her to stop and asked if she had in fact put her mouth on me. She said no and that she was just mimicking oral sex to get me more excited. If she actually did put her mouth on my penis is was extremely brief (a few seconds at best) and I didn’t notice any cuts or blood either on my penis or her mouth.
At this point, I am very confused and fear, guilt and anxiety and eating me alive.
5 days later, I got a slight headache, sore throat, general fatigue and an upset stomach, 10 days later the I have a slight fever, a few aches and pains, sore throat is worse and I have yellow mucous when I blow my nose.
What are my chances or contracting HIV from this activity if she did in fact put her mouth briefly on my penis?
Also, I have read that the chances of oral sex transmission, during full oral sex is 1 in 10,000. Does this mean with extenuating circumstances (i.e. blood in the mouth?)or that the tranmission can in fact occur just through saliva to Urethra?
Thanks in advance for answering my questions.
Doctor's Answer
by H. Hunter Handsfield, M.D., May 28, 2006 12:00AM
, May 28, 2006 12:00AM
I can't heop with the fear, guilt, anxiety part--except to reassureyou about the risks associated with "brief oral". Your risk of acquiring HIV was truly zero from the non-exposure event you describe.
The 1 in 10,000 risk you site for transmission risk by receiving fellatio. It's probably lower; indeed to my knowledge no case of HIV infection has ever been proved to occur that way. To the extent that bleeding in the mouth is common (e.g., gum disease), that statistic takes blood into account. Infectious HIV doesn't appear in saliva at all, at least not at levels high enough to transmit infection. And even the 1 in 10,000 estimate generally refers to prolonged (several minutes) fellatio ending in ejaculation.
So the brief touch you describe is meaningless as an HIV/STD transmisison risk. Therefore, your symptoms cannot be due to HIV, unless you had some other exposure you don't describe--and they don't sound much like HIV anyway. You do not need testing for HIV or STD.
Best wishes-- HHH, MD
The 1 in 10,000 risk you site for transmission risk by receiving fellatio. It's probably lower; indeed to my knowledge no case of HIV infection has ever been proved to occur that way. To the extent that bleeding in the mouth is common (e.g., gum disease), that statistic takes blood into account. Infectious HIV doesn't appear in saliva at all, at least not at levels high enough to transmit infection. And even the 1 in 10,000 estimate generally refers to prolonged (several minutes) fellatio ending in ejaculation.
So the brief touch you describe is meaningless as an HIV/STD transmisison risk. Therefore, your symptoms cannot be due to HIV, unless you had some other exposure you don't describe--and they don't sound much like HIV anyway. You do not need testing for HIV or STD.
Best wishes-- HHH, MD
This is a thread jump. For advice about your particular situation, post your question in a new thread.
HHH, MD
Thanks again. I appreciate your insight.
HHH, MD
Any and all further posts by you on this topic will be deleted without response, unless/until you start your own thread.
Would this change your thoughts. Based on what I have read from your posts, your feedback would be the same but I wanted to ask never-the-less.
Thanks again.
I'm holding you to your promise; no more follow-up comments/questions.
HHH, MD