Vaginal fluid, I have read, is lower concentration than semen and blood, and in some places I have read it is lower than breast milk. Low in general. You need lots of virus to become infected. If you have insertive vaginal the risk is low for HIV transmisison if you have no open sores or other std's present, and because the only other potential entry point is the urethra, a small surface, and alot of work for the fragile virus to "get through".....hence the reason hiv transmission through vaginal sex is much lower than receptive anal.
The doctor has said many many times to people concerned about fingering a vagina with cuts on their fingers that it is not a risk....does it not make sense then that an intact penis that goes into a vagina is also very low risk? Cunnilingus is low risk because saliva seems to kill the virus, and with the fluids being exposed to the atmosphere it would also stand to reason that hiv just will not survive in enough quantity to infect by this method.
Check this thread in the HIV prevention forum entitled "Oral - a couple of new questions" dated 09/26/2006, initiated by forum user idiotic999. Dr. H. answers the following. But DO read that thread. Dr. H has some good answers on "little" or "no" risk.:
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" [there] aren't a lot of STDs, including HIV, that infect or are transmitted from the external genital organs of women; and in general STDs are most efficiently transmitted by sex that involves penetration. And in HIV infected people, saliva generally does not contain HIV in amounts high enough to transmit the infection."
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Doc doesn't clearly talk about vaginal secretions, but my guess would be the same as his assertions on saliva, that the vaginal secretions do not have enough of the virus for an efficient transmission (although definitely more than in saliva). And coupled with the fact that the route to the penis is also inefficient (urethra), vaginal sex is really inefficient.
There is a new study done that shows that uncircumsized men might be more at risk for vaginal sex, but that test is yet to be duplicated and confirmed.
But I would NOT spilt hairs. if you're worrying. just get tested once at the 6-8 week mark.
Good luck!
-WorriedUS
Dear friend,
I thank you for the links.
But the question remains: why vaginal secretion are zero-risk in cunnilingus, and at risk (even low) in vaginal insertive?
Has anybody something to say about it?
Thank you.
If, as we all know, "the risk for fellatio (oral sex performed on a man) has been documented to be 1/10,000 and surely cunninlingus is NOT higher than that", I desume that a contact with vaginal secretion (with tongue or with penis...) is a close-to zero risk.
And I desume also than 5/10000 risk for insertive vaginal sex is very overvalued.
Do you agree with me?
RP,
Type in "insertive vaginal sex" in search bar, and you will get the following link to a past question asked by a forum user to Dr. H. It is titled "Condom use and hiv infection statistics on insertive vaginal sex". Dr. H addresses insertive vaginal sex here.
But regarding your cuts on your penis and insertive vaginal sex (risk = 5/10,000), it is theoretically possible, but NOT likely. (being struck by lightning is ALSO theoretical, but NOT likely). You should read another post on 11/06/06 (today) titled
"Once and for All, What would be necessary for transmission to occur. - Chrispus 11/05/2006 ".
Granted this post has to do with insertive oral sex (risk 0.5/10,000), but Dr. H answers the penis would have to have like OPEN lesions such as those resulting from Herpes, the other person's viral lode would have to be HIGH, the blood (and he says a LOT of blood) would have to be massaged into the lesions. Even then, it would be highly unlikely. Dr. H said the following "Manual contact with vaginal secretions isn't a high enough risk to worry about."
Secondly, cunnilingus is VERY safe. In the 20+ years that Dr. H has been assessing the risk of STDs in his clinics, he has NEVER documented a case by way of cunnilingus.
See the link to the table I've posted below. The risk for cunnlingus is SO low perhaps (I am simply surmising) that it is not even documented as oral sex by AEGIS. This table has been made by the Aids Education Global Information System, (extremely reputable, and well-reknowned organization).
http://ww2.aegis.org/pubs/mmwr/2005/r402a1t1.gif
The risk for fellatio (oral sex performed on a man) has been documented to be 1/10,000 and surely cunninlingus is NOT higher than that. If it is, it is not MUCH higher.
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Finally, RP, HIV just has to have HIGH risk probability factors for transfer, on some on a cumulative basis. Like Blood transfusions are 90% chance of infection with an HIV+ person, but receptive anal sex with a known HIV+ person would require more than a few exposures and instances for the risk to be enhanced. It has to do with probability and that is not my field, but the way Dr. H explains it, I am sure he would say that is correct. So even though this is my conjecture, and perhaps you might be better off to study Dr. H's responses to other forum questions or posting your question in the HIV prevention forum once. Hope I answered your questions.
-WorriedUS