Oral/deep kissing risk

[mkmntz1]

Doctors,

GWM here.  I had an encounter with a male sex worker within the past 24 hours, who told me that he was negative.  Two hours-ish before this encounter, I nicked the edge of my gum on my front tooth with my nail (where the tooth meets the gum) and it did bleed.  I thought it had healed up by the time we met up, however after our meeting, I noticed in the mirror that it was either still bleeding a little or had been aggravated during the meeting.  

During the session, we engaged in pretty deep kissing and I sucked on his scrotum and licked around his legs near his genitals.  I did not give him oral sex, nor did I receive, and he did not climax.  I wouldn't be worried, but a google search suggested that there was some risk in deep kissing if one party had a cut in their mouth (presuming he isn't actually negative or doesn't know for sure, that is).  I'm not sure if it makes any extra differance, but my gums are a little recessed around my front teeth.  Plus, I'm pretty sure it was bleeding a bit during our session, because when we kissed, that area would naturally be disturbed.  I should of thought of that before and not even kissed him, but I had thought it was healed up.

My specific questions:
1) Any risk here?  Should I go to the doctor or something tomorrow/seek out prophlyxis(sp)/etc?
2) Even if the risk is small, should I get tested?  I get tested every six months, but if there's a risk, I'll get tested when I'm out of the window. I don't want to give anything to anyone.

Thanks for your help.

[Edward W Hook, MD]

No, that really diesn't even qualify as oral sex, making it still lower risk, if such a thing is possible.  Take care.  EWH

[mkmntz1]

Thank you so much for the response.

Just a clarifying question:  All I did oral was suck on his scrotum.  Would that even qualify as oral sex?  It's sort of a pointless question, given your response, but I just wanted to make sure my  own education was correct.  As I understood it, that's no risk.  The note about kissing, cut or no cut, is a relief. :)

[Edward W Hook, MD]

Welcome to our Forum.  Your experience (with the Google search) is a great demonstration of what may perhaps be the biggest limitation with seeking medical/health risk information through the internet.  There is much mis-information which either is not sufficiently well proven to accept as correct and which takes information out of context and therefore, while I'm sure well intended, tends to be misleading.  

Kissing is no risk, even deep kissing and even with gum or dental disease. there has never been a documented case of HIV transmission related to kissing.  As for oral sex, the quoted figure for HIV risk, if one has oral sex with an infected partner is less than 1 in 10,000 and, in my estimation that is too high. Some experts state there is no risk at all from oral sex.  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.  This includes by all of the people who had gum disease, etc.  

In your own case, your partner has assured you that he does not have HIV.  Most people tell the truth.  this combined with the immeasurably small risk of getting HIV through the activities you describe indicate that there is no reason to get tested.  (by immeasurably small, I would point out that there is also a chance that you'll be hit by a meteorite while reading my reply to you.  I see need for you to worry about it however and using the same sort of logic, I see no need for you to seek post exposure prophylaxis or testing related to this encounter.  

  Bottom line, no need for testing, for post exposure prophylaxis or worry.  Hope this comment is helpful to you.  EWH