Risk of HIV infection through receptive fellatio with blood involved.

[madtour]

Hello,

I have done extensive research prior to making this thread. Even though many of the questions I will ask within this thread have been answered multiple times either on this site or another. I still want the opportunity to tell my side of the story and calculate the amount of risk I exposed myself to.

It all started yesterday when a cousin of mine set me up with an escort as a birthday present. Right away I told her that I did not want to have sexual intercourse and that I would touch her and masterbate. After a minute or so, I could not resist and wanted to have sexual intercourse. Keep in mind that I had touched her genitals prior to handling the condom. I did not insert my finger in her vagina or anus, but only rubbed them. She did not object, and handed me a Trojan condom. I slipped it on 1/3 of the way and then for her own safety, she grabbed the condom and rolled it all the way up. I did check the expiration date on the condom and also the reservoir tip for air.

After that she told me to lay down on the bed, which was probably used by another man prior to me. I can verify that she was alone in her room for at least 5 minutes because she was trying to see if I was a Law Enforcement officer. From reading on the CDC and Avert site, I know that the HIV virus can not last in the open for more than a couple of minutes. After I was lying down on my back, she tried to insert my penis into her vagina, but I became quite nervous. I kept losing the hardness and then we both agreed that it would not work. She wanted me to try rear entry ("doggy style"), but that resulted in the same situation. I could not keep my penis hard, and she said it would be better to stick with what I originally stated. I also want to point out that at one point when I was trying to insert my penis into her vagina, my scrotum did come in contact with her skin. I can not recall what part of her body it came into contact with though. I can also verify that she had no warts on her anus, but I did not check her vagina for them.

After I disposed the condom into the trash,  I grabbed my penis without washing my hands and started to masterbate. I started touching her genitals and anus with my other hand, but at no point did I insert my finger into either. I would also like to mention that I did touch her breast throughout the session. Since I was so nervous, I could not climax and she was getting quite tried of standing. She got on her knees and just faced her anus towards me, I was sitting on the bed. For a couple of minutes I rubbed her anus and masterbated with the other hand. After a tired arm, I was finally able to reach climax. For some odd reason, she wanted me to use her back as a tissue for my semen (that would only put her at risk if I was HIV positive?). At no point did my penis or any other part of my body besides my hand came in contact with her after I removed the condom. The session ended there, I washed my hands with soap and wiped my penis with some sort of antibacterial wipes she had in her bathroom.   

I just turned 18 years of age on Thursday and this was my first sexual interaction. Regarding my health, I am quite active and have had no health issues. The reason for my concern is that I do have a girlfriend who wants to be sexually active. For the longest time she held off until we graduated high school. I do live near many free STD/HIV clinics that offer testing. It would hurt me greatly if I infected her with STDs or HIV.

Now for the question (Please answer these questions only if you have thoroughly read the background story) -

Am I at risk for HIV? From the research I have read that it is quite hard to get infected through skin to skin contact. I did touch her genitals and anus prior to touching my penis. I am uncircumcised, if that makes any difference.

Did I put myself at risk for any STDs?  Please let me know if I am at the slightest risk, because I do not mind going to the clinic and getting tests done.

Thank you. Hopefully this will put my mind at ease.

[RapidRod]

You don't have an HIV concern.

[Andy Velez]

You are worrying needlessly about any risk for HIV. It's a fragile virus and sexually the only confirmed risks for its transmission are unprotected vaginal and anal intercourse. As long as you consistently use condoms for intercourse you will be well protected against HIV.

None of the other activities you mentioned were risky for HIV.

Other STDs are easier to acquire than HIV, so we advise anyone who is sexually active to regularly have a full STD panel done. That means at least once a year.

This time there is no need for HIV testing nor for any further concern on your part.

[madtour]

You are worrying needlessly about any risk for HIV. It's a fragile virus and sexually the only confirmed risks for its transmission are unprotected vaginal and anal intercourse. As long as you consistently use condoms for intercourse you will be well protected against HIV.

None of the other activities you mentioned were risky for HIV.

Other STDs are easier to acquire than HIV, so we advise anyone who is sexually active to regularly have a full STD panel done. That means at least once a year.

This time there is no need for HIV testing nor for any further concern on your part.

Thank you for the detailed response. You do not understand how much this puts my mind at ease. If I knew this incident was going make me this anxious, I would have strongly steered away from it.

Regarding the STDs- Should I get tested for this incident or not? I am not planning on being sexually active for a long time. If so, which STDs should I be tested for?

[madtour]

This thought came into mind, please help assess risk.

I had shaved my penis around 10 days prior to having 15-20 seconds worth of protected sex. I did this because I am uncircumcised and wanted to remove all the extra hair. Today I looked at my penis and saw that the shaving had left abrasions, which were also present when I had the protected sex. I am worried because the condom covered 95% of my penis, and perhaps left a bit of the base naked (not 100% sure about this). The base has abrasions, which most likely existed at the point of protected sex. By abrasions I am referring to these dots which you can see when the skin is stretched, it is the hole where the hair grows out of.

Questions -

Can you get HIV through abrasions on the penis which might have not been covered by a condom?

Should I get tested? Any chance I could have been infected with HIV?

[Ann]

mad,

You absolutely have NOT had a risk for hiv infection and none of your additional details change that. Hiv is not spread through skin to skin contact - it is spread by unprotected anal or vaginal intercourse. You didn't have unprotected anal or vaginal intercourse. You were NOT at risk for hiv infection.

Hiv can only latch onto and infect a very few, very specific types of cells. These cells are found in the lining of the anus and vaginal, the lining of the inner foreskin (the part you can't see when the foreskin is pulled over the head) and the lining of the urethra (where you pee/cum from). When you are the insertive partner, as long as the head of your penis is covered by a condom, you are protected where hiv is concerned.

You mention having a girlfriend who wants to be sexually active. You need to use condoms with her until you have agreed to be strictly monogamous and have tested together for ALL STIs, not just hiv.

Here's what you need to know in order to avoid hiv infection:

You need to be using condoms for anal or vaginal intercourse, every time, no exceptions until such time as you are in a securely monogamous relationship where you have both tested for ALL sexually transmitted infections together.

To agree to have unprotected intercourse is to consent to the possibility of being infected with an STI. Sex without a condom lasts only a matter of minutes, but hiv is forever.

Have a look through the condom and lube links in my signature line so you can use condoms with confidence.

ALTHOUGH YOU DO NOT NEED TO TEST SPECIFICALLY OVER ANYTHING YOU HAVE BROUGHT TO US, anyone who is sexually active should be having a full sexual health care check-up, including but not limited to hiv testing, at least once a year and more often if unprotected intercourse occurs.

If you aren't already having regular, routine check-ups, now is the time to start. As long as you make sure condoms are being used for intercourse, you can fully expect your routine hiv tests to return with negative results.

Don't forget to always get checked for all the other sexually transmitted infections as well, because they are MUCH easier to transmit than hiv.

Use condoms for anal or vaginal intercourse, correctly and consistently, and you will avoid hiv infection. It really is that simple!

Ann

[madtour]

Thank you Ann. I have one last question. Will the abrasions on the outer foreskin leave a path to the inner foreskin? The little holes where the hair grows out of look very deep.

[Andy Velez]

Nope. More needless worrying. Really.

Get on with your life. Happily HIV is not a problem for you and if you continue to use condoms consistently for intercourse you will be well protected.

[madtour]

What is the risk of getting HIV through receptive fellatio without ejaculation? What if blood was involved? The whole encounter lasted around 30-50 seconds without ejaculation (not certain about pre-cum). At the end of this encounter I saw drops of blood around the lining of the urethra. I do understand that saliva contain over a dozen different enzymes and proteins that inhibit HIV transmission. What if the drops of blood entered my bloodstream directly via the urethra? Do you advice to be tested or not? I would have not been worried if blood was not involved. The person who performed fellatio did not have the best dental hygiene.   

Even though I know the CDC is highly conservative, they state that HIV can be transmitted "If the person performing oral sex has HIV, blood from their mouth may enter the body of the person receiving oral sex through" the lining of the urethra. As to the amount of blood required to transmit HIV is not listed, I am not certain if a few drops would be able to transmit. (Source - http://www.cdc.gov/hiv/resources/qa/transmission.htm).

Another very interesting read I had was on a panel that discussed the "risk of HIV Infection through Receptive Oral Sex". The only issue here is that the panel was conducted back in 2003, and I am certain that we have come a long way into understanding oral sex. Regardless, the panel stated the same thing that many individuals on this board agree with, which is that oral sex carries a very little risk if any. This still did not help answer my question because they did not discuss if blood entering the urethra could be a route to HIV transmission. (Source http://hivinsite.ucsf.edu/insite?page=pr-rr-05)

I completely understand that saliva does not pose any threat. The issue is that I think blood from her gums entered the lining of my urethra directly. If that blood was able to enter without being mixed with her saliva – Wouldn’t the blood be a route of HIV transmission?

Thank you.

I did post this same question over at medhelp and a person there named Tek did answer all of my questions. He did not want to answer the part regarding blood entering the lining of the urethra without saliva being present. http://www.medhelp.org/posts/HIV-Prevention/Risk-of-HIV-infection-through-receptive-oral-sex-with-blood-involved/show/1761583

[Ann]

Mad,

I've merged your new thread into your original thread - where you should post all your additional thoughts or questions. It helps us to help you when you keep everything in one thread. It doesn't matter how long it has been since you last posted in your thread or if the subject matter is different.

If you need help finding your thread when you come here, click on the "Show own posts" link under your name in the left-hand column of any forum page.

Please also read through the Welcome Thread so you can familiarize yourself with our Forum Posting Guidelines. Thank you for your cooperation.




You did NOT have receptive oral sex. You GOT a blowjob, and that's called INSERTIVE oral sex, because you're inserting your penis into someone's mouth. Receptive oral sex is when you receive a penis into your mouth. Got it? Good.

Getting a blowjob is not a risk for hiv infection. Unless you're in the habit of repeatedly punching a person in the mouth before they blow you, there could not possibly be enough blood present to cause the slightest concern. Once again you're worrying over nothing.

Ann

[madtour]

In the past month my fear of HIV has gone up tenfold. I have been doing a lot of research on HIV and I found out that it is possible to get HIV by visiting a dentist's office. A week ago I had my tooth filled due to a cavity and they used an IV syringe to numb a side of my mouth.

Could it be possible that the dental assistant used the same IV syringe over and over to save money? It is my fault for not requesting that they open the IV syringe in front of me. This might be needless worrying and I should be looking for mental help.

[RapidRod]

Seek professional help for you irrational thoughts.

[madtour]

Even though this incident - http://www.cbsnews.com/8301-504763_162-57472093-10391704/patients-of-colo-dentist-dr-stephen-stein-urged-to-get-tested-for-hiv-hepatitis-amid-reused-needles-probe/  happened in a different state, it does prove that it is a possibility. It is my moms fault for forcing me to get the cavity filled even though it was causing no discomfort.

[jkinatl2]

Even though this incident - http://www.cbsnews.com/8301-504763_162-57472093-10391704/patients-of-colo-dentist-dr-stephen-stein-urged-to-get-tested-for-hiv-hepatitis-amid-reused-needles-probe/  happened in a different state, it does prove that it is a possibility. It is my moms fault for forcing me to get the cavity filled even though it was causing no discomfort.

You will not be allowed to use this forum as a platform for your irrational fear.

Yes, decades ago, a dreadful man in Florida infected a handful of people with HIV. It was all over the news. It has not happened since.
Yes, a while back, there was a mix up in a clinic and several healthy people were given organs donated by a man who was within the window period for HIV.

I could go on. Exactly how much of life do you want to be terrified of?

[Ann]

It is my moms fault for forcing me to get the cavity filled even though it was causing no discomfort.

Mad,

So it's all your mom's fault eh? Sounds like she cares enough about you to encourage you be proactive about your health. That's a pretty good mom in my book.

Hopefully she'll also "force" you to seek out a therapist for your irrational hiv fear. Maybe she'll even find one for you, make an appointment and drag you there kicking and screaming. And no, not a single person has been infected during a therapist appointment.

We cannot help you with your irrational fears here.

If you read the Welcome Thread before posting like you're supposed to, you will have read the following posting guideline:

Anyone who continues to post excessively, questioning a conclusive negative result or NO RISK SITUATION, will be subject to a four week Time Out (a temporary ban from the Forums). If you continue to post excessively after one Time Out, you may be given a second Time Out which will last eight weeks. There is no third Time Out - it is a permanent ban. The purpose of a Time Out is to encourage you to seek the face-to-face help we cannot provide on this forum.

Please consider yourself warned!

Ann