Cunnilingus while gum present infection

[daniel9898]

Dr,a week ago i practiced unprotected cunnilingus on a prosititute of unknown   hiv status, 3 days before my encounter with the prostitute, my dentist told me that i have infection on one of my wisdom teeth, the next day from my cunnilingus encounter i check on my infected wisdom teeth and it bleed while pressing it and had sort of a ulcer near it that when pressing it starts bleeding a lot. I know cunnilingus carries a very low risk for getting hiv but i have worries about this since i have an infection on my teeth. 1) Does this situation requires me to get tested.?? 2) How much riskier is getting hiv from this situation??


Thanks,
Best Regards,
Daniel

[daniel9898]

Thanks, doc have an excellent day

[H. Hunter Handsfield, M.D.]

Cunnilingus is low risk for all STDs.  There are small risks for oral gonorrhea, syphilis, and herpes, and maybe extremely low risk for chlamydia -- but all sufficiently low to be safely ignored.

[daniel9898]

Thanks doc for the info, i don´t usually engage with prositutes but when i do it, i practice sex with condom and unprotected cunnilingus, and if i go again with a prostitue i will do the same,
1.)  i would like to know what would post a high risk when practicing cunnilingus as this is part of my sex behaviors.

best regards,
Daniel

[H. Hunter Handsfield, M.D.]

Welcome to the forum.

Cunnilingus has never been reported to result in HIV transmission, either vaginal to oral or vice versa.  If you think it through logically, you will understand why your gum problem/infection makes no significant difference in your risk.

At any point in time, I would guess that at least 1%, and perhaps as many as 10% of the population has some sort of oral inflammatory lesion like inflamed gums, recent tooth extraction, canker sores, bite wounds of the cheeks, etc.  That suggests there have been billions of cunnilingus events worldwide involving HIV infected female partners in the presence of oral lesions.  And still no known transmission events.  So if your own inflammation/infection makes any difference, it is minor and can safely be ignored.

And of course it is statistically unlikely your commercial partner had HIV. In most areas of the US, well under 1% of sex workers have HIV.  All things considered, the chance you caught HIV is zero for all practical purposes.

Those comments cover question no. 2.  As for HIV testing, from a risk standpoint there is no need.  However, you might decide to do it for reassurance.  For many people with concerns like yours, a negative HIV test is more reassuring than anything I can say.  Also, all people who are sexually active outside mutually monogamous relationships (regardless of consistent safe sex practices) should have routine HIV testing from time to time, like once a year.  Since this obviously applies to you, perhaps this is a good time for testing, when it's on your mind.  But for sure not because of this particular sexual encounter.

I hopt his helps.  Best wishes-- HHH, MD