Gums sometimes bleed

Hello Doctors. I'm sorry to bother with this repetitive question, but I just really need your professional opinion on my specific exposure.

I am a bisexual man, and over two weeks ago I gave unprotected oral sex to a man for a few minutes. He did not warn me before he ejaculated into my mouth, but as soon as I felt it I spit it out.

**I have read that oral is very low risk, BUT, the reason I am very concerned is because I sometimes bleed from my gums when I brush my teeth, and If i put enough sucking pressure on my front teeth with my own toungue I can produce a little blood.

I do not know his HIV status, and of course I have been really worried about the possibility I contracted HIV. I got baseline a rapid results HIV 2 weeks after that was negative, but I know that doesnt mean much as far as that exposure.

To make things worse, after the incident week later, I got back with my girlfriend, and we had unprotected vaginal intercourse for a few minutes, but I did not ejaculate. I know she is STD/HIV free becuase we have both been tested in the recent past. Any way I am extremely terrified at the thought I might have infected her with something.

Please help.

[Edward W Hook, MD]

Welcome to our Forum.  We answer questions such as yours on an almost daily basis. The quoted figure for HIV risk, if one has oral sex with an infected partner is less than 1 in 10,000  (parenthetically, this is the equivalent of having oral sex once a day for 27 years) and, in my estimation that is too high. Some experts state there is no risk at all from oral sex.  Neither of us on this site have ever seen or reading the medical literature of a convincing instance in which HIV was passed by oral sex.  This includes by all of the people such as you who had gum disease, etc.

Furthermore, as you point out, you do not know if your partner even had HIV and you have an HIV test which is negative at a time (2 weeks) when over 50% of HIV infections acquired two weeks earlier would be detectable,  

Bottom line, you really have nothing to worry about from the exposure you describe.  In my opinion you do not need further testing.  Take care.  EWH

[alexrod]

Thank you Dr.,  this does help. One more question though:

Why is there so much debate on other websites from other doctors?

Some say that there are already documented cases of people getting HIV by giving a man oral sex, and it is an especially higher risk if semen gets into the mouth.

I am not at all trying to question your answer, just wondering why there is a debate.

Thank you Doctor.

[Edward W Hook, MD]

I cannot answer for others.  I suspect that some worry so much about being wrong that they do not consider the harm they do by being overly conservative. EWH