Aa
Anilingus Risk Confirm
Doctor:
I have read your posts and understand there is little to no HIV risk from oral sex; however, I am not sure if this includes anilingus. I was recently receiving a massage from a woman who advertised a non-sexual massage. Midway in she surprisingly began to lick my anus and surrounding area. This continued for 20 to 30 seconds until I told her to stop. Do I need HIV testing from this episode? From time to time I chafe from toilet paper and am concerned there could have been some risk so have been imagining only the worst. Also, what other STD's do I need to test for from this event? Please advise as to type of test and how soon i can test. Thank you so much.
I have read your posts and understand there is little to no HIV risk from oral sex; however, I am not sure if this includes anilingus. I was recently receiving a massage from a woman who advertised a non-sexual massage. Midway in she surprisingly began to lick my anus and surrounding area. This continued for 20 to 30 seconds until I told her to stop. Do I need HIV testing from this episode? From time to time I chafe from toilet paper and am concerned there could have been some risk so have been imagining only the worst. Also, what other STD's do I need to test for from this event? Please advise as to type of test and how soon i can test. Thank you so much.
MEDICAL PROFESSIONAL
Your exposure was anal; any infection you acquired would be detected there and only there. An anal swab is the only way to do that. Urine testing only detects infection in the genital tract. The clinic you spoke with obviously did not understand the nature of your exposure. Also, gonorrhea testing is accurate any time more thn 2-3 days after exposure. You don't need to wait a month.
But you really do not need any STD testing at all. I suggest you put this event out of your mind and stop worrying about it. If you have a regular partner, you can safely continue unprotected sex without fear of transmitting any STD.
But you really do not need any STD testing at all. I suggest you put this event out of your mind and stop worrying about it. If you have a regular partner, you can safely continue unprotected sex without fear of transmitting any STD.
Will a urine analysis for gonhorrea be effective after 30 days post exposure or is a swab still necessary at that point? I was told by a clinic that after 30 days a urine analysis is sufficient. Please let me know. Thank you.
MEDICAL PROFESSIONAL
Welcome to the forum.
There have been a number of questions about analingus, although it doesn't come up as frequently as for oral-genital exposures.
HIV has never been reported to be transmitted by oral-anal contact, in either direction. And since HIV is rare in massage workers and most commercial sex workers (in the US and most industrialized countries), and since oral fluids rarely contains HIV (saliva inactivates the virus), this is a very low risk exposure -- probably zero risk for HIV. And other STDs undoubtedly are rarely transmitted by such exposures as well.
So from a strict risk assessment perspective, I see no need for testing for HIV or any other STD. However, if you feel the need for additional reassurance, you could be tested for anal gonorrhea after a few days. Such testing requires a doctor or clinic visit to collect an anal swab. For sure there is no need for any other testing.
I hope this helps. Best wishes-- HHH, MD
There have been a number of questions about analingus, although it doesn't come up as frequently as for oral-genital exposures.
HIV has never been reported to be transmitted by oral-anal contact, in either direction. And since HIV is rare in massage workers and most commercial sex workers (in the US and most industrialized countries), and since oral fluids rarely contains HIV (saliva inactivates the virus), this is a very low risk exposure -- probably zero risk for HIV. And other STDs undoubtedly are rarely transmitted by such exposures as well.
So from a strict risk assessment perspective, I see no need for testing for HIV or any other STD. However, if you feel the need for additional reassurance, you could be tested for anal gonorrhea after a few days. Such testing requires a doctor or clinic visit to collect an anal swab. For sure there is no need for any other testing.
I hope this helps. Best wishes-- HHH, MD
You are reading content posted in the HIV - Prevention Forum
Condoms are the most effective way to prevent HIV and STDs.
PrEP is used by people with high risk to prevent HIV infection.
Can I get HIV from surfaces, like toilet seats?
Can you get HIV from casual contact, like hugging?
Frequency of HIV testing depends on your risk.
Post-exposure prophylaxis (PEP) may help prevent HIV infection.
