Possible Exposure

Dear Doctor,
First and foremost, I have enjoyed reading your columns. They are very helpful. I am writing because I have seen a similar situation on your site.  Here it goes: I had a sexual encounter with a homeless woman. She performed unprotected oral sex on my penis and anus. While performing oral sex on my anus she got quite aggressive. As a result, the are around my anus and anus felt chaffed the following day. It felt almost like she bit me or used her teeth.  Since I cannot see that area am wondering if the skin was broken and "if" the woman was HIV positive, could I be infected. After the incident I noticed that her lip was swollen of the left side. I do not know what was going on with her lip but I am scared as heck. What to do?

[Edward W Hook, MD]

The exposure you describe is zero risk.  To see more about such encounters please see the earlier exchanges over the past week or so by both Dr. Handsfield and I with our client whose pseudonym is primetimemsc.  One link to this is listed below.  Beyond that I have nothing more to say.  EWH


http://www.medhelp.org/posts/HIV-Prevention/Primetime/show/1096371