"It seems pretty easy - - - no anal or vaginal sex unprotected = no hiv risk (gay or straight)."
Exactly right!
Good advice and thanks again! It seems pretty easy - - - no anal or vaginal sex unprotected = no hiv risk (gay or straight).
It's really not relevant whether or not I have personally seen such a case. As it happens, I have not, but I've also never seen a patient who had been struck by lightning. That doesn't mean it can't happen, but the odds probably are about the same as for oral sex and HIV transmission. (CDC has calculated the odds of oral to penile HIV transmission, if the oral partner is infected, at somewhere around once in every 20,000 exposures -- equivalent to receiving BJs by infected partners once daily for 55 years before infection might be considered likely. And as it happens, the National Safety Council calculates that about 1 in 17,516 lifetime risk of lightning strike, for persons living in the US.)
In other words, take common sense precautions, but don't make yourself crazy worrying either about lightning or about getting HIV by oral sex.
Thank you so much Doc. Especially answering on a Sunday to boot!
I have one question I would like to ask, because you have worked with HIV patients and this disease for so many years...
Have you ever seen a case of HIV that was transmitted by an oral sexual experience. I know it's "theoretical" but first hand have you ever seen one case?
Again, THANK you! Happy Holidays!
Welcome to the forum. Thanks for the thanks about our service on this forum.
You describe an entirely safe sexual exposure; even if your partner had HIV, you were not at risk. Also, people rarely lie about HIV status when asked directly, so the odds are strong that your partner didn't have HIV.
As for your symptoms, they are entirely consistent with a garden variety upper respiratory infection or allergy. You definitely do not have a fever. The minor variation in body temperature you are experiencing is meaningless; everybody's temperature varies within a couple degrees in the normal range.
I see no need for HIV testing -- but of course you are free to do it if a negative test result will add significantly to the reassurance I have given. Even with your low risk sexual lifestyle, it would be reasonable to have routine testing from time to time. Since it's been 3 years, this would be a good time, when it's on your mind. But I stress that I'm still not at all concerned about the recent sexual event or your symptoms.
I hope this has helped. Best wishes-- HHH, MD