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Need Education Regarding Oral Sex HIV/STD Infection Chances
Hi Doc,
I'm male 30 asian, My job is a travelling job and from the past two years i have been in multiple sexual encounters with CSW's i can say 10-13 encounters. Never had unprotected sex. In the most recent encounter, i had performed cunnilingus on the lady, she was pretty turned on and it went on for 10-20 minutes. This is the first time i had performed cunnilingus on any CSW i had encountered, generally i don't do it. As a matter of fact, i have realized that i had a cut on my inner Lip area and it was slightly bleeding. there is a confusion in my mind whether this can lead to any type of HIV/STD infection.
As far my knowledge goes, Oral sex poses almost zero risk. In my case i had a cut in my mouth and i performed cunnilingus on her. The one thing i realized that if that wasn't safe ( I mean Cunnilingus on her) than she wouldn't have allowed me to do so, cause i feel they are more educated about HIV/STD's. But still i would like to seek Your Expert advice to avoid any such things in future ( as i have no knowledge of cut/sores leading to infection) or may be i can help someone with the same information.
1) Does a Cut/Sore in mouth Poses HIV/STD Risk if Cunnilingus is performed on CSW Or infact any kind of Infection.
2) Do i Need to Get tested for HIV/STD. If yes, will a 6 week Antibody test will be good enough to show 100% results and need not to worry about that again?
3) If non protected BJ is performed ( Not that i ever had one) does it poses risk to any of the partners in the above mentioned case?
4) Does Deep Oral Kissing with a Cut/sore in mouth Poses any risk of HIV/STD information? ( CSW gave me BJ but was condom protected, then she rinsed her mouth and we did deep kissing)
I have found different information regarding all the above questions where they say there is Theoretical a minimal risk and cases were documented. I want to Educate myself on what the fact is and that is the only motive in posting this.
I'm male 30 asian, My job is a travelling job and from the past two years i have been in multiple sexual encounters with CSW's i can say 10-13 encounters. Never had unprotected sex. In the most recent encounter, i had performed cunnilingus on the lady, she was pretty turned on and it went on for 10-20 minutes. This is the first time i had performed cunnilingus on any CSW i had encountered, generally i don't do it. As a matter of fact, i have realized that i had a cut on my inner Lip area and it was slightly bleeding. there is a confusion in my mind whether this can lead to any type of HIV/STD infection.
As far my knowledge goes, Oral sex poses almost zero risk. In my case i had a cut in my mouth and i performed cunnilingus on her. The one thing i realized that if that wasn't safe ( I mean Cunnilingus on her) than she wouldn't have allowed me to do so, cause i feel they are more educated about HIV/STD's. But still i would like to seek Your Expert advice to avoid any such things in future ( as i have no knowledge of cut/sores leading to infection) or may be i can help someone with the same information.
1) Does a Cut/Sore in mouth Poses HIV/STD Risk if Cunnilingus is performed on CSW Or infact any kind of Infection.
2) Do i Need to Get tested for HIV/STD. If yes, will a 6 week Antibody test will be good enough to show 100% results and need not to worry about that again?
3) If non protected BJ is performed ( Not that i ever had one) does it poses risk to any of the partners in the above mentioned case?
4) Does Deep Oral Kissing with a Cut/sore in mouth Poses any risk of HIV/STD information? ( CSW gave me BJ but was condom protected, then she rinsed her mouth and we did deep kissing)
I have found different information regarding all the above questions where they say there is Theoretical a minimal risk and cases were documented. I want to Educate myself on what the fact is and that is the only motive in posting this.
MEDICAL PROFESSIONAL
Feel free to post your test results if you like, but I won't have any comment unless the result is positive, which is unlikely based on the exposures you have described. So stay mellow in the meantime.
Thanks Doctor. I However i have decided to go for tests after 6 weeks HIV/STD both at nearest planned parenthood centre, Not sure if they have Combo test for 4 weeks, but i will have HIV Antibody tests. Can I followup and Post my results here after 6-8 weeks. Thanks again for explaining it, further going i would really take into consideration all these things and will spread the word to help others understand too. I hope my results are clean after the tests.
MEDICAL PROFESSIONAL
Sores or cuts in the mouth probably do not significantly alter the risk of oral STDs.
Thanks for Explaining it for me. Really appreciate it. So do u think there is a chance that, if i had cut in mouth/tongue it would be an unsafe oral sex in my case, offcourse, if i'm aware of it i will avoid from having oral sex, but as i stated in my case i wasn't aware as the cut was not deep, but was a slight bleeding. So does that expose me to possilbe Oral herpes or any other STD's?
MEDICAL PROFESSIONAL
Welcome to the forum. Thanks for your question. I'll go directly to it.
1) Cunnilingus is generally a safe sexual practice -- low risk for all STDs and probably none for several of them (including HIV). No reported HIV infections have ever been known to be transmitted by cunnilingus (in either directiokn). Lack of known cases doesn't prove it can't happen, but for sure it is rare if it occurs at all. Cuts in the mouth, dental problems like gum inflammation, and so on might in theory raise the risk -- but when the risk is virtually zero to start and in the absence of known cases, it is apparent that such condtions make no practical difference.
2,3) We rarely recommend testing for STDs or HIV after any single exposure, including unprotected vaginal or anal sex, unless there are symptoms or in certain especially high risk situations like a known-infected partner. Certainly I would not recommend it after cunnilingus or unprotected fellatio (BJ). But if you want confirmation of this reassurance, an HIV antibody test at 6 weeks, or a combo test for both antibody and p24 antigen at 4 weeks, would give defintivie results. There are theoretical risks for oral and urethral gonorrhea after such exposures, but not chlamydia, which rarely infects the oral cavity. Herpes could be transmitted, due to HSV-1 (oral to genital) or HSV-2 (genital to oral) -- but in the absence of symptoms really isn't necessary and not routinely recommended. Syphilis testing is often recommended but is extremely rare in settings like this (few heterosexual escorts have syphilis) -- but if you want special reassurance, testing is valid at 6 weeks and beyond.
4) For practical purposes, kissing is no risk for all STDs. Syphilis in theory could be so transmitted, but exceedingly rarely if ever. Oral herpes due to HSV-1 could be a risk, but oral-to-oral herpes isn't classified as an STD.
I hope this has been useful. Let me know if anything isn't clear.
Regards-- HHH, MD
1) Cunnilingus is generally a safe sexual practice -- low risk for all STDs and probably none for several of them (including HIV). No reported HIV infections have ever been known to be transmitted by cunnilingus (in either directiokn). Lack of known cases doesn't prove it can't happen, but for sure it is rare if it occurs at all. Cuts in the mouth, dental problems like gum inflammation, and so on might in theory raise the risk -- but when the risk is virtually zero to start and in the absence of known cases, it is apparent that such condtions make no practical difference.
2,3) We rarely recommend testing for STDs or HIV after any single exposure, including unprotected vaginal or anal sex, unless there are symptoms or in certain especially high risk situations like a known-infected partner. Certainly I would not recommend it after cunnilingus or unprotected fellatio (BJ). But if you want confirmation of this reassurance, an HIV antibody test at 6 weeks, or a combo test for both antibody and p24 antigen at 4 weeks, would give defintivie results. There are theoretical risks for oral and urethral gonorrhea after such exposures, but not chlamydia, which rarely infects the oral cavity. Herpes could be transmitted, due to HSV-1 (oral to genital) or HSV-2 (genital to oral) -- but in the absence of symptoms really isn't necessary and not routinely recommended. Syphilis testing is often recommended but is extremely rare in settings like this (few heterosexual escorts have syphilis) -- but if you want special reassurance, testing is valid at 6 weeks and beyond.
4) For practical purposes, kissing is no risk for all STDs. Syphilis in theory could be so transmitted, but exceedingly rarely if ever. Oral herpes due to HSV-1 could be a risk, but oral-to-oral herpes isn't classified as an STD.
I hope this has been useful. Let me know if anything isn't clear.
Regards-- HHH, MD
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