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Avatar universal

should know better

Hello,

Been here before. Coming back because I know this site is one of the only bastions of rationality. please help convince me to stop being stupid.

In a 4 month monogomous heterosexual relationship with a trans woman. I am insertive partner for anal sex, insertive/ receptive partner for oral. Perfect condom practices for anal, in keeping with the comprehensive data on risk factors we don't use condoms for oral. I know I am zero risk for HIV. Please help convince me of it.

Secondary question. How can someone having sex in the LGBT community come to terms hiv anxiety? I use a condom every time for anal but never for oral. But things happen, condoms break and slip, etc. (I don't think this has ever happened for me, but I had one moment of uncertainty as the insertive partner in about 30 encounters.)
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Avatar universal
Yes. I have a good therapist and am treated for OCD and Anxiety. But you know what medical professionals say. "I can't tell you oral is not a risk." Online forums are a coping mechanism for me.
Helpful - 0
Avatar universal
You seem overly concerned with this. No online forum will adequately address your obvious anxiety .
I would suggest seeking professional mental help...your anxiety seems to be taking over.
This is an HIV risk assessment forum..and you didn't have a risk.
Helpful - 0
Avatar universal
Can you direct me to that forum? If i remember folks might discuss in the ocd and anxiety forums, though most discussion is not focused on HIV. Is there an HIV Anxiety forum and if so what is it called?
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Avatar universal
This discussion  belongs in the HIV anxiety forum. I can only comment on what is and what is not a risk.
The bottom line is this..use a condom for vaginal and anal sex...it is essentially that simple.
It isn't rocket science.
Helpful - 0
Avatar universal
Yeah. I am unusual in that I have a deep understanding of the science (I come from a medical family (in infectious diseases actually)) and I have had deep hiv anxiety since before adolescence so i have researched the science inside and out.

Let me see if I can add anything:

HIV does not survive outside of the body, most cells in the mouth lack hiv receptors (except perhaps the tonsils though this is susceptibility is not definite), even superficial cuts, chapped lips etc do not provide access to the blood stream.

I get it.

You seem to get it too. But how do we use this information to confidently navigate our own sex lives? How do you apply it to your own experience to stay comfortable?
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Avatar universal
That's a mouthful of an inquiry. (pun intended and deliberate)

First off, oral sex has been proven via at least three separate and large studies,to not be able to transmit the virus.
It has mostly to do with the inhibiting enzymes  in saliva and the depth of receptor cells in the oral cavity.
HIV is exceedingly difficult to transmit. It requires entry into the blood stream in sufficient quantities. The oral cavity is an inhospitable environment for the virus to propagate.

It is theoretically possible ( akin to Jesus walking on water), but equally implausible.

To your second question about anxiety in the LGBT community ...it is no different than in the "normal" world...emphasis on the quotation marks ..
i.e  use condoms for vaginal or anal sex until you are in a monogamous relation ship with mutually established l trust.
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