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HIV risk of Insertive Fellatio + Kissing
I am a virgin and occasionally use escorts for massage, kissing, receiving unprotected or protected oral sex. I had routine blood tests for HIV in Sep 2011 and Jan 2012, and both tests came out negative. I then visited two escorts in Sep 2012:
1. The first escort gave me protected oral sex on my penis + light kissing + handjob + she sucked my testicles and I ejaculated on my stomach.
2. Three weeks later, a second escort gave me: kissing + unprotected oral sex on my penis + I ejaculated in her mouth + I sucked her breasts. I did not see any blood in either encounter and I did not have any sores or cuts on my penis. I NEVER gave any oral sex to either of them.
After 4 weeks after the second incident, I went to the sexual health clinic as I was worried about the risk of HIV. The advisor insisted that I do not need a HIV test as I apparently "did not have a HIV risk" and he did not "want to collude with my anxiety by taking a HIV test for a no-risk encounter". He only took urine samples to test for other STD's and said the results would be available in about 2 weeks. He said I could take a HIV test at the 3 month mark if I really want to for peace of mind.
What do you think? Was I at risk? Do I still need to take a HIV test? And when should I take it?
1. The first escort gave me protected oral sex on my penis + light kissing + handjob + she sucked my testicles and I ejaculated on my stomach.
2. Three weeks later, a second escort gave me: kissing + unprotected oral sex on my penis + I ejaculated in her mouth + I sucked her breasts. I did not see any blood in either encounter and I did not have any sores or cuts on my penis. I NEVER gave any oral sex to either of them.
After 4 weeks after the second incident, I went to the sexual health clinic as I was worried about the risk of HIV. The advisor insisted that I do not need a HIV test as I apparently "did not have a HIV risk" and he did not "want to collude with my anxiety by taking a HIV test for a no-risk encounter". He only took urine samples to test for other STD's and said the results would be available in about 2 weeks. He said I could take a HIV test at the 3 month mark if I really want to for peace of mind.
What do you think? Was I at risk? Do I still need to take a HIV test? And when should I take it?
I understand my encounter was near-zero risk for HIV, but I took the tests for peace of mind.
At the 4-week mark, I was tested for Gonorrhoea and Chlamydia = both were NEGATIVE. At the 6-week mark, I took a HIV-Duo test for HIV and a test for Syphilis = both were NEGATIVE!
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By the way, I have a couple of general questions about the HIV-Duo test:
1. How long do p24 antigens remain detectable in the body? As I understand, levels of p24 antigens peak in the first couple of weeks and then start to drop. Would these antigens remain in the body at a detectable level at 6 weeks, for the Duo test to pick it up?
2. As for the antibody portion of the test, are HIV antibodies always detectable at 6 weeks?
Just curious and interested to learn more. Thanks in advance!
At the 4-week mark, I was tested for Gonorrhoea and Chlamydia = both were NEGATIVE. At the 6-week mark, I took a HIV-Duo test for HIV and a test for Syphilis = both were NEGATIVE!
-
By the way, I have a couple of general questions about the HIV-Duo test:
1. How long do p24 antigens remain detectable in the body? As I understand, levels of p24 antigens peak in the first couple of weeks and then start to drop. Would these antigens remain in the body at a detectable level at 6 weeks, for the Duo test to pick it up?
2. As for the antibody portion of the test, are HIV antibodies always detectable at 6 weeks?
Just curious and interested to learn more. Thanks in advance!
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. HANDSFIELD
DR. HANDSFIELD
Thank you for your comments everyone. Much appreciated. I just wanted to understand the facts clearly so I can move on. One more question please:
On another post, Dr Handsfield distinguishes oral sex as being "low risk", compared to "no risk" activities such as kissing. Was he only referring to performing oral sex in this statement, or did he include both receiving AND performing oral sex?
"Fingering, hand-genital contact, and kissing are no risk at all, for practical purposes. As noted above, oral sex would be low risk, but not zero."
[DR HANDSFIELD]
http://www.medhelp.org/posts/STDs/Risk-of-STDs-from-kissing-oral-with-escort/show/1762714
On another post, Dr Handsfield distinguishes oral sex as being "low risk", compared to "no risk" activities such as kissing. Was he only referring to performing oral sex in this statement, or did he include both receiving AND performing oral sex?
"Fingering, hand-genital contact, and kissing are no risk at all, for practical purposes. As noted above, oral sex would be low risk, but not zero."
[DR HANDSFIELD]
http://www.medhelp.org/posts/STDs/Risk-of-STDs-from-kissing-oral-with-escort/show/1762714
"Kissing is no risk, even deep ("French") kissing and even with a person who sores on their mouth or has gum or dental disease." DR HOOK
"Of course no risk. HIV is not transmitted by kissing, even with sores in the mouth.
Despite the billions of kissing events in the AIDS era, not one case of HIV has been known to be transmitted that way, even though millions of those kisses undoubtedly were with cuts in the mouth or on the lips."
DR HANDSFIELD
FROM THE HIV EXPERTS HERE AT MEDHELP:
"As you know from other posts about oral sex, our stance is that giving or receiving oral sex is not a risk for HIV. Some others suggest that there is an appreciable risk of HIV from oral sex however, there are no convincing scientific reports which support these statements. The presence of a burn in your mouth, or a sore, or ingestion of blood does not change this. Still no risk an no reason for testing." DR HOOK
"As far as HIV is concerned, there is no known risk of getting HIV from performing oral sex on an infected partner, even if that person's genital secretions get into your eyes or if you swallow" DR HOOK
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. HANDSFIELD
"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 HANDSFIELD
"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 thousand and thousand of observations is that HIV is not spread by oral sex (of any sort). DR. HOOK
"With regard to the question you ask, I will repeat, as I’ve said more times than I can think- there are NO credible cases in which persons have acquired HIV through performance of oral sex- none!!. The chance that you will be the first is ridiculously low. You are more likely to be hit by lightening while reading my reply to you. DR HOOK
"HIV is not spread by masturbation, through oral sex, through kissing or other casual contact." DR HOOK
"There is no credible evidence that HIV is spread through oral sex, with or without the presence of cuts or blood in the persons mouth."- DR HOOK
"Oral sex. there is no evidence that HIV is spread through giving or receiving oral sex"- DR HOOK
"HIV is not spread through oral sex." DR HOOK
"HIV is not spread through giving or receiving oral sex" DR HOOK
"Of course no risk. HIV is not transmitted by kissing, even with sores in the mouth.
Despite the billions of kissing events in the AIDS era, not one case of HIV has been known to be transmitted that way, even though millions of those kisses undoubtedly were with cuts in the mouth or on the lips."
DR HANDSFIELD
FROM THE HIV EXPERTS HERE AT MEDHELP:
"As you know from other posts about oral sex, our stance is that giving or receiving oral sex is not a risk for HIV. Some others suggest that there is an appreciable risk of HIV from oral sex however, there are no convincing scientific reports which support these statements. The presence of a burn in your mouth, or a sore, or ingestion of blood does not change this. Still no risk an no reason for testing." DR HOOK
"As far as HIV is concerned, there is no known risk of getting HIV from performing oral sex on an infected partner, even if that person's genital secretions get into your eyes or if you swallow" DR HOOK
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. HANDSFIELD
"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 HANDSFIELD
"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 thousand and thousand of observations is that HIV is not spread by oral sex (of any sort). DR. HOOK
"With regard to the question you ask, I will repeat, as I’ve said more times than I can think- there are NO credible cases in which persons have acquired HIV through performance of oral sex- none!!. The chance that you will be the first is ridiculously low. You are more likely to be hit by lightening while reading my reply to you. DR HOOK
"HIV is not spread by masturbation, through oral sex, through kissing or other casual contact." DR HOOK
"There is no credible evidence that HIV is spread through oral sex, with or without the presence of cuts or blood in the persons mouth."- DR HOOK
"Oral sex. there is no evidence that HIV is spread through giving or receiving oral sex"- DR HOOK
"HIV is not spread through oral sex." DR HOOK
"HIV is not spread through giving or receiving oral sex" DR HOOK
So you don't think I need to test? You're sure I have nothing to worry about?
(I haven't had any sexual encounters since the above, and I won't be visiting them ever again - seriously! Don't think I can handle the anxiety!)
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