Sore Throat After Giving Oral Sex with ejaculation into the mouth?

[drwho558]

I'm asking this question on behalf of a friend.  I have reviewed all of the forums and comments from the doctors and other users regarding the transmission of HIV in male to male oral sex with ejaculation.  However, my question is a bit more specific than some of the other questions posed.  My friend (who is male) had oral sex with another male this past Thursday (March 14th) in which the guy ejaculated in his mouth, and he swallowed.  He reported that the oral sex was not rough, and that the guy reported being HIV negative as of January 2013.  Now my friend has had a swollen, sore throat for the past 24 hours (Since Monday, March 18th).  I'm not sure, but I don't believe that he has any cervical (or other) lymphadenopathy.  He denies any night sweats, fatigue, or other symptoms.  He only has a sore, swollen throat.  Should he be concerned about being exposed to HIV or another STD?  And, should he consider going on Preemptive Retroviral Therapy, since a Rapid HIV Test would not show an HIV infection at this point, even if HIV was transmitted?

Thanks for you time and any advice provided.

[Kirstie_MHModerator]

Again, if you want an opinion from a physician here, you need to post in one of our Expert forums.  All of our non-expert forums are designed for patient-to-patient communications.

Since this forum is clearly not what you had in mind, we'll close this thread now.

**************** THREAD CLOSED *****************
NO FURTHER POSTS, PLEASE.

[Kirstie_MHModerator]

If you would like a physician to reply, you'll need to pay a fee and post your question in our Expert forum.  However, the answer you receive will not vary.  A review article, as you know, is and invited publication.  There aren't any studies based on funded research programs that cite definitive evidence of HIV being transmitted by oral sex.  

This site's stance will not change unless such evidence is unveiled.

[Teak]

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.

These are not peer reviews these are actual studies.

[Teak]

You can't find one verified article that states anyone has ever contracted HIV from oral sex. You state you are a Physician which I would doubt that would site peer reviews.

[drwho558]

Actually, that's not completely factual...  I posted this question after having read everything on the forum.  And, I'm a healthcare professional (physician), so I'm not naive to this topic (Or other Infectious Disease Topics).   And, I was hoping to get a response from another physician.  Are you a physician or a PhD in Infectious Disease, Microbiology, Immunology, or Parasitology?  There are several studies that show that HIV has probably been passed from MSM through oral sex with ejaculation.  That's why I asked this question for my friend, to gain greater clarity since there is a disconnect between what is being posted on this forum and what I've read in Peer-Reviewed Journals with articles from Distinguished Researchers and Physicians on this Topic.

A Review Article appearing in Oral Diseases (2006) actually provides several specific studies on this topic, many of which suggest that HIV "CAN" be transmitted from Oral Sex with Ejaculation among MSM:

REVIEW ARTICLE
Oral transmission of HIV, reality or fiction? An update
J Campo1, MA Perea1, J del Romero2, J Cano1, V Hernando2, A Bascones1
1Department of Buccofacial Medicine and Surgery, School of Dentistry, Complutense University of Madrid, Spain; 2Sandoval Health Centre, Madrid Health Institute, Spain

[Vance2335]

If you reviewed everything then you know oral sex is not a risk for HIV.
STD questions post in the STD forum.

[drwho558]

BTW, my friend reports that he did not have any oral (throat or other) lesions prior to the sexual encounter.