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Oral Sex with TS

Hello Experts,
I had a strictly insertive oral sex with a female who later disclosed her identity as a TS woman. Ten days after the incident I had testicular pain and burning in urethera accompanied with diarrhea(lasted 2 days). I went to the ER and initial diagnosis was given as epididymitis. I was given broad spectrum antibiotics( Rocephin/ Azithromax/Doxycycline for 2 weeks). I had fever and severe stomach issues continued and appetite loss during the whole time.

After 5 weeks, my testicular pain and urethral burning has gone away but now I have developed severe white tongue issues,  rashes/scratch marks in the arms, muscle pain and fatigue, lump in the throat, enlarged circumvallate papillae and i get bruised easily.

I have the following question for the respected experts and I am hoping for some insight:

1) Is HIV a possibility?
2) Are the conditions I am experiencing maybe possible symptoms of HIV?
3) Is the very initial onset of testicular pain associated with uretheral burning and diarrhea was caused by HIV?
4) CDC mentions that HIV is possible during insertive Oral sex through uretheral opening (mucous membrane). I am suspecting HIV due to that. Also the receptive partner had wiped my precum with a Dry Towel and I am suspecting that it might have cause a minute scratch on my glans penis and foreskin(I am uncircumcised). Also do my risk goes up having oral intercourse with a person from TS group.
5) Is Oraquick Oral test results valid at 9 week mark?

I am hoping to get an expert opinion on my current concerns which are affecting my life. I am earnestly requesting if I can get answers to my concerns from the experts on the forum. I promise I will not ask any follow up questions and will take your folks advice at face value.

5 Responses
Avatar universal
You never had an exposure from oral sex, so your symptoms have nothing to do with HIV.

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".

"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 believe 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?
"HIV is not spread by masturbation, through oral sex, through kissing or other casual contact." Dr. Hook
"The observation on thousands and thousands of observations is that HIV is not spread by oral sex (of any sort)." DR HOOK
"I would not say your risk ,if he had HIV is "slim to none"- that's too high.  I would say they are effectively zero.  How much of his ejaculate or other genital  secretions you may have swallowed makes no difference.  EWH "
"As far as HIV is concerned, there is no known risk of getting HIV from performing oral sex on an infected partner, even if that person's genital secretions get into your eyes or if you swallow." Dr.Hook
HIV is not spread by oral sex, giving or receiving, even if sores, gum disease or blood is present
The fact is that there are no cases in which HIV has been proven to be transmitted by oral sex, including fellatio..  EWH

Avatar universal
Thank You Teak for your response. Very Kind of you. Just a couple of question since it's not a follow up question but from my original questions:

1) Is Oraquick Oral test results valid at 9 week mark? This is more of a general question rather than specific to my concerns.
2) If the towel had scratched my foreskin or penis a little bit and she had blood in her saliva even if it's minute, will that have caused a blood exchange, which is required for HIV?

Thank You. NO more questions.
Avatar universal
1.If you had an exposure NO.
2. No, saliva contains over a dozen different enzymes and proteins that inhibits HIV transmission.
Avatar universal
Thank You for your time Teak. God Bless You!!!
Avatar universal
You're welcome.
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