Unprotected Oral sex

[Worried2013AB]

Hello Doctor
I am a male. Exactly 7 weeks ago, I had protected sex with a female (escort), but unfortunately she performed unprotected oral sex on me for about 10 mins (a few seconds deep throat). We also had kissed with some tonque actions. I  got nose stufiness and running nose about 10 days after event with a sort of sore throat. I went to doctor and he gave me anibiotic for 5 days. My problem was almost resolved after 7 days visit with doctor. However I was still coughing (5-6 times a day), some minor running nose for another week or so, then stopped. I bought a OraQuick home kit HIV test (which is an oral one) and did HIV test on myself (exactly 6 weeks after exposure) and the result was negative. Right now one of my tonsils is a little bigger (note: I was also diagnized with tolsillitis in the past many years) and hurt my throat a little bit. I cannot observe any white spots on my tonsil. I have no fever (checked it many times). My mouth is a little dry too. However I am super nervous and it is affecting my activities a lot. I do not know the status of the female and cannot find her, so her status is unknown. I read a lot about transmission of HIV through oral sex and (deep) kissing. I have not observed any blood during oral sex and or in the mouth. I did not have any cut or sore on my penis. I need to know how much percentage wise I am at risk? shall I perform the tes again at 8 weeks? shall I perform the test at 3 months again?
Best Regards

[Worried2013AB]

I did OralQuick HIV test two more times  once at 7 weeks and the second time 8 weeks+1 day. Both were Negative. Now I am very calm. Thanks

[Edward W Hook, MD]

Glad I could help. EWH

[Worried2013AB]

When I hear from an expert, I gives me a lot more comfort. You have quiet publications in this regard. Yes doctor, you are right. It is more guilt-driven for me, and I have not touched my partner at all from that time. I hope  my 8 weeks test come negative and I pass this stage. Best Regards.

[Edward W Hook, MD]

Welcome to the Forum.  I'll try to help.  I see that you have sought information on your risk of infection from other sources and see that Teak has accurately summarized our past statements about oral sex.  I also see that you have been on the internet which is both a source of accurate and inaccurate information. I'm also guessing that the problem driving your concerns is really not a question of the statistical risk of getting HIV from receipt of oral sex but your guilt and anxiety over having had sex with a commercial sex worker, probably in the context of being in an ongoing relationship with another person who trusts that the relationship is monogamous.  

Briefly, here are the facts:
1.  There are no instances in which HIV has been transmitted through receipt of oral sex, including with "deep throating", gum disease, mouth ulcers or sores- none.
2.  HIV is not spread by kissing of any sort, including French kissing in which there is exchange of oral secretions.
3.  In the U.S. few commercial sex workers have HIV.
4.  Your HIV test following the onset of your flu-like illness rules out the possibility that your symptoms were due to HIV.
5.  Flu is epidemic in the U.S. (48 of 50 states according to yesterday's news) and can cause lingering symptoms.

If you feel you must repeat your HIV test to address your internet- and probably guilt-driven anxieties, please do so ONCE.  If this does not put your concerns to rest however. My advice is to address your anxiety through a visit to a counselor or mental health professional, not to continue testing.  EWH