Oral Sex and Sex Toy Transexual

[njjjawbreaker]

Hey there Doc, I'm a 23 year old bisexual male. I am asking for your risk assessment of  two sexual acts. I am just going to start off with my sexual history that is in concern here. On July 17,2008  26 days ago I had two encounters in the same night with two different transexuals. The first encounter was with a sex worker I found on eros.com and we engaged in protected receptive oral sex and protected insertive oral sex, we did not engage in anything else, just the mutual protected oral sex. I then proceeded to have a couple drinks and arrange a meeting with a transexual I met online. I went over to his house and I engaged in unprotected insertive oral sex. We discussed our STD history and most recent HIV test results, he said he was negative all around the board. What I am most concerned about is that I let him use a sex toy on me and did put a condom on the dildo. I let him use it on me for approximately 2 min and then realized I ****** up by not putting a condom on it. However when I asked him about the dildo he said he had never used it and it was brand new. Also, throughout the whole act he never used it on himself. So here are my main questions:

1. Can I be safe to assume that because he did not use it on himself and then immediately use it on me that there is no risk of HIV infection? My concern is that he lied to me and has used it before, potentially before I came over and that if he was infected, there could still be HIV left on the sex toy.

2.I also understand the risk of receptive oral sex to be somewhere in 1/10,000 exposures but is the risk of insertive oral sex greater or less than receptive oral sex.

3. Yesterday I came down with a sore throat and nasal congestion but without a fever. It has been almost 4 weeks since the aforementioned events. Is that to long of a time for ARS symptoms to occur and does ARS frequently occur without a fever.

4. Should I get tested for HIV?

[Edward W Hook, MD]

To erdemq:

I answerd your last question by mistake.  If you have questions you need to start your own thread, not jump in on those of others.  I would advise you however not to pursue anxiety-laden questions about how long the virus lives outside the body on inanimate objects.  EWH

[Edward W Hook, MD]

It depends on the environment and circumstances.  I cannot give you a meaningful number of seconds or minutes.  EWH

[erdemq]

Doctor ,

How long hiv viruse can be active outside body?

[Edward W Hook, MD]

Before I get to your questions, I should remind you that there are data to indicate that you are more likely to find yourself having sex with a HIV infected person if you meet them on line that if you meet them at a bar or other social setting.  I remind this only in case you might not have been aware of this.  You have to decide just how much risk is OK with you.  Now for your questions:


1.  If the toy was really previously unused, there was no risk to you.  If he had used it on himself, the risk is small, and decreases rapidly with increasing time since he used it on himself.  Sorry, I cannot give you how much risk decreases per hour - that is just not known and can be impacted by many variables.  It does decrease very rapidly however.

2.  The risk calculations for insertive vs. receptive oral sex are homogenized and, in my view, the distinction is a bit fuzzy.  Having said that, it is logical to think that receptive oral sex is higher risk than insertive.  Some have said that the risk for receptive oral sex is 1 in 10,0o0 and for insertive is 1 in 20,000.  AS I said, I think these differentiations are "soft".  Either way, the risk associated with oral sex is rather low.

3.  To long for ARS. In addition ARS is very uncommon.  I urge you not to worry about your symptoms.  It is a waste of time.

4.  Not on the basis of the exposures you describe.  On the other hand, everyone should be tested every year or so as a matter of good preventative health, just as they should get their blood pressure and cholesterol checked

Hope this helps.  EWH