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Confused about my current risk

Sorry if you have already answered the following question, but I asked this question on the expert forum and to be honest I am even more confused

I had a HIV I & II Antibody and Antigen P24 (duo) test yesterday and it came back negative.

I am really worried (understatement of the year) of 2 incidents that I think may not have been picked up.

1. 16 days before the test I gave a man unprotected oral sex.  He ejaculated in my mouth and I spat it out.  I think I had a throat infection at the time but am not completly sure about that.  I had no cuts or open wounds in my mouth at the time.  I do not know his HIV status.

2. 4 days before the test I gave a man unprotected oral sex.  He started to ejaculate in my mouth but I pulled it out quickly so only a small amount of sperm went into my mouth and the remainder went on my face.  I had been told by my doctor 2 days before that I had a throat infection.  I also noticed that my gums bleed very slightly that morning when I brushed my teeth, but it was over 4 hours before the oral sex and my gums were not bleeding at the time of the oral sex.  I had no cuts or open wounds in my mouth at the time and I spat the small amount of sperm out a couple of minutes later and washed my mouth out with water.  This was a different man and I do not know his HIV status.

I am going back for a HIV test mid January to rule out HIV from these 2 inclidents but in the meantime I can't eat or sleep with worry.

What I am asking is if there any chance that either of these incidents could have been picked up by my HIV test and also, from the details that I have given, what level of risk do I have that I have caught HIV from these incidents, i.e. on some websiters it states that oral sex is low risk and others states it is very low to nearly impossible.  Taking into account my details above, do you think this is true for me?

The answer I received was that it is possible but not very likely, but that the risk is increased if he cums in your mouth or you already have an infection.

That has completley confused me as to me he is saying yes you are risk, not much risk, but then again there is a risk, oh hang on a minute there is more of a risk than I first said as he came in your mouth and you had a throat infection.

Can anyone please help me figure out what this answer means?  

Thank you for your help! .
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Avatar universal
Move along.
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Avatar universal
Hi,

I'm sorry to come back and ask more questions, but I am really concerned about something...

I am actually in a relationship and we have been together for many years.  I know what I did above was totally wrong and I won't be doing it again EVER, but the thing that worries me is that we do not use condoms when we have anal sex and I know we are going to be in a situation any day now where we will be having sex.

I know you say that there is no risk at all in oral sex, but looking at the doctors forum they state that the risk is 0.04% if he has come in my mouth.  Added to that I had a throat infection and Dr Sean Cummings has already said that this would increase the risk further, but I am not sure how much this would increase the risk.  

I know that these are very small risks, but that is still too much of a risk if I am going to have unprotected anal sex with my partner surley?

Also, in a post where Dr. Sean Cummings is asked to comment on information given by the HIV Prevention forum about oral sex, he deny's ever reading it and says that he has no connection to this forum.  I am sooooo worried that he means that he does not wish to associate himself with your views as he does not agree with them.  Therefore does that mean that I am going to be putting my partner at risk if I follow your advice?

Please help me as my partners health could rely on it!!!!!!

How do i know that your information about oral sex having no risks is 100% accurate?
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Avatar universal
You didn't need your first test.
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Avatar universal
So as I have not had ANY other sexual contact apart from unprotected oral sex for over 3 months, does that mean that my negative status is conclusive and that I do not need to go for the second test?
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Avatar universal
Thank you!
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Avatar universal
You do not have an HIV concern. Saliva contains over a dozen different proteins and enzymes that inhibits HIV transmission.
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Avatar universal
Sorry, the clinic was referring to HIV when talking about this risk.
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Avatar universal
Not an HIV concern. If you have guestions about STDs you need to post them in the STD Forum.
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Avatar universal
One final question, I was told at the STI clinic that the reason why having a throat infection is risky if you get cum in your mouth is because the inflammed surface has bllod vessels that are more open and absorbant to cum.  is this also not the case?
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Avatar universal
No that it not what it means. Documented is not the same as verified documented.
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Avatar universal
Thank you so much for your rapid reply, but why then would the doctor in the expert forum say that there are documented cases around the world of people who have contracted HIV from Oral Sex?

Also, I am very new to this site so not sure who is who, but who is Dr Hook, Dr Hansfield and Dr Garcia?  are they actual doctors?
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Avatar universal
Oral sex is not a risk of HIV transmission.

No incident HIV infections among MSM who practice exclusively oral sex.
Int Conf AIDS 2004 Jul 11-16; 15:(abstract no. WePpC2072)??Balls JE, Evans JL, Dilley J, Osmond D, Shiboski S, Shiboski C, Klausner J, McFarland W, Greenspan D, Page-Shafer K?University of California, San Francisco, San Francisco, United States

Oral transmission of HIV, reality or fiction? An update
J Campo1, MA Perea1, J del Romero2, J Cano1, V Hernando2, A Bascones1
Oral Diseases (2006) 12, 219–228

AIDS: Volume 16(17) 22 November 2002 pp 2350-2352
Risk of HIV infection attributable to oral sex among men who have sex with men and in the population of men who have sex with men

Page-Shafer, Kimberlya,b; Shiboski, Caroline Hb; Osmond, Dennis Hc; Dilley, Jamesd; McFarland, Willie; Shiboski, Steve Cc; Klausner, Jeffrey De; Balls, Joycea; Greenspan, Deborahb; Greenspan
Page-Shafer K, Veugelers PJ, Moss AR, Strathdee S, Kaldor JM, van Griensven GJ. Sexual risk behavior and risk factors for HIV-1 seroconversion in homosexual men participating in the Tricontinental Seroconverter Study, 1982-1994 [published erratum appears in Am J Epidemiol 1997 15 Dec; 146(12):1076]. Am J Epidemiol 1997, 146:531-542.

Studies which show the fallacy of relying on anecdotal evidence as opposed to carefully controlled study insofar as HIV transmission risk is concerned:

Jenicek M. "Clinical Case Reporting" in Evidence-Based Medicine. Oxford: Butterworth–Heinemann; 1999:117
Saltzman SP, Stoddard AM, McCusker J, Moon MW, Mayer KH. Reliability of self-reported sexual behavior risk factors for HIV infection in homosexual men. Public Health Rep. 1987 102(6):692–697.Nov–Dec;

Catania JA, Gibson DR, Chitwood DD, Coates TJ. Methodological problems in AIDS behavioral research: influences on measurement error and participation bias in studies of sexual behavior. Psychol Bull. 1990 Nov;108(3):339–362.

There is no debate (among experts) about the HIV risks associated with oral sex. The risk is so low that almost nobody who cares for HIV infected patients has ever had a patient believed to have been infected that way. Among experts, it's a semantic issue about using terms like "no risk" and "very low risk". There is no difference between my or Dr. Hook's use of "low risk" and other experts' "no risk".
DR. HANSFIELD

"And oral sex is basically safe sex -- completely safe with respect to HIV and although not zero risk for other STDs, the chance of infection is far lower than for unprotected vaginal or anal sex. Please educate yourself about the real risks. If you stick with oral sex and condom-protected vaginal or anal sex, you have no HIV worries and very little worry about other STDs. " DR HANSFIELD

"I am sure you can find lots of people who believe that HIV is transmitted by oral sex, but you will not find scientific data to support this unrealistic concern..." DR HOOK

"HIV is not spread by touching, masturbation, oral sex or condom protected sex."- DR. HOOK

in the public HIV Prevention forum of MedHelp, TEAK and the other moderators maintain that oral sex in all forms is a zero risk activity. Would you agree with this assessment?
I TOTALLY AGREE / DR GARCIA
"HIV is not spread by masturbation, through oral sex, through kissing or other casual contact." Dr. Hook
"The observation on thousands and thousands of observations is that HIV is not spread by oral sex (of any sort)." DR HOOK
"I would not say your risk ,if he had HIV is "slim to none"- that's too high.  I would say they are effectively zero.  How much of his ejaculate or other genital  secretions you may have swallowed makes no difference.  EWH "
"As far as HIV is concerned, there is no known risk of getting HIV from performing oral sex on an infected partner, even if that person's genital secretions get into your eyes or if you swallow." Dr.Hook
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