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HIV Prevention  (Expert Forum)
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Another oral exposure with a twist
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.

Another oral exposure with a twist

by Firstandlasttime, Sep 21, 2006 12:00AM
Tags: oral, virus
To make a long story short, I cheated on my gf for the first time in more than 11years (and the last time forever). I was drunk and went to a strip club in Montreal with friends. This was no ordinary strip club, as the "dances" were a bit more intimate than usual.

So I had protected oral sex with a stripper of unknown HIV background. I didn't ask her if she was clean, because I feared she would say yes even if she wasn't. They are there for the money and didn't need false reassurement. But I figured that with a condom I was safe.

Here's the twist: when I got home, my penis had a small wound. It is about the size of the tip of a needle and is located right behind the head of the penis. The wound is most likely due to a teeth scratch. Now that got my blood pumping and my fear rising. What if? What if the wound got in contact with saliva or worst saliva mixed with her blood due to a mouth wound? The condom appeared to have stayed intact, but I was drunk (remember) so I didn't really check if it got pierced by the teeth.

I couldn't sleep for two days. So yesterday I found your site and some reassurement. But still, I couldn't find any case of protected sex but with a cut and potential exposure. I would like to know the odds I got infected that way?

How long before I have sex with my long term GF? I don't want to give her any disease as she is still breast feeding our child (I'm a total jerk I know) and fear to contaminate both of them.

Thanks for your time and for this site. I'm glad I found you.

by H. Hunter Handsfield, M.D., Sep 21, 2006 12:00AM
This question, as it happens, is almost identical to the one immediately before it.  Please see that thread.  The bottom line is that HIV infected people have little virus in their saliva, which is why oral sex is so low risk to begin with.  Adding a skin lesion probably doesn't make much difference in risk.  Put another way, any such lesion theoretically enhances risk, but oral sex is so safe anyway that it probably makes little practical difference.  Anyway, the likelihood your partner was infected is low.  I don't recommend any change in your sexual behavior with your girlfriend.

Good luck--  HHH, MD
Member Comments (7)

by Firstandlasttime, Sep 22, 2006 12:00AM
Thanks for the answer.

Reading the archives I noticed you once said it takes lots of virus to get infected. This brought me a question. Can a small drop of saliva/semen/blood contain a lot of virus and vice versa (lots of s/s/b but low virus)?

Do you see any reason for me to get tested for STD/HIV in my case? The reason I ask is because you say very low risk. I see that as small but potential risk and want to be sure. Is it low as low but "potential" or low as a it "never happens" like that so go on with your life?

Thanks again, keep up the good work, it is definately HIGHLY appreciated!

by Firstandlasttime, Sep 26, 2006 12:00AM
Just a heads up.

In the last couple days, I got a sore throat and I have a bump on roof of my mouth. I know symptoms are bad indicator.

But, those symptoms started appearing about 4days after potential exposure and today (8th day) I feel I might have a bump on the top of my left pectoral muscle and still have the sore throat.

So just when I was about to forget about all of this, I get those symptoms. That just started the panic mode once again.

Man I feel bad. I really was going better but that just messes with my mind.

I heard ARS usually starts two weeks after exposure. Is that right? If so, then I guess I just caught a cold and I'm over reacting/freaking over nothing.

Can you put my mind at ease?

by H. Hunter Handsfield, M.D., Sep 27, 2006 12:00AM
To: Firstandlasttime
You are wrong; symptoms are not a "bad indicator".  Search the forum for "ARS symptoms" and "HIV symptoms" for innumerable discussions about how meaningless symptoms are as an indicator of HIV infection. Your symptoms don't sound like HIV anyway.  Almost cerrtainly you have a garden variety respiratory virus, nothing more.

HHH, MD

by Firstandlasttime, Sep 28, 2006 12:00AM
Thanks again Doc.

I still have ups and downs. One time I feel I am totally safe, another I start freaking I got something.

Today (11th day since exposure) I have a stiff neck and headache. I have lost appetate. I also have an itchy spot right over my adam's apple. Might be caused by anxiety, how can I know?

But from what I read on this forum (believe me I read a lot) there are:
1-no case of person being infected by receiving fellatio.
2-Plus I had a condom. So chances should be zero.
3-But said condom might have been pierced by teeth because of small dot sized wound found on penis afterwards.  
4-So some saliva might have come in contact with wound.

So when I think about 1- and 2- I feel totally safe. But later I think about 3- and 4- and start freaking again. Well I guess I'll have to wait for a test before being sure.

by Firstandlasttime, Sep 30, 2006 12:00AM
Me again.
A couple days ago I did something I shouldn't do. I checked my tongue to see the color. I found it is white especially in the middle and back.
If I had contracted HIV, could it be possible for my tongue turn white in about 10days? Or is it my anxiety making me look for things that might always been there?

by H. Hunter Handsfield, M.D., Oct 01, 2006 12:00AM
To: Firstandlasttime
Your supposed symptoms are meaningless.  You don't have HIV.  I'll have no further comments on this thread.

HHH, MD
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