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Unprotected Oral Insertive

Dear Doctor,

Recently, a  stripper gave me  an uprotected blowjob (02/12/10) and am totally worried about this.  We did not involve in any other activity and neither i saw any visible blood or sores. What are my risks for contracting HIV from this episode?   should i get tested for HIV? and if so when is the earliest I can go for a test. I did a test at 3rd day and it came  back negative.

My family doctor gave me a shot  of anti biotic and prescribed doxycycline for std's  just in case. This whole episode had had me very worried and am not able to focus on anything.

Please help

7 Responses
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Avatar universal
A related discussion, HIV ARS symptoms after 8 weeks was started.
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Avatar universal
Thank you so much Doctor!!
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239123 tn?1267647614
MEDICAL PROFESSIONAL
About 90% of newly infected people have positive results at 4 weeks.  6-8 weeks would make more sense.  

That's all for this thread.  Really, don't worry about this.  Don't let your infidelity-driven anxieties dominate your objectivity about the virtually nonexistant disease transmission risks.
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Avatar universal
Thanks for the response Doctor. Is four weeks a good enough period?
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239123 tn?1267647614
MEDICAL PROFESSIONAL
No distant expert can guarantee someone isn't infected with something.  But if I were in your situation, knowing what I know, I would not have gotten tested at all and would continue unprotected sex with my wife with no fears.

In the US and other industrialized countries, there are no unreliable HIV antibody tests, except that the rapid tests (done in the office while the patient waits) have a higher risk of false positive results.  Whatever laboratory-based test your doctor's office normally uses will be fine.
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Avatar universal
Thanks for your comment. It is very helpful. As you rightly said, may be its the fear/guilt that is killing me. I have a good family and I shud have never ever done that.

Does this mean, can I have unprotected Sex with my wife as usual or should I wait till I get the tests done. Is four weeks a good enough period to wait for the HIV test? What test do you recommend at the four week period?

Thank you once again.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum.

As clearly described in the Disclaimer message at the top of the forum, we expect users to review the forum for questions similar to their own.  With a quick look you would have seen that questions more or less identical to yours are among the most common of all questions.  Some of the common points are:

1) HIV is rare in strippers and commercial sex workers in the US and most industrialized countries.  It is unlikely the woman had HIV.

2) With respect to HIV, oral sex is safe sex.  HIV transmission from mouth to penis is so rare that some experts believe it never happens.  One estimate is one transmission for every 20,000 events, which is equivalent to receiving oral sex from HIV infected partners once a day for 55 years and maybe never catching it.

3) From a risk assessment perspective, we rarely recommend HIV testing because of any particular exposure, unless the risk is much higher than yours, e.g. unprotected vaginal or anal sex with particularly high risk of known-infected partners.  From a risk standpoint, you don't need HIV testing.  Of course, you can always do that anyway if this reassurance doesn't settle your fears and you need the psychological support of having a negative test result.

Your doctor was being very conservative and careful to give you the anti-STD treatment. The shot was ceftriaxone, which works against gonorrhea and also would prevent syphilis.  The doxycycline was unnecessary; it is intended to cover chlamydia, which is rarely if ever acquired by oral sex.

Bottom line:  You were not at signficant risk and do not need testing, except for the possible emotional benefit of a negative result.  If so, talk to your doctor about testing in  a few weeks.

Regards--  HHH, MD
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