Trying to be safe

[keurig38]

So I have read a bazillion and one threads on here, lurking around, but like anyone else, when it comes to your own possible risk, you always need a second opinion.

Last night I hooked up with a  24 y/o guy.  Really quite unaware of his HIV status, other than saying he was negative (which really means pretty much zilch). But he did insist on condoms IF were to have sex.

The night went as follows:
We did some pretty deep kissing followed by me performing oral sex on him. He did not come, but I know  tasted some pre ejaculate. I also rimmed him for like 20 minutes and foolishly inserted my index finger in him. I masturbated him vigorously until he came on his chest.  I never inserted my penis in him and he certainly did not enter his in mine (as he is a bottom).   I know there is an element of risk with herpes, hpv, syphilis, etc.    Can I say this is safe in regards to HIV?  the biggest concern was his pre ejaculuate in my mouth as I brushed my teeth and used Listerine/floss before he came over...as I just had ate dinner about 1/2 hour before.

[keurig38]

Thanks..Ill ask the Doctors on the other forum.

[Teak]

* Anyone who continues to post excessively, questioning a conclusively negative result or no-risk situation, will be subject to action by MedHelp. Conclusively negative results or a no-risk situation will be based upon the criteria established by MedHelp’s doctors. Action will be taken as follows:
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    * Continuing to post regarding the negative result / no risk situation will result in a 3 day suspension
    * Continuing to post upon your return will result in a permanent ban.

[keurig38]

I appreciate your answer.  I hope your are correct. His seminal fluids got into my mouth.  Called the local AIDS organization in my area today when I learned of his status. They suggest I see my PCP ASAP or go to the nearest ER and explain.  I cannot get into my physicians office until tomorrow.  

Any know what I should do?  

[Teak]

You never had an exposure.

[keurig38]

OK...kinda freaked out....I am curious as to whether I should see my physician.

I discovered the guy I performed oral sex on was HIV+.  He had a profile on a website that stated his HIV status as positive.  Should I seek something called Post Exposure Prophylaxis?  

[Teak]

The first part is from studies the second part are Doctor responses from the Expert and the International Expert Forum.

[keurig38]

Thanks for that lengthy information.  Ive seen that info before on a previous thread.  Are these studies?

[Teak]

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

[Teak]

Oral sex.
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 "
"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
HIV is not spread by oral sex, giving or receiving, even if sores, gum disease or blood is present
DR HOOK
The fact is that there are no cases in which HIV has been proven to be transmitted by oral sex, including fellatio..  EWH

[keurig38]

I asked that last question because in the midst of my "thread search" I read a comment by Dr. Hook on this thread :

http://www.medhelp.org/posts/HIV---Prevention/MALE-2-MALE-ORAL-SEX---BLOOD-IN-THE-MOUTH---PLEASE-HELP/show/563594

Please read what he stated on #4.  Stating precautions are still needed.

Need I heed that warning?

[keurig38]

So, in the event that I do date someone , even if they were HIV+, just use condoms for anal intercourse?

[Teak]

HIV is transmitted by;
Unprotected penetrative anal and/or vaginal sex
Sharing works with other IV drug users
Mother to child

[keurig38]

Thanks for responding so rapidly.

As you can see, I am a gay male.  I do not do drugs, so I need not to worry about needles.  As a gay male, is the only warranted concern (After reading thousands of threads on here) having unprotected anal sex?  I do not have sex with woman.

[Teak]

You never had an exposure.