Oral and Anilingus with TS sex worker

Hi, this happened today. The TS performed oral and anilingus on me. No condom was used. There was no other sexual acts performed.

1. I want to know the truth of what I could be at risk for catching as far as STD's and HIV.
2. When to get tested.

Thanks!

[joggen]

You did not put yourself at risk for HIV as this would not even be considered an exposure. Saliva is generally considered non-infectious as far as HIV is concerned. There is a small risk for STDs but you will need to ask Vance or one of the other contributors of the STD forum because this forum is HIV specific. But the bottom line is no need to test for HIV.

[zamzam4]

There have been no verifiable documented cases of HIV being transmitted through any sexual activity other than penetrative anal and vaginal sex.

As you know, oral sex can mean four different things. Sucking, getting sucked, performing oral sex on a female, or being a female and having oral sex performed on you.

Of these four things, the ONLY subject of ANY controversy remains sucking/swallowing semen.

However, since the advent of HAART treatment to arrest HIV replication, there have been numerous studies of serodiscordant couples (thats where one  person is positive and one is negative)

These stories took place on two continents over the span of fifteen years, and followed couples with low/undetectable viral loads/on meds as well as those with HIV viral loads who were not yet on medication.

The result? Not a single transmission so long as the couples correctly and consistently used condoms for anal and vaginal sex. Not one.

One of the criteria of the studies was that the couples admitted to having used condoms ONLY for penetrative sex, NOT for oral sex. This admission, this criteria successfully removed the barrier of inaccurate patient report after the fact. insofar as oral sex was concerned.

Here are the studies in question:



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.


Now as to why the CDC still maintains it's nebulous (at best) attitude towards oral sex is anyone's guess. The CDC, for all it's good work, is still a political entity. And yes, they are quick to point out that you can certainly get OTHER STDs from oral sex.