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HIV Prevention  (Expert Forum)
 | 
Anal and Oral Sex Questions
Answered by
University of Washington Seattle - WA
This forum is limited to prevention of HIV and to safe sex in general. All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.

Anal and Oral Sex Questions

by AfraidLifeIsOver, Feb 08, 2007 12:00AM
Doctor:

I'm sorry if this is a panic attack.  I made my $15 donation (which I was happy to do even if you ignore this question) and now I think I'm just being overly paranoid!

I've had two incidents happen in the last six months that have me a little worried.  

The first was a male-male experience.  I performed a hand job on a gentleman who told me he was HIV negative (but of course anyone can lie.)  He ejaculated and some of it splashed onto my face.  It didn't get into my nose I believe but a little bit hit the corner of my mouth.  (I had a quick, salty taste so I know it did.)  That was the only interaction.

Then I've been seeing a woman who knows of my history and who has a history herself.  (Who doesn't today?)  She says she's HIV negative.  She's into anal sex in a big way...she prefers it to regular sex.  Now, I know you'll yell at me so don't...I already feel guilty and scared and stupid.  We did it three times and I didn't use a condom any of the times.  

Now, I believe from research that my risk of HIV from the hand job and facial ejaculation is relatively minor.  However, I know anal sex is considered high risk but I didn't know how high the risk in terms of insertive man on woman versus the man on man scenario.  (Most research I found was for gay males only.)

Should I run out and get tested ASAP or is this another one of your "better chance to be hit by lightning/win the lottery/be Bill Gates' long lost illegitimate love child" situations?

Thanks.

by H. Hunter Handsfield, M.D., Feb 08, 2007 12:00AM
Relax.  The hand job wasn't a risk, regardless of semen exposure to face or elsewere.  And being the insertive partner in anal sex probably is no more risky than vaginal sex.  Anal sex is emphasized in lots of educational materials because it is the mechanism by which most infected gay men acquired their infections, and it is particularly high risk for the receptive partner.  In any case, any sex safe if it is with someone without HIV, and there is no reason to suspect your partner is infected.

Every sexually active person (outside permanent, mutually monogamous relationships) should be tested for HIV from time to time, such as once a year.  (And also for other common STDs, like chlamydia.)  If you and/or your partner haven't been tested in the past year, this would be a good time, since it's on your mind.  But not because of any of the sexual events you describe.

Good luck--  HHH, MD
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