Oral sex cut in mouth risk

[john123lfc]

I'm a 26 year old hetrosexual male living in England. About a week ago i met a girl of unknown status in a bar. we kissed and she bit my tongue very hard. My tongue was not bleeding although i can not be sure as i was drunk. About 5 minutes after this i performed oral sex on her and rubbed my penis which was not erect on the opening of her vagina unprotected. The next morning my tongue was quite bruised and swollen and sore but was fine after a day or or two.  I later found out that the girl has had quite a few sexual partners. What is the risk of catching hiv from this episode is there any need for testing? Please could you answer my question as i am very, very worried about this.

[Edward W Hook, MD]

Welcome to the Forum.  This was a very low, probably no risk exposure.  To begin with, your partner probably did not have HIV- very few heterosexual women who do not use IV drugs do.  Further, there is no risk to genital rubbing without penetration and, as for oral sex, . The quoted figure for HIV risk, if one has oral sex with an infected partner is less than 1 in 10,000 and, in my estimation that is too high. Some experts state there is no risk at all from oral sex.  Neither of us on this site have ever seen or reading the medical literature of a convincing instance in which HIV was passed by oral sex.  That she bit your tongue does not change this- the mouth is remarkably resistant to infections of all sorts (not just HIV and other STDs).  

Personally, I see no need for testing.  In the absence of any medical reason for testing, if you choose to get tested for your own peace of mind I would suggest that you test with the DUO (combination HIV p24 antigen/HIV antibody) tests at 4 weeks.  The negative result that I am confident you would get, should you choose to test , will provide definitive information that you did not get HIV.

In the meantime, try not to worry- there is no need.  EWH

[Edward W Hook, MD]

Glad to help.  Take care.  EWH

[john123lfc]

Thank you very much for your time and for answering my questions.