Aa
Do I need testing from unprotected oral?
Hello Doctor, I had my last HIV test I September 2009 an it was negative. Since then I've had the following sexual encounters:
Female Escort - Protected Oral and protected vaginal sex
Female Massage therapist - protected vaginal sex
2 female massage therapists - mastabation only
Transexual Escort - protected anal (I topped her), unprotected oral (I sucked her) protected oral (her on me) there were no sores on her penis and she didn't ejaculate or get very hard, although there may have been pre-cum
My question is that based on this, should I get tested? It's been 4 months since the unprotected oral and I have started getting sinus issues and nasal drip with feelings of nausea, tiredness and soft stool. I read that oral is basically zero risk, but want your opinion. I suspect some of my symptoms are related to anxiety and possible allergies.
Also if testing isn't required, based on what you know is it safe for me to have unprotected sex with my spouse?
Female Escort - Protected Oral and protected vaginal sex
Female Massage therapist - protected vaginal sex
2 female massage therapists - mastabation only
Transexual Escort - protected anal (I topped her), unprotected oral (I sucked her) protected oral (her on me) there were no sores on her penis and she didn't ejaculate or get very hard, although there may have been pre-cum
My question is that based on this, should I get tested? It's been 4 months since the unprotected oral and I have started getting sinus issues and nasal drip with feelings of nausea, tiredness and soft stool. I read that oral is basically zero risk, but want your opinion. I suspect some of my symptoms are related to anxiety and possible allergies.
Also if testing isn't required, based on what you know is it safe for me to have unprotected sex with my spouse?
MEDICAL PROFESSIONAL
You don't need any more testing. Testing is never needed beyond 6 weeks, let alone 6 months. See the March 14 follow-up comment in this thread: http://www.medhelp.org/posts/HIV-Prevention/HIV-Testing-/show/764623
Just wanted to add that I took a Rapid Test this morning and it was negative. It's 4 months after my Fellatio exposure. Is that 100% conclusive or do I need to wait for 6 months to be sure?
Thanks
Thanks
Thanks Doc, yeah there was no ejaculation,maybe pre-cum. So really nothing to worry about then. Thanks for the advice
MEDICAL PROFESSIONAL
That raises the risk, but minimally. The transmission risk for fellatio, if the penile partner has HIV, has been estimated at 1 in 10,000, i.e. equivalent to giving oral to infected men once daily for 27 years. Without ejaculation in the mouth, perhaps even lower than that.
I'm sorry I didn't explain that right. I performed unprotected oral on a pre-op transexual escort.
MEDICAL PROFESSIONAL
No change. If anything, cunnilingus (oral-vaginal) is even safer than fellatio (oral-penile). HIV has never been known to be transmitted by cunnilingus, in either direction.
Thanks Doctor, however I performed unprotected oral on her. She performed protected oral on me. Does this change anything you said before?
MEDICAL PROFESSIONAL
Welcome to the forum.
Without reading any of your question except the title, the answer is no, almost certaintly not. In general, HIV testing is never warranted after any particular exposure unless the risk is quite high, e.g. unprotected vaginal or anal sex with someone known to be positive or especially likely to be infected, like an anonymous gay male partner. All oral sex exposure are exceedingly low risk, regardless of the nature of the partner and the chance s/he has HIV, and thus rarely warrant HIV testing -- except for psychological reassurance purposes.
Now I have read the question itself. Guess what? Except for the transsexual escort, you describe partners very unlikely to have HIV, as well as safe sex exposures with them. And your exposure with the higher risk person was well protected; as noted above, the chance of HIV transmission by oral sex, if the oral sex partner has HIV, remains extremely low. The most commonly cited estimate is 1 chance of transmission for every 20,000 exposures -- which is equivalent to receiving BJs by infected partners once daily for 55 year before transmission might be likely.
Your symptoms do not hint at HIV, which does not result in sinus symptoms and does not increase susceptibility to colds or other respiratory infections, nor does it cause the gastrointestinal symptoms you mention.
Of course I cannot guarantee you aren't infected -- whether from these events or others not mentioned. And it makes sense for all people who are sexually active outside mutually monogamous reslationships to be tested for HIV from time to time, like every year or two. On that basis, perhaps you should be tested -- but not because of the particular exposures described here. In the meantime, if I were in your situation I would continue unprotected sex with my wife with no worries about infecting her.
Regards-- HHH, MD
Without reading any of your question except the title, the answer is no, almost certaintly not. In general, HIV testing is never warranted after any particular exposure unless the risk is quite high, e.g. unprotected vaginal or anal sex with someone known to be positive or especially likely to be infected, like an anonymous gay male partner. All oral sex exposure are exceedingly low risk, regardless of the nature of the partner and the chance s/he has HIV, and thus rarely warrant HIV testing -- except for psychological reassurance purposes.
Now I have read the question itself. Guess what? Except for the transsexual escort, you describe partners very unlikely to have HIV, as well as safe sex exposures with them. And your exposure with the higher risk person was well protected; as noted above, the chance of HIV transmission by oral sex, if the oral sex partner has HIV, remains extremely low. The most commonly cited estimate is 1 chance of transmission for every 20,000 exposures -- which is equivalent to receiving BJs by infected partners once daily for 55 year before transmission might be likely.
Your symptoms do not hint at HIV, which does not result in sinus symptoms and does not increase susceptibility to colds or other respiratory infections, nor does it cause the gastrointestinal symptoms you mention.
Of course I cannot guarantee you aren't infected -- whether from these events or others not mentioned. And it makes sense for all people who are sexually active outside mutually monogamous reslationships to be tested for HIV from time to time, like every year or two. On that basis, perhaps you should be tested -- but not because of the particular exposures described here. In the meantime, if I were in your situation I would continue unprotected sex with my wife with no worries about infecting her.
Regards-- HHH, MD
You are reading content posted in the HIV - Prevention Forum
Condoms are the most effective way to prevent HIV and STDs.
PrEP is used by people with high risk to prevent HIV infection.
Can I get HIV from surfaces, like toilet seats?
Can you get HIV from casual contact, like hugging?
Frequency of HIV testing depends on your risk.
Post-exposure prophylaxis (PEP) may help prevent HIV infection.
