Hiv Risk from Kissing and Lip Biting

[John_PT]

Dear Drs,

Suffering a large anxiety regarding HIV and othe kind of STD's, I've never engaged in any kind of sexual activity since my latest negative HIV tests, in March of 2012. You may actually see my anxiety driven questions on my older Medhelp Username (JohnPT).

Neverthless, during this time I have kissed around 5 or 6 women. I also have visited strip clubs with my friends, and recieved clothed lap dances. My primarily concerns are essentially related with kissing activity with some women, where I have engaged in lip and tongue biting (giving and reciving bites in the mouth). One year ago, I have accidentally bit one of those women in the mouth and I've noticed that I have hurt her, but she said me that she didn't drew blod, nor I remember to see it or tasted.

Since I'm getting married in the following weeks with a long-term friend, I'm wondering if in spite of the mentioned activities:

a) Could I've got HIV infected via kissing and mouth biting?

b) Am I at risk for HIV infection?

c) Do you see any reason to get tested?

She is really the most important person in my life, I've felt invaded with a guilt feeling regarding all these activities. I just want to protect the love of my life, so I really appreciate your understanding on this issue.

Kind regards

[Edward W Hook, MD]

I see no need for testing.  EWH

[John_PT]

I'm sorry, but I didn't understand your last message.

Do you agree that I don't need testing?

Thank you

Regards

[Edward W Hook, MD]

I agree with your plan. Take care. EWH

[John_PT]

Thank you for your precious words and for all the kind wishes regarding my forthcoming marriage. Actually, the women who I had that accident might be a risk partner, but as I said before I've never did anything besides kissing and "biting" her lips.

My home doctor doesn't allow me to get tested anymore under the national healthcare systems. To get tested I've got to suport by myself the expensible price of 130 euros.

So I really will disgard this misplaced anxiety and focus only in my future.

Best wishes

[Edward W Hook, MD]

Welcome t the Forum.  I’ll try to help.  My sense is that the problem is not risk but fear and misplaced anxiety over the events yon describe.  You correctly characterize clothed lap dances as safe and the same can be said about kissing, even with lip biting. I suspect there is little chance the people you kissed had HIV or other STIs and even if they did, there are NO reported cases in which persons have transmitted HIV to others through kissing,  I suppose you could argue that there may be a theoretical risk for transmission of infection through biting but, as I said, this has never been known to occur.  

In answer to your specific questions:
a) Could I've got HIV infected via kissing and mouth biting?
See above.  In my judgment, no.  There are no reports to suggest this has ever happened.

b) Am I at risk for HIV infection?
No

c) Do you see any reason to get tested?
There is certainly no medical reason for testing.  Some people test for reassurance.  Should you choose to do this, commit to believing the test results when you get them.  I wish you the best in your in your forthcoming  marriage.  EWH