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Risky Episode
First up this site is brilliant, thank you so much for taking the time to answer all our questions. I have learnt a lot in a short space of time, however I am still terrified.
I had unprotected oral sex with a random married bi guy, I gave. His status unknown to me. He claimed to be new to this as am I.
Anyway he did not ejaculate in my mouth but after he came all over my hand I recklessly got a small bit of semen in my mouth, lips & tongue, could taste it. When I realised, a couple of minutes later a washed my mouth out. What has freaked me out badly was that I realised that that morning before this happened while I brushing my teeth there was a tiny drop of blood in my toothpaste residue after spitting it out. I have good oral hygiene, no gum problems etc, so I know it was from being too aggressive with my brushing.
Also during the the act, I think my penis slipped into his anus less then a minute when I realised I stopped completely.
I am wrecked with guilt & fear, talk about a wake up call. I also was wondering if there was a certain amount of semen that was needed before transmission could take place? I am right in thinking that the levels of the virus are more concentrated in blood? so would it take more semen to contract HIV? I am going to get tested and want to know how high you think my risk is as I am very depressed by the whole situation.
Thank you so much for your time & advice, you are helping a lot of people.
I had unprotected oral sex with a random married bi guy, I gave. His status unknown to me. He claimed to be new to this as am I.
Anyway he did not ejaculate in my mouth but after he came all over my hand I recklessly got a small bit of semen in my mouth, lips & tongue, could taste it. When I realised, a couple of minutes later a washed my mouth out. What has freaked me out badly was that I realised that that morning before this happened while I brushing my teeth there was a tiny drop of blood in my toothpaste residue after spitting it out. I have good oral hygiene, no gum problems etc, so I know it was from being too aggressive with my brushing.
Also during the the act, I think my penis slipped into his anus less then a minute when I realised I stopped completely.
I am wrecked with guilt & fear, talk about a wake up call. I also was wondering if there was a certain amount of semen that was needed before transmission could take place? I am right in thinking that the levels of the virus are more concentrated in blood? so would it take more semen to contract HIV? I am going to get tested and want to know how high you think my risk is as I am very depressed by the whole situation.
Thank you so much for your time & advice, you are helping a lot of people.
MEDICAL PROFESSIONAL
The major risk that you describe above is from your having your partner's penis in your rectum, not from the fact that a small amount of his genital secretions might have entered your mouth. the risk of HIV form oral exposure is 100-fold higher, at least than oral exposure.
So what was your risk. It would be silly to say that this was a nor risk exposure, it was not. On the other hand, the chances this fellow was HIV infected is rather low, both on a statistical basis (most bisexual men do not have infection) and because he said he was not infected. Considering your rectal exposure, in the unlikely situation that he had HIV, your risk of getting HIV from a single exposure is still only 1 in 100.
Should you get tested, yes. Should you worry?, no. Wait until about 6 weeks following your exposure and get a test. A test at that time will detect over 95% of infections acquired 6 weeks earlier and, when considered in context, will show that you did not get HIV from the exposure you describe. If you wait until 8 weeks after your exposure, the fact is that your test will have detected over 98% of all infections.
Hope this helps. Your risk is low. At the same time, risk is cumulative SO, as you have other partners PLEASE use condoms. We would like your low risk to become no risk. EWH
So what was your risk. It would be silly to say that this was a nor risk exposure, it was not. On the other hand, the chances this fellow was HIV infected is rather low, both on a statistical basis (most bisexual men do not have infection) and because he said he was not infected. Considering your rectal exposure, in the unlikely situation that he had HIV, your risk of getting HIV from a single exposure is still only 1 in 100.
Should you get tested, yes. Should you worry?, no. Wait until about 6 weeks following your exposure and get a test. A test at that time will detect over 95% of infections acquired 6 weeks earlier and, when considered in context, will show that you did not get HIV from the exposure you describe. If you wait until 8 weeks after your exposure, the fact is that your test will have detected over 98% of all infections.
Hope this helps. Your risk is low. At the same time, risk is cumulative SO, as you have other partners PLEASE use condoms. We would like your low risk to become no risk. EWH
MEDICAL PROFESSIONAL
You do not need to send your questions repeatedly. These questions are answered as time is available. Be patient.
Penetration is penetration. Indeed partial, brief penetration is probably lower risk than full penetration and longer duration but, as you can imagine, there is just no way to study the effeect of such variation. There is greater risk for receiving (1 in 100) than being on top (penetrating) in rectal sex (1 in 200) bu tthere is still some risk.
As I said, your risk is low. EWH
Penetration is penetration. Indeed partial, brief penetration is probably lower risk than full penetration and longer duration but, as you can imagine, there is just no way to study the effeect of such variation. There is greater risk for receiving (1 in 100) than being on top (penetrating) in rectal sex (1 in 200) bu tthere is still some risk.
As I said, your risk is low. EWH
Hi Dr Hook,
Thank You for your prompt response. Just wanted to clarify a couple of points.
I was not penetrated, it was the other way round. I was not fully in his rectum, half way I think. The duration was at the most was for a minute there was no thrusting, ejaculation etc.
Does this change your risk assessment? Does the risk increase if you are the bottom as appose to the top?
His HIV status is unknown, although he was as inexperienced and nervous as me.
Again thank you.
Thank You for your prompt response. Just wanted to clarify a couple of points.
I was not penetrated, it was the other way round. I was not fully in his rectum, half way I think. The duration was at the most was for a minute there was no thrusting, ejaculation etc.
Does this change your risk assessment? Does the risk increase if you are the bottom as appose to the top?
His HIV status is unknown, although he was as inexperienced and nervous as me.
Again thank you.
Hi Dr,
Thank You for your prompt response. Just wanted to clarify a couple of points.
I was not penetrated, it was the other way round. I was not fully in his rectum, half way I think. The duration was at the most was for a minute there was no thrusting, ejaculation etc.
Does this change your risk assessment? Does the risk increase if you are the bottom as appose to the top?
His HIV status is unknown, although he was as inexperienced and nervous as me.
Again thank you.
Thank You for your prompt response. Just wanted to clarify a couple of points.
I was not penetrated, it was the other way round. I was not fully in his rectum, half way I think. The duration was at the most was for a minute there was no thrusting, ejaculation etc.
Does this change your risk assessment? Does the risk increase if you are the bottom as appose to the top?
His HIV status is unknown, although he was as inexperienced and nervous as me.
Again thank you.
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