Hiv concern- would really like some to know where I stand

[123meuk]

Hi Doctor,

Thanks for your time.

I will try and keep this as short as possible.

5 months ago I had unprotected oral sex performed on me by a man. I did not ejaculate.

2 months ago I very briefly preformed unprotected oral sex on a transexual escort/ adult performer. They did not ejaculate.

Am I at risk from these activities?
Is oral sex a Realistic Hiv risk?

Since then I have got a few painful infected pimples on my bottom which I have read can be a sign of HIV. Is that true or are they just likely to be from doing a sedentary, seated job everyday?

I also have a few brown blister like marks on the bottom of my feet. Are these related to HIV.

I do understand you have answered similar questions relating to oral sex. I'm sure this is just my personal guilts, anxiety and paranoia but your answers would really help make this clear,

Thank you

[123meuk]

Thank you very much for your quick response.

[Edward W Hook, MD]

No, spots of the sort you describe are not suggestive of HIV. If they are new or concerning, you may wish to have a dermatologist take a look.  EWH

[123meuk]

Thanks for that, That's ease my worry and left me pretty confident I'm fine. can I just clarify that the spots on my bottom and marks on my feet would not relate to HIV?

Thank you

[Edward W Hook, MD]

Welcome to the Forum.  I'll be pleased to comment. The most current scientific data are that there are no cases in which a man has been proved to get HIV from receiving oral sex.  There are a few cases in which persons performing oral sex on infected partners may have gotten HIV in this way.  Whether or not ejaculation is important in risk for those giving oral sex to infected men is unknown.

Based on these observations and a number of large studies, it appears that there is no known risk from receiving oral sex but that performing oral sex is associated with a very small risk, IF your partner is infected. The risk calculates to about 1 infection per 10,000 acts of oral sex on infected partners.  Since most persons, even men who have sex with other men, do not have HIV, your risk can be presumed to be less than 1 in 10,000.  This is a very small number and not something to be overly worried about.  Many experts would say that, unless you are very concerned, there is no reason for HIV testing after performing oral sex on a man of unknown HIV status.

I hope these figures and comments are helpful to you. EWH