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HIV risk from unprotected oral on CSW?
Hi
9th December I had a encounter with a CSW, she performed protected oral sex on myself.
I then performed unprotected oral sex on her. We then had protected intercourse with the same condom.
The day before I had been to the dentist as part of a root canal procedure. I sm concerned HIV may have transfered through my mouth.
Since, 16/17 December oral Thrush, more root canal 14th December and is still present.
21st December, Fever of about 100-101 over night, came on quickly, that is two weeks after encounter.
22nd cramps and starting to have diarrhea, no cramps but ongoing diarrhea since now the 24th
I have not yet been tested, plan to when possible when clinics open after christmas.
One mild headache, currently only taking panadol.
Your Advice and feedback would be appreciated. Of it not HIV than what? I am not someone who gets sick often.
Stressed.
9th December I had a encounter with a CSW, she performed protected oral sex on myself.
I then performed unprotected oral sex on her. We then had protected intercourse with the same condom.
The day before I had been to the dentist as part of a root canal procedure. I sm concerned HIV may have transfered through my mouth.
Since, 16/17 December oral Thrush, more root canal 14th December and is still present.
21st December, Fever of about 100-101 over night, came on quickly, that is two weeks after encounter.
22nd cramps and starting to have diarrhea, no cramps but ongoing diarrhea since now the 24th
I have not yet been tested, plan to when possible when clinics open after christmas.
One mild headache, currently only taking panadol.
Your Advice and feedback would be appreciated. Of it not HIV than what? I am not someone who gets sick often.
Stressed.
MEDICAL PROFESSIONAL
Thanks to ray_ray for an opportunity to clarify oral sex transmission risks once again. I am well aware of thebody.com and have great respect for Dr. Bob's knowledge and the quality of advice he gives on HIV prevention. I scan his comments from time to time; his responses are almost always are the same that I would give to the same questions.
The "study" quoted isn't a study, just quoting results from other studies. The 1% to 8% risks refer to oral sex in general -- both fellatio and cunnilingus, and for both giving and receiving. The majority of them refer only to fellatio, and primarily for the oral (receptive) partner. And almost all those studies are based on infected persons' memories about when and how they were exposed, which often are faulty; most infected people have had multiple high risk exposures and cannot accurately judge which one was the source of their infections. Finally, other people lie, not wanting to admit higher risk events.
I stand by the CDC data and analysis, which suggests an average risk of 1 in 10,000 to 1 in 20,000 for each episode of fellatio with an infected partner; and probably even lower for cunnilingus, for which there are few if any reported transmissions at all. Here is the CDC report; see Table 1: http://www.cdc.gov./mmwr/PDF/rr/rr5402.pdf
The "study" quoted isn't a study, just quoting results from other studies. The 1% to 8% risks refer to oral sex in general -- both fellatio and cunnilingus, and for both giving and receiving. The majority of them refer only to fellatio, and primarily for the oral (receptive) partner. And almost all those studies are based on infected persons' memories about when and how they were exposed, which often are faulty; most infected people have had multiple high risk exposures and cannot accurately judge which one was the source of their infections. Finally, other people lie, not wanting to admit higher risk events.
I stand by the CDC data and analysis, which suggests an average risk of 1 in 10,000 to 1 in 20,000 for each episode of fellatio with an infected partner; and probably even lower for cunnilingus, for which there are few if any reported transmissions at all. Here is the CDC report; see Table 1: http://www.cdc.gov./mmwr/PDF/rr/rr5402.pdf
Dr. I am sorry to disturb you with this but www.thebody.com is also a website which has been running simultaneously with your website and for such a long time and it points out that risk for cunnilingus is 1 to 8% according to the latest study. The link is provided down but have you followed this study and would this make you change your stand. Just asking??
http://www.thebody.com/content/art58210.html
http://www.thebody.com/content/art58210.html
Thankyou Dr Handsfield. I'll rest a little easier over the weekend and get tested early next week
Merry Christmas
Merry Christmas
MEDICAL PROFESSIONAL
HIV is very rare in Japan, so if anything this lowers the risk still further.
The Australian sexual health centres are, collectively, perhaps the world's best STD/HIV prevention clinics. (And I would think they would be open December 24.) If you visit either the Sydney or Melbourne SHC, give my greetings; I'm professionally close with the leadership of both centres.
The Australian sexual health centres are, collectively, perhaps the world's best STD/HIV prevention clinics. (And I would think they would be open December 24.) If you visit either the Sydney or Melbourne SHC, give my greetings; I'm professionally close with the leadership of both centres.
MEDICAL PROFESSIONAL
Welcome to the forum. Based on the title of your question, before reading anything else, you are not at risk. HIV has never been known to be transmitted by cunnilingus (oral-vaginal contact).
Now I have read the question itself. Even with a bleeding wound in the mouth, there probably was no risk, and condom protected vaginal intercourse and fellatio are risk free. (Like cunnilingus, fellatio carries little or no risk for HIV even without a condom.) And statistically it is unlikely your partner had HIV; the large majority of CSWs in industrialized countries are not infected.
Symptoms are never very useful indicators either for or against a new HIV infection, because the identical symptoms as for HIV occur in innumerable medical conditions, most of them minor. Acute HIV doesn't usually cause thrush, diarrhea, or cramps. And if your "thrush" has not been professionally diagnosed, I doubt you have it. Oral thrush (yeast infection) is not the same as a coated tongue or other white spots in the mouth or throat, which are common with almost any minor viral illness, which probably is what you have.
Considering all this, it exceedingly unlikely you have HIV. However, given your concern, I agree it makes sense to be tested. No matter how strongly I can reassure you, it probably won't be as effective as having a negative HIV test. And if your viral symptoms are continuing after the Christmas weekend, they should be professionally evaluated regardless of HIV risk.
In the meantime, try to stay mellow and enjoy the holidays. There really is no signficant likelihood you have HIV.
Merry Christmas-- HHH, MD
Now I have read the question itself. Even with a bleeding wound in the mouth, there probably was no risk, and condom protected vaginal intercourse and fellatio are risk free. (Like cunnilingus, fellatio carries little or no risk for HIV even without a condom.) And statistically it is unlikely your partner had HIV; the large majority of CSWs in industrialized countries are not infected.
Symptoms are never very useful indicators either for or against a new HIV infection, because the identical symptoms as for HIV occur in innumerable medical conditions, most of them minor. Acute HIV doesn't usually cause thrush, diarrhea, or cramps. And if your "thrush" has not been professionally diagnosed, I doubt you have it. Oral thrush (yeast infection) is not the same as a coated tongue or other white spots in the mouth or throat, which are common with almost any minor viral illness, which probably is what you have.
Considering all this, it exceedingly unlikely you have HIV. However, given your concern, I agree it makes sense to be tested. No matter how strongly I can reassure you, it probably won't be as effective as having a negative HIV test. And if your viral symptoms are continuing after the Christmas weekend, they should be professionally evaluated regardless of HIV risk.
In the meantime, try to stay mellow and enjoy the holidays. There really is no signficant likelihood you have HIV.
Merry Christmas-- HHH, MD
Also the CSW was Asian, in Australia I believe temporarily as a student, she said she was from Japan. Does this change the HIV risk profile?
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