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Is oral sex a risk if partner is in the actue stage/window period?
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Is oral sex a risk if partner is in the actue stage/window period?

I know most places on the internet agree that oral sex poses practically no risk for HIV infection, but what about if the person you are engaging in oral sex with is newly infected and it is too early for them to even realize it? Their viral load is so much higher than normal levels. Is it possible then to contract HIV from a newly infected person from something like precum (which would have a much higher concentration of HIV at the time) during oral sex, when normally that wouldn't be a possibility?
13 Comments Post a Comment
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Avatar_m_tn
I DO think this is a significant question should be concerned. Because the person I met is also a newly infected.
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Avatar_n_tn
Anyone? Asking because honestly have not seen anything specifically addressing this on the internet.
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Avatar_m_tn
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
HIV is not spread by oral sex, giving or receiving, even if sores, gum disease or blood is present
DR HOOK
The fact is that there are no cases in which HIV has been proven to be transmitted by oral sex, including fellatio..  EWH
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Avatar_n_tn
Okay, thank you so much.
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Avatar_m_tn
Well this seems like a real good discussion. I have to clear one of my doubts related to oral vs anal sex.
Would you agree that in oral sex where a man is thrusting his penis in someone's mouth is equally on stake as the one doing the same act in anal? the only difference is the amount of virus required to infect both persons. the one who is pushing in anus/mouth is exerting almost same pressure (I think) so the case of rupture inside or outside is almost the same (assumption). Could you please explain how the two cases differ. May be HIV doesn't spread from mouth because of some other reason?
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188761_tn?1320166132
1. Saliva has certain proteins that inhibits the virus.
2. Also, the gastric acid in your stomach works for you as consumption of infected fluid is not the right mechanism of transmission.
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Avatar_m_tn
Thanks for your reply.
If saliva inhibits then why do poz people have hiv virus present in saliva?
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580755_tn?1357673215
virus can be anywhere, it is not active. Being unactive means it is unable to infect. And it is not the virus it is the antibody.
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480448_tn?1403547723
Oral sex and anal sex are two totally different beasts.  Apples and oranges.
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188761_tn?1320166132
Cherry and Watermelon, literally :o))
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480448_tn?1403547723
Think this will help:

Anyway, back to the mucous membranes.  There are alot of locations where you would find a mucous membrane.  HOWEVER, not all mucous membranes are created equally.  As an example, there are mucous membranes in the lining of the nose, the eyes, the oral cavity, rectum, lining of the male uterus, vaginal wall.  

Without getting too technical, there are target receptor cells in the mucous membranes that are the ones responsible for "latching on" to the virus from the partner...allowing it access to the bloodstream.  The oral mucosa of the mouth is not comprised of the same celluar makeup and structure as the mucous membranes in areas that commonly allow for transmission (rectum, vagina, male urethral lining).    In the oral cavity, the receptor cells are far reduced in number than those of the rectum, vagina, etc...and are located much "deeper" in the tissue.  In the susceptible tissues of the rectum and vagina, those target receptors are very superficial, and found in MUCH higher numbers.  There alone, you can see how the virus would have a MUCH harder time finding a receptor cell, then getting to it.  

http://www.medhelp.org/health_pages/HIV/HIV-AND-ORAL-SEX-THE-FACTS/show/1278?cid=68

Read the article in its entirety, as there are facts about the saliva inhibition too.
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480448_tn?1403547723
Yes mike!  :0)
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Avatar_m_tn
thanks
It was long reading but since I am going thru this paranoia so I could not stop reading.
It seems like my symptoms are more reltated to my metal state then they are actually happening. The problem of 'lump in the neck' is no more there since the day I started understanding the situation but I get runny nose for a while when I go out (otherwise I don't feel cold even in -15 degrees temp). Though I had long periods of sore throat recently, topped with sinus problems which is very common for me.
I have been experiencing abdominal pain but no loose motions or nausea. No idea if these pains are creation of my mind...hehehe
Other than my skin turned dry (about 6 months ago) developed rashes which doctor termed as 'autoimmune' disease...I wonder if its actually autoimmune and not HIV. The med skin specialist gave me works very well though I avoid using it since it contains steroids. I usually use moisturicing cream to keep the skin normal.
I will go for my HIV test after couple of months as I am badly tied up with my final term at school. Until then I am trying to find help on internet and preparing myself for good/worse things.
Wish me luck
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