I don't know if i need a test.

[thestand]

Hi Doctor , scuse me for my english, but i am Italian!!!

Please Doctor help me beacuse I am very worried for 3 or 4 episodies that i've had last year. Last year i've been in the USA, in South Carolina, charleston, for 3 months;
I've had sex 4 or 5 times with a woman who had not a good behavior with others men, she told me of unprotected sex with other men...
She has performed on me 3 or 4 unprotected fellatio, we have had protected vaginal sex for 4 or 5 times, after i have always checked condom, it was always 100% intact, i'm sure of this.

The problem is that i've performed on her cunnilingus for 2 times; i think she WAS NOT having her period, but i'm not sure of this... is possible that a little bit of blood, just a little that for me is impossible to taste, came in my mouth and infected me?
maybe she wasn't in her period or maybe yes... i don't rememebr seeing blood after vaginal sex... Is necessary a lot of blood to risk to be infected in a cunnilingus?  

Doctor i don't know if i need a test, I hope no;

Thanks Doctor.

[Edward W Hook, MD]

You do not need further testing.  EWH

[thestand]

oh, scuse me Doctor, maybe i make a mistake, i've click or NO on the question: "Was this answer helpful to you?" i want YES

scuse me Doctor.

[thestand]

oh, i forgot to write that the woman was diabetic, this change something?

Thank you doctor.

[thestand]

Ok thank you Doc, i think i've understand almost all. Scuse me if i repeat the last question,  just to be sure and have a dry replay (yes or no):

I do not need the test?

Thank you Doc.

[Edward W Hook, MD]

Welcome to our forum. there is no reason for concern related to the exposures you describe.  Let me elaborate on why I say this.  First, even though your partner may have had other partners, was very unlikely to have HIV.  If she did not use IV drugs, the likelihood that she had HIV is less than 1 in 100.  Second, even in the unlikely situation that she had HIV, most unprotected sexual exposures do not lead to transmission of infection.  For unprotec5ted vaginal sex the risk of transmission is only 1 infection per 1000 exposures.  In your case, your vaginal sexual exposures were protected and therefore not low risk but virtually no risk.  As for oral sex, the quoted figure for HIV risk, if one has oral sex with an infected partner is less than 1 in 10,000 and, in my estimation that is too high. Some experts state there is no risk at all from oral sex (either fellatio or cunnilingus).  Neither of us on this site have ever seen or reading the medical literature of a convincing instance in which HIV was passed by oral sex.  This is true even if she was having her period.

Thus to summarize, the exposures you describe have no associated risk and, on the basis of what you say, I do not even see a reason for testing related to the exposures you describe.  If you are concerned however, for your own peace of mind, you could have an HIV test at this time- the results will be negative and will prove what I have said above.  

Hope this comment is helpful to you. EWH