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Terrified about HIV infection

I am a thirty three year old hetrosexual male. This weekend just gone I got drunk and ended up with a Malaysian ladyboy sex worker of unknown status in Kuala Lumpur. I actually thought she was a girl initially. Anyway, she gave me unprotected oral for around ten minutes (no ejaculation and licking my anus) and I gave her unprotected oral for about five minutes (no ejaculation and penis only). I then gave her protected anal for about ten minutes. I came, pulled out and the condom had worked. She removed the condom and cleaned me and then I left. I am not quite simply shaking with fear that I may have HIV. I did a test immediately (24hours) so I know I am clean right now. I'd really appreciate someone giving me some advice about what I have done, my risk of contracting HIV (assuming she has it) and what I need to do moving forward. I am posting in ignorance here as I have never paid for sex with anyone before, so my knowledge about such things is largely based on my own assumptions. I think that I have a high risk, hence the my being so scared about what I have done.
10 Responses
Avatar universal
You never had an exposure.
Avatar universal
Really? Even with unprotected oral sex? I should still get tested shouldn't I?  
Avatar universal
Would you say the same if the condom had failed and I didn't realise?
Avatar universal
Also, thanks! Totally all over the place at the moment and forgot to thank you!
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 believe 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

"HIV is not spread by masturbation, through oral sex, through kissing or other casual contact." Dr. Hook

"The observation on thousands and thousands of observations is that HIV is not spread by oral sex (of any sort)." DR HOOK
"I would not say your risk ,if he had HIV is "slim to none"- that's too high.  I would say they are effectively zero.  How much of his ejaculate or other genital  secretions you may have swallowed makes no difference.  EWH "
Avatar universal
by Emily_MHModerator,
And to clarify, it is this site's stance, based on studies and our own MedHelp experts (all of whom are world-renowned for their work in this field), that oral sex carries no risk for HIV.  
Emily
Avatar universal
Thanks to both of you. Really appreciate the information. It's all the "what ifs" that are driving me crazy.
Avatar universal
I would really appreciate anyone's thoughts on my point about the condom breaking and me not realising. Don't think this happened but I was a little drunk and my memory is a little hazy.
Avatar universal
When a condom fails it fails catastrophically. There is no way possible that you could have a failure and not know.
Avatar universal
Fair comment. Thanks again. Really glad I posted for advice.
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