Risk of HIV infection???

[paranoid88]

30 Hours a go i met a Transvestite at the Club. We had unprotected oral sex for few minutes. Than we used condoms afterwords..I  tried anal with condom on  only 2-3 time insertion happended with condom  but it was painful for the Transvestite so we ended up doing just oral until we came. Also we did kiss a lot!
Don't know if she is HIV+ or not?

What are my chances for being infected>?
Should i go on PEP?

Please help as i am paranoid cant eat sleep anything!!
thanks in advance

[Edward W Hook, MD]

Welcome to the Forum.  The exposure you describe was very, very low risk for HIV and perhaps no risk at all.  I would not recommend PEP in this situation.  

Your only exposure was kissing and brief, unprotected oral sex.  As you point out, you do not know that your partner had HIV and the probability is that she did not. Even if she did, there is no risk at all for HIV from kissing and the risk from oral sex is quite low as well.  Many experts say there is no risk of HIV from oral sex and there has never been a case of HIV reported from receiving oral sex. There may be a very small number of cases in which HIV was transmitted by performing oral sex (fellatio) on a male sex partner.  At most, the risk of HIV form oral sex is 1/10th of 1% (1 in 1000).

We reserve the recommendations for PEP for persons known to have been exposed to an infected partner in a risky manner.  Your exposure does not fall into that category.

My advice is not to worry.  In fact, I would not even suggest testing related to this event although that, of course, is up to you. EWH

[paranoid88]

To clerify, at the begining of oral no condoms were used, than both of us used condoms and continued with oral and than tried anal. After anal fail due to pain (discomfort) we continued oral with condoms on until we came inside of condoms. Thanks again!

[paranoid88]

Dr thank you for prompt answer!!

Would i be exposed to any other std in my scenario? Considering that i have perform oral for short time? Also there was shortly body licking around anus not the anus directly i forgot to ad that to my description above? Would that be an exposure for HIV or any other STD?


Thanks again!

[Edward W Hook, MD]

There is a theoretical risk that you might have gotten gonorrhea (in your throat or penis) on non-gonococcal urethritis but these risks are quite small.  If a lesion was presetn you could have gotten syphilis or herpes but I presume you would have noticed lesions. all in all however this was a very low risk encounter.  EWH

[paranoid87]

Thank you!
This was one time episode for me. I have never done or have been exposed to anyone else but my partner(female)for 15 Years.
I test every year always negative for stds since i dont change partners!
Would you suggest std testing based on this information. I would like to resume unprotected sex with my partner. Or should i wait to get std tested  
first?  I will skip hiv test based on your answer and rest of the simillar answers i have red in this forum..
Thanks again

This would be my last question.

[Edward W Hook, MD]

Your brief oral expsoure is quite low risk for infection.  Personally, I probably would not pursue testing related to it but of course, this is up to you.  EWH