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High risk HIV/std exposure
Dear Dr Handsfield
Thank you for your service. Dr. Hook told me to post here. I am in utter terror and distress concerning a nightmare mistake I made last night. I was very drunk and found myself in an adult store in a shady part of town. I was propositioned by someone there to go to a private booth. This person performed unprotected oral sex on me (I am male) and unprotected anilingus on me. I did ejaculate in their mouth. Afterwards this person (who is African American) informed me that she was in fact a male and then proceeded to smoke crack right in front of me. He must have smoked beforehand as well.
On my way out running scared it was apparent there had been a drug situation going on there.
Now: I have heard that a gay, male, African American crack addict might have a higher chance of having HIV/AIDS.
So will you please tell me what my chances are and why of contracting HIV/AIDS or any other STDs from this encounter?
Are such diseases transmitted through oral sex (his mouth/my penis) and analingus (his mouth/my anus) especially given the possibility of his mouth having burns and cuts from drug use, etc. and the fact that I ejaculated in his mouth? Can HIV pass from his mouth to my rectum and/or penis if there were cuts or burns. When should I get tested?
Please help me. I would deeply appreciate a thorough medical answer and any advice. Thank you
Thank you for your service. Dr. Hook told me to post here. I am in utter terror and distress concerning a nightmare mistake I made last night. I was very drunk and found myself in an adult store in a shady part of town. I was propositioned by someone there to go to a private booth. This person performed unprotected oral sex on me (I am male) and unprotected anilingus on me. I did ejaculate in their mouth. Afterwards this person (who is African American) informed me that she was in fact a male and then proceeded to smoke crack right in front of me. He must have smoked beforehand as well.
On my way out running scared it was apparent there had been a drug situation going on there.
Now: I have heard that a gay, male, African American crack addict might have a higher chance of having HIV/AIDS.
So will you please tell me what my chances are and why of contracting HIV/AIDS or any other STDs from this encounter?
Are such diseases transmitted through oral sex (his mouth/my penis) and analingus (his mouth/my anus) especially given the possibility of his mouth having burns and cuts from drug use, etc. and the fact that I ejaculated in his mouth? Can HIV pass from his mouth to my rectum and/or penis if there were cuts or burns. When should I get tested?
Please help me. I would deeply appreciate a thorough medical answer and any advice. Thank you
Thank you very much for your expertise, advice, and service.
MEDICAL PROFESSIONAL
Anal itching is one of the most common of all symptoms experienced by all human beings. It is rarely an indicator of any STD. And of course the same is true for sore throats. There is no reason to suppose these are anything other than random events unrelated to the sexual exposures that obviously are dominating your psyche. But of course you are free to visit a doctor or clinic if these symptoms continue or you remain concerned about them.
My last comment was intended to be the last. For sure this one is.
My last comment was intended to be the last. For sure this one is.
I also had a sore throat briefly last week. Are all of these signs of HIV? When can I get tested to definitively know?
I have been experiencing some itching in my anus for the past few days. Also I have been extremely tired.
Are these indications of an std from the analingus and or oral sex described above from a couple of weeks ago? What symptoms should I be looking for from my incident to warrant immediate testing? When should I reasonably get tested for everything? Thanks again.
Are these indications of an std from the analingus and or oral sex described above from a couple of weeks ago? What symptoms should I be looking for from my incident to warrant immediate testing? When should I reasonably get tested for everything? Thanks again.
MEDICAL PROFESSIONAL
Dr. Hook explained it in his original reply, which included "...there is no risk of HIV from the exposure you describe. Statistically, it is still unlikely that this person had HIV - most persons do not. Furthermore, the quoted figure for HIV risk, if one receives oral sex (including analingus) from an infected partner is less than 1 in 10,000 and, in my estimation that is too high. Many experts state there is virtually no risk at all from oral sex and both Dr. Handsfield and I agree. Neither of us on this site have ever seen or reading the medical literature of a convincing instance in which HIV was passed by oral sex."
Anxious minds can come up with all sorts of "what if" scenarios that conceivbly could result in transmission without unprotected peniale-vaginal or -anal sex, but the scientific data show that it virtually never happens. Analingus per se could have some risk, but there are no reported cases of such transmission -- so if it happens, it must be extraordinarily rare.
Perhaps you'll also be interested to know that in the nearly 8 years since this forum started, not one person described an exposure that worried them and turned out to have caught HIV. You aren't likely to be the first. If and when it happens, it probably will be a classical high risk event, not a trivial/superficial exposure of the sort you had.
If you remain nervous, you are of course free to be tested if the negative result will help you deal with your anxieties about the exposure. But from a strictly medical and risk assessment perspecitve, testing isn't necessary.
That's my last comment. Try to accept the reasoned reassurance you have had.
Anxious minds can come up with all sorts of "what if" scenarios that conceivbly could result in transmission without unprotected peniale-vaginal or -anal sex, but the scientific data show that it virtually never happens. Analingus per se could have some risk, but there are no reported cases of such transmission -- so if it happens, it must be extraordinarily rare.
Perhaps you'll also be interested to know that in the nearly 8 years since this forum started, not one person described an exposure that worried them and turned out to have caught HIV. You aren't likely to be the first. If and when it happens, it probably will be a classical high risk event, not a trivial/superficial exposure of the sort you had.
If you remain nervous, you are of course free to be tested if the negative result will help you deal with your anxieties about the exposure. But from a strictly medical and risk assessment perspecitve, testing isn't necessary.
That's my last comment. Try to accept the reasoned reassurance you have had.
Thank you for your response.
Would you be kind enough to scientifically explain to me why you believe my exposure is low risk? Not to sound insensitive but it seems receiving unprotected fellatio and analingus from a gay African American crack addict is risky. Isn't the the anus layer thin and near blood vessels? And let us imagine that he had sores or blood in his mouth from drug usage. Would that blood enter my blood through the anus or penis and then transmit HIV? Why is this less risky than penile-anal intercourse? I simply am afraid and thinking worst case scenario.
Would you please explain with some hard science why you say I am not at risk - or am I? And if the latter, by what percent and when should I take a test to know for sure?
Thank you for your time and help. Happy Holidays.
Would you be kind enough to scientifically explain to me why you believe my exposure is low risk? Not to sound insensitive but it seems receiving unprotected fellatio and analingus from a gay African American crack addict is risky. Isn't the the anus layer thin and near blood vessels? And let us imagine that he had sores or blood in his mouth from drug usage. Would that blood enter my blood through the anus or penis and then transmit HIV? Why is this less risky than penile-anal intercourse? I simply am afraid and thinking worst case scenario.
Would you please explain with some hard science why you say I am not at risk - or am I? And if the latter, by what percent and when should I take a test to know for sure?
Thank you for your time and help. Happy Holidays.
MEDICAL PROFESSIONAL
Welcome. Dr. Hook's offer was not to re-post the same questions -- but that follow-up discussions would have to be on this forum. I'm not going to repeat his replies, with which I agree. The bottom line is that you are definitely not at measurable risk of HIV from this event (so low risk that I do not even recommend testing). And although there is a slight risk of gonorrhea, NGU, or herpes from the oral-penile exposure, these generally cause obvious symptoms of penile sores or abnormal discharge of pus or mucus from the penis. If such symptoms don't occur within the next couple of weeks, you can be reasonable confident you weren't infected. However, if you want absolute assurance, you could visit an STD clinic or primary care clinic for examination and testing.
Let me know if there is anything else you don't understand.
Happy holidays-- HHH, MD
Let me know if there is anything else you don't understand.
Happy holidays-- HHH, MD
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