Oral Sex Risk

[worriedsince2402]

Dear Doctors,

Heres my encounter,

I'm a male, and had an unprotected oral sex with a lady that I'd met in a pub back in 24th Feb. At some point, the whole my penis was inside her mouth, and this session lasted for about 30 to 35 minutes. On that very night after I got home and before proceed to take a bath, I examined my penis. There wasn't any visible cut, wound or sore present on my penis. However, I'm not sure if there was any sore, cut, or wound in her mouth. About 26 days post-exposure, I went for a HIV Blood Test (a test that requires a prick on my finger to get a few drops of my blood onto the HIV-antibody test strip), and the result was negative

1) Assuming that there was a sore/cut/wound present in her mouth, while my penis was clear from any openings, would there be any risk to acquire HIV?

2) Understand that the window is between 4-12 weeks post-exposure, but I read from somewhere which mentioned that 95% of those who are infected, the HIV antibodies will be detected by the 6th week. May I know how true is this?

Please help me to relieve the agony that I'm sufferring right now.

Thank you.

[Teak]

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.

[worriedsince2402]

Thanks for your kind advice. For the past days, I had also read through quite a number of forums, some said that there's a small risk, though not entirely no risk.

For this instance, since all the experts in Medhelp said that receiving oral sex does not post any HIV risk, may I know based on what grounds that this is concluded? Sorry if I'm prompting too much, but I'm really worried.

This is the 6th week post-exposure, and I'm still comtemplating for another rapid blood test. Do you think it's necessary?

Sobz ... Really living with regret for such a foolish act.

[LIZZIE LOU]

hiv is not transmitted through oral sex.

this is not the "doctor's forum"...but below are some quotes from them:

FROM THE HIV EXPERTS HERE AT MEDHELP:

"As you know from other posts about oral sex, our stance is that giving or receiving oral sex is not a risk for HIV.  Some others suggest that there is an appreciable risk of HIV from oral sex however, there are no convincing scientific reports which support these statements.  The presence of a burn in your mouth, or a sore, or ingestion of blood does not change this.  Still no risk an no reason for testing."  DR HOOK

"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

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. HANDSFIELD

"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 HANDSFIELD

"I am sure you can find lots of people who belive 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

The observation on thousand and thousand of observations is that HIV is not spread by oral sex (of any sort).  DR. HOOK

"With regard to the question you ask, I will repeat, as I’ve said more times than I can think- there are NO credible cases in which persons have acquired HIV through performance of oral sex- none!!.  The chance that you will be the first is ridiculously low.  You are more likely to be hit by lightening while reading my reply to you. DR HOOK

"HIV is not spread by masturbation, through oral sex, through kissing or other casual contact." DR HOOK

"There is no credible evidence that HIV is spread through oral sex, with or without the presence of cuts or blood in the persons mouth."- DR HOOK

"Oral sex. there is no evidence that HIV is spread through giving or receiving oral sex"- DR HOOK

"HIV is not spread through oral sex."  DR HOOK

"HIV is not spread through giving or receiving oral sex"   DR HOOK