hi TEAK..LIZZI mam..HIV concern

i called my doctor today for a check up.he is a famous doctor of our locality.i told him that I had an condom protected vaginal intercourse with a sex worker but she gave me a blowjob which was with out condom...my doctor then inform me that there is every possibility that i may get HIV virus although the chance is very low.he also told that ne body can get HIV from sweat also that is any bodily fluid..he also asked me to have a HIV test..i m very worried..in this foroum every body is tellin me that HIV cannot pass through oral sex..in another site few doctors are also tellin that they have heard that some body got HIV from oral sex.so do I need test?plz reply...

[Teak]

Your doctor may be well known but is not educated in HIV transmission. You never had a risk of contracting HIV from oral sex.

[prithibi]

HI teak if the sex worker has plenty of blood in her mouth which may be I have not noticed then ca I get HIV? Teak u know that in SANFRANSISCO CITY CLINIC (http://www.sfcityclinic.org/stdbasics/stdchart.asp) they have claimed that there is a possible risk of getting HIV from sucking penis?can u plz explain?

[Teak]

The amount of blood that it would take to possibly cause a risk of HIV transmission the person would not be able to begin to give oral sex and would most likely sitting in an ER or doctor's office.

[prithibi]

0.5-per-10,000..the risk described by a doctor in body for getting HIV from being sucked..then how cum u say ZERO RISK?plz reply...

[Teak]

Because we use Scientific data on this forum unlike the Body.

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.



There is no debate (among experts) about the HIV risks associated with oral sex. The risk is so low that almost nobody who cares for HIV infected patients has ever had a patient believed to have been infected that way. Among experts, it's a semantic issue about using terms like "no risk" and "very low risk". There is no difference between my or Dr. Hook's use of "low risk" and other experts' "no risk".
DR. HANSFIELD

"And oral sex is basically safe sex -- completely safe with respect to HIV and although not zero risk for other STDs, the chance of infection is far lower than for unprotected vaginal or anal sex. Please educate yourself about the real risks. If you stick with oral sex and condom-protected vaginal or anal sex, you have no HIV worries and very little worry about other STDs. " DR HANSFIELD

"I am sure you can find lots of people who belive that HIV is transmitted by oral sex, but you will not find scientific data to support this unrealistic concern..." DR HOOK
"HIV is not spread by touching, masturbation, oral sex or condom protected sex."- DR. HOOK

in the public HIV Prevention forum of MedHelp, TEAK and the other moderators maintain that oral sex in all forms is a zero risk activity. Would you agree with this assessment?
I TOTALLY AGREE / DR GARCIA

"The observation on thousand and thousand of observations is that HIV is not spread by oral sex (of any sort)." DR HOOK

[prithibi]

7 th conference on retroviruses and opportunistic infections claim that there is a chance of HIV from oral sex....is it not a scientific ??plz reply?

[prithibi]

7 th conference on retroviruses and opportunistic infections claim that there is a chance of HIV from oral sex....is it not a scientific ??plz reply???????????

[Teak]

Did you read the above studies?

by Emily_MHModerator , May 06, 2010 07:28AM


On MedHelp, we follow the guidelines set by the Centers for Disease Control (CDC), test manufacturers, FDA, and our experts, Drs. HHH and Hook.

For this forum, it is 3 months. Yes, a 6 or 8 week test may be accurate, but it's not conclusive until 3 months. Saying that the 6 or 8 week test is a good indicator is fine, but to be conclusive, testing must happen at 3 months. It is also this forum's position that oral sex by itself does not require testing.

You can quote doctors, but make sure you say that. Doctors are licensed to practice medicine and can say that given the particulars about exposure, timing, etc., that someone doesn't need more testing. However, unless you are a doctor, you can't say that.

Emily
MedHelp

[prithibi]

yes i read teak..but m asking you that in some studied there are few cases that HIV is transfered through oral sex....how cn u explain?

[prithibi]

yes i read teak..but m asking you that in some studies there are few cases that HIV is transfered through oral sex....how cn u explain? ten how can some say that there is no documented cases of getting HIV from blowjob?plz explain

[Teak]

You never read one of the above studies that said oral sex transmitted HIV. There has never been a verified documented case of HIV transmission by oral sex. There are however documented cases. We aren't interested in document cases unless they are verified. Just because someone states oral sex is how they contracted HIV does not mean it's so. Most people don't want to let their friends and faimily know that the had unprotected anal sex with other guys or shared works with other people. They don't want the stigma of having people talk about them.

[prithibi]

ok so how cumthey are verified?again by asking the person?or how?

[Teak]

http://www.sfcityclinic.org/drk/oralsex4.asp

GIVING AND RECEIVING ORAL SEX
QUESTION
I was wondering how safe oral sex is -- both giving and receiving.

ANSWER
Questions about oral sex are probably the most common ones we get. In terms of HIV, oral sex both ways is very safe. The University of California San Francisco and the San Francisco Dept. of Public Health just completed a study of men in San Francisco who have only had oral sex and found zero new HIV infections. A very recent study from Spain confirmed earlier studies that oral sex is safe sex in terms of HIV. However, there are case reports and individual experiences that support that HIV can be transmitted through oral sex, although rarely. As far as whether oral sex is riskier if you swallow, truthfully no one really knows.

What's important is that other STDs like syphilis, gonorrhea, chlamydia and herpes are definitely transmitted through oral sex, and oral sex has likely contributed to San Francisco's current syphilis outbreak. Many of these infections are easily diagnosed with simple tests and can be treated with available medications.

So my advice is: Enjoy oral sex and get regular check-ups. A good check-up includes throat testing for gonorrhea, rectal testing for gonorrhea and chlamydia, urine testing for gonorrhea and chlamydia and blood tests for herpes, syphilis and HIV. We call that the grand slam!

To your health,
Dr. K

[Teak]

Ten year studies on serodiscordant couples. There are some studies still ongoing.

[prithibi]

okok...ten oral sex can never be a risk? is it proofed?

[prithibi]

ten Y some doctors are claming LOW risk activity? a doctor in Medhelp said that as it is not been proove dthat oral sex is zero risk activity so i call it low risk activity

[Teak]

If you haven't came to that conclusion after all of this then I don't know what to tell you.