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clarity / advice

HELLO ALL,

i have a similar question that has been asked many times before on this forum but would like some advice on my situation. i recvd and performed oral sex from/to a female who i met recently. we discussed HIV/STDs prior to any behavior and she assured me her conditions was neg. (She is a health care worker in the US so i would hope she is truthful)

We have met a couple of times and oral sex only performed. i had a duo (p24/antibody) test 4 weeks post the first incident and two weeks post the second incident which was negative. Reason for my concern is that i have had two cold sore type sores inside my mouth since the second occasion.

Just concerned that HIV could be transferred if in fact these are cold sores. Could also just be stress but...like to have some advice.

Thankyou for your patience and advice.
regards
7 Responses
Avatar universal
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.

There is no debate (among experts) about the HIV risks associated with oral sex. The risk is so low that almost nobody who cares for HIV infected patients has ever had a patient believed to have been infected that way. Among experts, it's a semantic issue about using terms like "no risk" and "very low risk". There is no difference between my or Dr. Hook's use of "low risk" and other experts' "no risk".
DR. HANSFIELD

"And oral sex is basically safe sex -- completely safe with respect to HIV and although not zero risk for other STDs, the chance of infection is far lower than for unprotected vaginal or anal sex. Please educate yourself about the real risks. If you stick with oral sex and condom-protected vaginal or anal sex, you have no HIV worries and very little worry about other STDs. " DR HANSFIELD

"I am sure you can find lots of people who belive that HIV is transmitted by oral sex, but you will not find scientific data to support this unrealistic concern..." DR HOOK

"HIV is not spread by touching, masturbation, oral sex or condom protected sex."- DR. HOOK

in the public HIV Prevention forum of MedHelp, TEAK and the other moderators maintain that oral sex in all forms is a zero risk activity. Would you agree with this assessment?
I TOTALLY AGREE / DR GARCIA

"The observation on thousands and thousands of observations is that HIV is not spread by oral sex (of any sort)." DR HOOK
Avatar universal
You never had a risk of hiv transmission via oral sex,however testing for other STD,s might be wise.Your correct about your cold sores,they generally appear as a result of stress and anxiety.Saliva contains protiens and enzymes that render the hiv virus inactive and therefore unable to infect.Australia leads the way in hiv reasearch so your in good hands as far as receiving the best information.
Avatar universal
Really? Show the link to that statment.
Avatar universal
Read DRHHH,s comments about Sydney,Australia and how they lead the way in hiv reasearch and testing.His words not mine.
Avatar universal
Read the Stats on HIV/AIDS research and development. Australia has the least of all countries of HIV/AIDS infections. The top R&D is the US.
Avatar universal
thanks for the replies...just to clarify it was not m2m but m2f...i assume this does not change anything...
Avatar universal
Your assumption is correct.
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