receiving unprotected oral sex from a HIV massager

[superfrodo]

Hi Dr.
I know this topic has been discussed heavily in this forum, but I can't help but to ask you again, I guess every situation is a little bit different.

I am a male, exactly 7 days ago I received a brief back massage and unprotected oral sex from a HIV+ bodyworker. He told me that he is HIV+ but free from other STDs. Knowing the fact that he is positive, I decided not to have any anal intercourse with him, so I only received oral sex from him for about 10 mins (not sure exactly how long). And I did shoot inside his mouth.

I did feel a little bit of discomfort initially when he pulled my foreskin (I am uncut and has long foreskin), but it was nothing major, the discomfort went away as we progressed.

I don't see any blood, I also don't see any visiable cuts nor leson on my penis. (although I heard some of the custs or leson may not be visiable).

After the incident, I realized how stupid I was to receive unprotected oral sex from him. I guess my question is what are the odds of getting infected with HIV virus (or how safe)from such an activity. Thanks.

[H. Hunter Handsfield, M.D.]

The ris of acquring HIV by oral sex is close to zero; low enough that you really need not worry about it.

The debate (below) before I responded proves the point:  if transmission of HIV from mouth to penis via saliva occurs, it is sufficiently rare that people can't agree.  (There is no debate about anal sex, vaginal sex, etc - right?)  There have been claims of oral to genital transmission, mostly by people who said that was their only exposure risk.  But that is weak evidence at best.

Bottom line:  if such transmission occurs, it is extremely rare.  If you're nervous, you can be tested (wait until at least 4-6 weeks after the exposure).  But the chance you got HIV is really too low to lose any sleep over the event.

Good luck--  HHH, MD

[superfrodo]

Forgot to ask, does it worth to take a hiv test? I know the risk is low compare to other sexual activities, but I am still worried. Thanks.

[Imdumb]

To date, no one has gotten HIV from unprotected oral sex.  HIV virus is not transmitted by saliva.

[jussme]

that is a lie.  U can get it by saliva.  U had sex, it was oral but it was sex.  I would be scared, but if you knew he was positive why did you do it.  10 mins of pleasure will leave you with life long misery.  My advice get tested and talk to a real dr.

[Imdumb]

Jusme - There is no place for your mis guided comments here. You need to learn the facts before posting untrue and potentially harmful comments.  This is a place for the truth, not scare tactics.  The Doc will answer in time.  In the mean while, if you don't have facts to support your statements, keep them to yourself.

The fact is many experts do not beleve that insertive oral is a risk factor to the person inserting.  It remaons a theorectical risk and that is becaus no one can say that it can't happen if there is blood in the mouth.  Saying that it can happen is much different than saying it has happened.  There is no proof that it has happened.  

Doc - I put you in the "comment to" so you could read this and take any steps you see necessary.

[Lutheran122]

It's highly unlikey to get it from oral from ALL that I have read everywhere ( especially the inserter ) but dude if someone tells you they have hiv before a sex act you need to put on a condom and not test the oral odds out.

[worried in toronto]

I'd like you to provide scientific evidence to assert your claim. It is irresponsible for you to come to this site and spread misinformation.

Leave the medical expertise to Dr. H. and stay out of the peanut gallery.

[Willl]

You can't get HIV from saliva, there is not enough of the virus and there are other enzymes and such in the mouth that make it a place unsuitable for HIV. Receiving oral from someone with a mouth full of blood would of course be a little different, but that usually doesn't happen and you would have noticed. You should have worn a condom anyway, that was kind of stupid and you could have at least avoided this anxiety.

And the HIV+ guy giving you oral should be using condoms, just because he has HIV doesn't mean that he still can't catch a different strain of the virus.

[Islandguy]

JUSSme,


whoever this person is a fool. do not listen to this persons nonsense!

Please visit this link http://www.dph.sf.ca.us/sfcityclinic/stdbasics/stdchart.asp, its from the San Francisco City Clinic, and they are world renown for their work. its a great STD risk chart! the only person who should be worried in this case is the guy who swallowed.  You are fine, dont even waste your time to test.  If you need to speak to more people go to www.aidsmeds.com.

FYI, a test was done for couples where one was HIV positive and one was not, and it was a mix of female and male, female and female, and male and male, and not one of the negative partners became HIV positive from having sex with condoms and having UNPROTECTED Oral Sex either way.  So take that to the bank.  


island

[superfrodo]

Dr. H and everybody

Thanks for your timely responses. I know my risk is low, however knowing the fact that my partner is HIV+ really worried me after the incident. As some of you have suggested, I really should have wear a condom for the whole period.... but it was too late. A lesson well learned and I did paid the price (already a week of anxiety).

Anyway, I will go get tested in 4 weeks to really put this completely behind me. and I will let you guys know..

Really appreciate all the advices and comforting.

[XKIVEL]

Well i read your comment, i think it was not intelligent at all for you to come here and commment on things like that. I hope it never happens again jussme.. Well to be specific, we need to be honest, a lot of people practice oral sex. That includes guys and girls who are HIV positive around the world. If people could get infected threw oral sex, imagine the charts right now. It would definetely be on the top, right here in the U.S. I am not saying oral sex is extremely safe, but what i think is that oral sex is really safe when it comes to HIV and hepatitis. But is not as safe for other STD's such as Syphillis or Herpes. The only way to find out for sure if you are infected with the HIV virus is to get a test done. Is unveliabable how many doctors in my state are uniform when it comes to HIV trasmission and symptoms. Is problably because where are i live the rate of HIV infected people is really low, compare to other states. Well when i went to get checked for a burning sensation on the tip of my penis. I was scared, and I wanted to find out what i had, to start the treatment. Well when I had my STD's exams done they all came back negative. I didn't had any test for Herpes or HIV, because the nurse toll me my exposure was really low "it was oral sex also". Well she recommend me to go and see a urologist, I did that and the urologist toll me that he didn't saw nothing on my penis that suggested herpes. but he said to have a test done for HIV. I was almost in shocked when he said that, I couldn't believe he has said those 3 words. So I couldn't sleep just thinking about it. But that thing that sucks the most is that he didn't explained to me anything, even know my burning sensation wasn't a sing of HIV at all. He just said go and have a test done for HIV. So i waited a couple of weeks to have the test done. I decided to go and have the test done for HIV and Herpes, the nurse saw me again and she said, "why are u having this test done i don't think you need them at all, your symptoms don't suggest herpes or HIV." So I had the test done and they came back negative both, I decide to go and see a different doctor he prescribe me some antibiotics and I am starting to feel better now, not in my 100% yet but I am getting there. So my point is that HIV is really hard to trasmit from Oral sex, there is probably 0.5 chance in a 1,000,000 from a person receiving oral sex from a HIV+ partner and probably a 1 in a 1,000,000 from giving oral sex to and HIV+ partner. Thats what I heard from reading and talking to doctors in my appointments.. Good LUCK. But I think you are going to be negative..

[jussme]

MY FRIEND HAS IT AND THATS HOW THEY GOT IT.  THEY NEVER HAD SEX SO THEY CONSIDER THEMSELVES A VIRGIN STILL.  THEY RECEIVED ORAL SEX FROM A A FULL BLOWN INFECTED PERSON.  NO I WASN'T TRYING TO SCARE ANYONE I WAS JUST TELLING HIM THE SAMETHING I TOLD MY FRIEND ITS BETTER TO BE SAFE THAN SORRY.  NOW IF ITS IS UNTRUE OR NOT POSSIBLE IT WAS IN HER CASE!!!!!

[monkeyflower]

I *seriously* doubt this was how your friend contracted HIV. First of all, in today's social climate virginity is really subjective. People claim they're virgins, just because they haven't had vaginal intercourse, while having oral and anal sex. Bill Maher did a really funny piece on this a while back - something about abstinence pledges leading to porn star sex, lol. And sometimes people lie about their virginity, too, for a variety of reasons. No matter what, though, I'd bet a zillion she didn't contract HIV from recieving oral.

[Islandguy]

jusseme,


From the CDC to clinics from all over the world who have advised about recieving blow jobs from HIV + partners, none, i repeat none, have recieved HIV this way from the many reports worldwide.  IF your friend has HIV, it is likely, if from sexual acts, there was some sort of unprotected intercourse, but not from getting a blowjob.  Even if your friends penis, who is recieving blowjob, had lesions, major cuts, herpes, anything where blood is visibily coming out, and the giver had an open cut, bad gums, and what not, the reciever is still remotely, remotely, theoreticaly has the 0.0000000000000000000000000000000000001 % chance if at all of getting HIV. No cases.  Next time, please consider the feelings of the person who already has anxiety.  You were not yet knowledagable enought to give the advice you did withour researching.  

i was a worried well once and its not good to hear from people who are not thinking of what they are saying.

Just read more if you have time.  www.aidsmeds.com and go to San Francisco City Clinic, STD risk chart. check it out man.  www.thebody.com

[XKIVEL]

Well jussme, if your friend has it from receiving oral sex. But I don't think he contracted HIV from the saliva, HIV is only transmitted threw blood. I am not saying that your friend didn't contracted HIV from Oral sex, what I am saying is that your friend didn't got it from the saliva. Thats impossible, well if your friend contracted HIV from receving Oral sex, he probably got some cuts on the penis during the time, and the girl who was giving him oral to him. He or She was bleeding from the gums or lips. But when people are asked in a lab about there sexual life, they are worried and scare so some people lie about there sexual history. Thats a fact, I know a lot of friends who do, when they go and see a doctor for the first time. Is really rare for a person to contract HIV this way, is really rare to be honest. And I am not saying it from my point of view, i preety much go witht the facts, with the studies done at San Francisco gay research. If anyone is interested in learning more about the research they can go to this link. http://www.avert.org/orlsx.htm
Thats the whole studied.

[superfrodo]

Just to update the forum.
I tested for HIV on the 28th day (4 weeks), and the result is NEGATIVE, that's very encouraging. I know this test is far from conclusive (according to the test window), but I am already 90%+ comfortable. I probably will do a full STD screen in 2~3 weeks, not only for this incident, but it is a good practice.

[lilj1235]

A related discussion, receiving oral sex from HIV was started.