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My risk considering hypospadias
Hello Doctor, I have reading your posts for a while and finally decided to take a Home Access HIV Test Express approved by FDA. The test is still on shipping and I am very nervous to take the test, thinking what will I do if the result is unfavourable. I have taken two saliva test recently and both negative, however this saliva test is called orarapid and not FDA approved.
Here is my situation, about three years ago, I received 4 unprotected oral sex and 3 protected vaginal sex from different CSW in Shanghai, China. I know that you have mentioned that we don't need to worry about the oral sex, however my situation is a little bit different. I have hypospadias when I was a kid and got several surgeries to fix it. But even after the surgery, the tip is below the middle point as normal pepole and the bottom of glans kind of split into two pieces, where you can see capillary vessel clearly between.
My question:
What's my risk of getting HIV from oral sex considering my situation? I know I am getting the test very soon, but I just want to hear your opinion on my situation. Thanks so much!
Here is my situation, about three years ago, I received 4 unprotected oral sex and 3 protected vaginal sex from different CSW in Shanghai, China. I know that you have mentioned that we don't need to worry about the oral sex, however my situation is a little bit different. I have hypospadias when I was a kid and got several surgeries to fix it. But even after the surgery, the tip is below the middle point as normal pepole and the bottom of glans kind of split into two pieces, where you can see capillary vessel clearly between.
My question:
What's my risk of getting HIV from oral sex considering my situation? I know I am getting the test very soon, but I just want to hear your opinion on my situation. Thanks so much!
Thanks so much for your detailed comment and encouragement. The test is still on shipping, so I will wait after the thanksgiving to get the results. I will let you know the results. Have a nice thanksgiving!
MEDICAL PROFESSIONAL
Welcome to the forum.
Oral sex is inherently very low risk for HIV; oral to penile transmission is especially rare and some experts believe it never occurs. The main reason is that the oral cavity of HIV infected persons generally doesn't contain much virus, and saliva inactivates HIV, preventing transmission. And condoms work; protected vaginal sex also is little or no risk. There is no reason to suspect your hypospadias would increase your essentially zero risk for having HIV. In addition, it is statistically unlikely your Shanghai partners had HIV anyway.
Despite lack of FDA approval, your oral fluids test results are highly reliable. (Lack of FDA approval only means the manufacturer did not seek it, probably because they do not intend to market the test in the United States. It doesn't mean the test is unreliable.) So it is already certain you don't have HIV. You don't really need the Home Access test, but if you decide to go ahead with it, the result also will be negative.
Regards-- HHH, MD
Oral sex is inherently very low risk for HIV; oral to penile transmission is especially rare and some experts believe it never occurs. The main reason is that the oral cavity of HIV infected persons generally doesn't contain much virus, and saliva inactivates HIV, preventing transmission. And condoms work; protected vaginal sex also is little or no risk. There is no reason to suspect your hypospadias would increase your essentially zero risk for having HIV. In addition, it is statistically unlikely your Shanghai partners had HIV anyway.
Despite lack of FDA approval, your oral fluids test results are highly reliable. (Lack of FDA approval only means the manufacturer did not seek it, probably because they do not intend to market the test in the United States. It doesn't mean the test is unreliable.) So it is already certain you don't have HIV. You don't really need the Home Access test, but if you decide to go ahead with it, the result also will be negative.
Regards-- HHH, MD
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