Cut in the tongue and Oral sex

[mumbai_rocks]

Dear Dr.
Recently I visited a sexworker, who claims to be disease free. 2-3 hours before visiting her I had a cut on my tongue (Toungue got in between teeths while chewing gum), apparently there was no bleeding but cut was evident. Then I had oral sex (sucked the vagina hard), after the episode I realised the cut on my tongue and got scared . I had protected vaginal sex also. (which I know is safe)
Pratcically what is the probability of transmitting HIV after the oral episode nad the tongue cut?
I am really worried and scared?
Should I test myself?
Please help?

[mumbai_rocks]

A related discussion, HIV transmission and pregnancy was started.

[mumbai_rocks]

Thanks a lot Doc. it was helpful indeed

[H. Hunter Handsfield, M.D.]

That was the point of my emphasis of "a fresh, bleeding cut".  I can't say your risk wasn't slighly elevated because of the cut, but it still remains extremely low and I suggest you not worry about it.

From your other threads, it appears you have fairly frequent adventures with commercial sex workers.  Therefore, I recommend you have routine STD and HIV testing from time to time, like once a year; and continue to use condoms consistently for genital sex.  Then don't worry about getting tested after any particular exposure event unless particularly high risk, like a broken condom.  Oral sex doesn't count as high risk, however.

[mumbai_rocks]

Thanks a lot doc., but just one last thing though my cut was severe but it was not bleeding, so does that further reduces any risk or a cut tissue in spite of a non-bleeding one still is susceptible to HIV transmission,
Sorry for asking that but need to clarify.

[H. Hunter Handsfield, M.D.]

Welcome back to the forum.

Transmission of HIV by cunnilingus, in either direction, is not known to occur; at least no cases have ever been reported, to my knowledge.  I suppose that having a fresh, bleeding cut in the mouth might slighly increase an exceedingly low risk.  However, it is statisticaily unlikely the sex worker had HIV (most do not, even in India).  All things considered, I consider this a zero risk event.

Therefore, from a risk assessment standpoint, you do not need HIV testing on account of this event.  Whenever someone is as nervous about a possible exposure as you are, s/he should be tested.  The negative test result probably will give you more reassurance than anything I can say.

Regards--  HHH, MD