Brief Rough Oral, Bruise to Penis, Should I be Scared?

[Skeba]

Dr

I am quite disgusted with myself.  Several days ago I was out on business having a few drinks.  I ran into an old high school girlfriend.  End of nite we go into her car and she peforms rough oral sex on me.  It was not enjoyable so after a minute or so I told her to stop.  It seemed like she was using her teeth a bit.    Two days latter I had a bruise (black mark) slightly to the left of my pee hole.  I went to the DR to make sure it wasnt an STD and he told me it was a bruise.  My bruise never bled or even hurt for that matter.  Two days latter I asked this girl,  (my friend) to get an HIV test with me and we both tested negative.   Her only recent risk is her live in boyfriend,,, who may be somewhat dishonest with her.  I am circumsized. The bruise is starting to fade but my fear isnt!!  

1.My understanding is that receiving oral sex from a women (inserting my penis into her mouth) is barely a risk.  Is that ture?

2.  She would have to have blood or sores in her mouth for her to transmit?  Is this true?  

3. Is it true that salivia doesnt have hiv in it or it is to low to infect?

4.  Did my bruise (if it was even there when she performed) make things worse?

Lastly I pick at my cuticles does fingering a women with these minor tears put me at risk or do I have to be bleeding when I insert them?

Thanks for your help during this awful time!!!

[H. Hunter Handsfield, M.D.]

TO ALL FORUM USERS:  Please skip the emotional reactions about your sexual behaviors and decisions, such as "I am quite disgusted with myself".  Dr. Hook and I do not moralize in our responses and prefer that you not do so in your questions, even when it concerns your own actions.  Please just stick to the facts of your exposures, symptoms, etc.  (Skeba, don't take this personally -- you're not alone in that tendency -- periodically I make this comment to advise all forum users.)

Your own provider has reassured you; that advice is more valid than anything a distant online source can offer, regardless of my STD expertise.  Since your provider said the penile lesion is a bruise, that also is my opinion. No STD mimics bruising, so I'm sure he is correct.  Your questions about risk of HIV transmission really don't matter, since you know from testing your oral partner isn't infected.  Any sexual exposure of any kind would have been zero risk.

1-3) Yes, receiving oral sex is very low risk (close to zero) for HIV, even with blood.  It is true that there is little HIV in saliva, and what is there is largely inactivated.

4) I see no reason that the bruise makes any difference in your HIV risk.

5) Fingering has never been known to transmit HIV, even with nicks and cuts on the fingers.a

Bottom line: No HIV risk and no need for further testing.

I hope this helps. Best wishes.

[Skeba]

No further testing.  Gotcha.  To clarify does it matter that she sleeps with someone regularly.  Even if she was in the her "window period" from that other person I assume you consider my situation so low risk that I dont warrant testing??  Thanks for your time and info!!

[H. Hunter Handsfield, M.D.]

Theoretically she could be in the window period, but it wouldn't much matter if she were.  Almost nobody ever gets HIV from one time oral sex exposures.  Just let it go.

[Skeba]

DR H.

I recently asked you a question (May 23 same title above).  Fortunatly your advice was most comforting.  My final follow-up question is that I went and got a Rapid test 4 weeks and three days post exposure.  Do I need to go back at 6 weeks & 12 weeks or can I let this issue go?  Lastly NJ has switched to Clearview Stat Pack HIV 1/2 (rapid 15 minute test,,, finger *****)  Is that test reliable??  It is CDC & I believe FDA approved.  As always thanks for your time!!

[H. Hunter Handsfield, M.D.]

The tests you had are approved and valid.  Since you did not need testing at all on account of this exposure, in my opinion it doesn't matter when or how often you are tested.  Therefore, I believe you need no further testing.  But please read the forum for the hundreds of discussions about the reliability of testing at various intervals.  Standard recommendations range from 6 weeks to 3 months, but the choice is yours.

I won't have any further comments.