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Possible risk HIV exposure
Hello Doctor,
I recently met a man at a bar and went home with him. As background, I'm an openly bisexual man age 28. I have never had anal sex of any kind since I think its just not worth the risk. Further, I haven't done anything with a man in almost 4 years, and always practice safe sex with women. My last STD screening was in July and it was all negative-I haven't haven't had any sexual contact since April 2011.
I recently made what i feel are 2 mistakes. i met a guy at a bar two weeks ago, I was a bit drunk and we went home togethor. I asked him about his HIV and STD status, he told me he was clean. I put my mouth on the head of his penis for one second but got concerned and from there only licked his balls and briefly the shaft of his penis. He preformed oral sex on me for about 2 minutes. He asked if he could finger me, i said yes and he breifly inserted his finger (with lotion) in me for about 30 seconds, I then asked him to stop.
My main fear is that he is in the closest (he's in the military). He came over to my house again a few days ago to talk. He says he's tested for HIV every other year for his job, and that he goes every october and may to test, all have been negative thus far. After talking we kissed for a few minutes but i said i wouldnt go any furhter since i was worried. he asked if he could jerk himself off in my bathroom. he asked me to watch and I remained fully clothed, He masturbated over the toilet and it appeared all the semen hit the rim of the toilet and a bit on the floor. He cleaned up and left. Several hours later I noticed i had some white colored boogers in my nostril, I cleaned them out with some tissue. I am now more panicked that somehow a bit of his semen flew up and hit me in the nostril without realizing it and dried there.
Could you assess my risk from 1) the receptive oral sex 2) the fingering and 3)the potential semen in my nose from the 2nd encounter? Do you think I should be tested for HIV?
I recently met a man at a bar and went home with him. As background, I'm an openly bisexual man age 28. I have never had anal sex of any kind since I think its just not worth the risk. Further, I haven't done anything with a man in almost 4 years, and always practice safe sex with women. My last STD screening was in July and it was all negative-I haven't haven't had any sexual contact since April 2011.
I recently made what i feel are 2 mistakes. i met a guy at a bar two weeks ago, I was a bit drunk and we went home togethor. I asked him about his HIV and STD status, he told me he was clean. I put my mouth on the head of his penis for one second but got concerned and from there only licked his balls and briefly the shaft of his penis. He preformed oral sex on me for about 2 minutes. He asked if he could finger me, i said yes and he breifly inserted his finger (with lotion) in me for about 30 seconds, I then asked him to stop.
My main fear is that he is in the closest (he's in the military). He came over to my house again a few days ago to talk. He says he's tested for HIV every other year for his job, and that he goes every october and may to test, all have been negative thus far. After talking we kissed for a few minutes but i said i wouldnt go any furhter since i was worried. he asked if he could jerk himself off in my bathroom. he asked me to watch and I remained fully clothed, He masturbated over the toilet and it appeared all the semen hit the rim of the toilet and a bit on the floor. He cleaned up and left. Several hours later I noticed i had some white colored boogers in my nostril, I cleaned them out with some tissue. I am now more panicked that somehow a bit of his semen flew up and hit me in the nostril without realizing it and dried there.
Could you assess my risk from 1) the receptive oral sex 2) the fingering and 3)the potential semen in my nose from the 2nd encounter? Do you think I should be tested for HIV?
That all helps a lot, I appreciate your advice, have a great day!
MEDICAL PROFESSIONAL
No, that wouldn't materially change anything. And again, I emphasize the very low chance your partner has HIV anyway.
Hi Doctor,
Thanks for the quick and reassurin response. A quick follow up regarding the possible nasal exposure, I realize it was likely my own dry moucus in my nose but Im worried that if somehow it was semen it was left in my nose for several hours to dry...would letting the semen sit in my nostril increase the risk of HIV? Thats my only follow up, i promise. Thanks for all your help!
Thanks for the quick and reassurin response. A quick follow up regarding the possible nasal exposure, I realize it was likely my own dry moucus in my nose but Im worried that if somehow it was semen it was left in my nose for several hours to dry...would letting the semen sit in my nostril increase the risk of HIV? Thats my only follow up, i promise. Thanks for all your help!
MEDICAL PROFESSIONAL
Welcome to the forum and thanks for your question. The bottom line is that this was a zero-risk exposure for all practical purposes; I see no need for testing except possibly for its reassurance value.
People rarely lie about HIV status when asked directly, and the frequency of new HIV infections in gay US military personnel is generally believed to be very low. Such men tend to be very careful; it isn't a fun prospect to be found to have a new HIV infection with the regular HIV testing they under go.
But even if he had acquired HIV since his previous negative test, there was no transmission risk from the events described. HIV is very rarely transmitted by oral sex -- probably none at all for oral to penile exposure, and less than 1 time in 10,000 in the other direction (equivalent to giving BJs to infected men once daily for 27 years before transmission might be a significant risk) -- and even lower in this instatnce, given the brevity of your oral to penile contact. Even a full load of semen in the mouth (and undoubtedly the nose) wouldn't change this estimate. Finally, fingering is entirely risk free.
I think those comments answer all three of your questions, and I don't see any need for testing. But as implied above, you are free to do it anyway if the negative result would help supplement these reassuring words.
Best regards-- HHH, MD
People rarely lie about HIV status when asked directly, and the frequency of new HIV infections in gay US military personnel is generally believed to be very low. Such men tend to be very careful; it isn't a fun prospect to be found to have a new HIV infection with the regular HIV testing they under go.
But even if he had acquired HIV since his previous negative test, there was no transmission risk from the events described. HIV is very rarely transmitted by oral sex -- probably none at all for oral to penile exposure, and less than 1 time in 10,000 in the other direction (equivalent to giving BJs to infected men once daily for 27 years before transmission might be a significant risk) -- and even lower in this instatnce, given the brevity of your oral to penile contact. Even a full load of semen in the mouth (and undoubtedly the nose) wouldn't change this estimate. Finally, fingering is entirely risk free.
I think those comments answer all three of your questions, and I don't see any need for testing. But as implied above, you are free to do it anyway if the negative result would help supplement these reassuring words.
Best regards-- HHH, MD
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