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Author Topic: Oral + topping a poz guy  (Read 7064 times)

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Offline worried dfw

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Oral + topping a poz guy
« on: April 16, 2007, 11:36:36 AM »
I topped a poz guy using a condom which didn't break. I also performed unprotected oral sex on him for about 20 seconds and there was a little precum. A couple of days after that incident, he told me that he had been waiting for new meds for a couple of weeks. Does that increase the oral risk? I had no mouth sores/bleeding or anything like that. He didn't ejaculate either. What's the risk here?

Offline Andy Velez

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Re: Oral + topping a poz guy
« Reply #1 on: April 16, 2007, 11:48:15 AM »
Worried, giving oral, especially without ejaculation, is considered at the very low end of the risk scale. There has been some anecdotal reporting in a few cases of transmission being caused by giving oral. However, there is much more evidence against it as a creditable risk through longterm studies of HIV sero-discordant couples who had lots of protected vaginal & anal intercourse and unprotected oral without any sero-negative partner becoming infected.

Also, for instance giving oral to someone who is HIV+ and on meds, (and possibly with an undetectable viral load) makes giving oral even less risky.

So giving oral falls into an area of what level risk you're comfortable with. From what you have described of this incident I don't see testing as necessary. In general we do recommend that anyone who's sexually active should regularly have a full STD panel done. Annually is good and every six months is even better.

Cheers, 
Andy Velez

Offline worried dfw

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Re: Oral + topping a poz guy
« Reply #2 on: April 16, 2007, 11:50:54 AM »
Thanks Andy. Does the fact that he'd been off meds for a couple of weeks waiting on new meds (he's on some sort of state run program, I believe) have a huge impact on viral load? I did some reading online, which always scares the hell out of you, saying that viral load can bounce up and down like a yo-yo, and even more so if you're off meds even for a short time. Is that true?

Offline ACinKC

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Re: Oral + topping a poz guy
« Reply #3 on: April 16, 2007, 12:02:41 PM »
It is true that when not on medication it is possible for your viral load to escalate.  Regardless of this fact, you are STILL in the extremely LOW risk area of HIV transmission.  And when we say EXTREMELY LOW we are talking miniscule odds.

I personally would not test over that incident.  My wife has been blowing me unprotected for years and she remains negative.

LIFE is not a race to the grave with the intention of arriving safely
in a pretty and well-preserved body, but, rather to skid in broadside,
thoroughly used up, totally worn out, and loudly proclaiming--WOW! WHAT A
RIDE!!!

Offline worried dfw

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Re: Oral + topping a poz guy
« Reply #4 on: April 16, 2007, 07:07:52 PM »
Thanks, ACinKC, I appreciate the info.

I just found this info on the Swiss AIDS Federation site. Any comments on how accurate it is, especially the part about pre-cum not being a transmission risk?

http://www.aids.ch/e/fragen/risiko.php#FAQ4

Am I at risk when giving a men oral sex?
It is important not to get any sperm into your mouth, and if you do, don’t swallow. According to the current state of knowledge, the so-called pre-cum before climax does not constitute any risk.
It may be a good idea to ask your partner to withdraw before climaxing or to give you a clear sign. If he should ejaculate into your mouth, be sure to spit out the sperm immediately and to rinse your mouth several times with lukewarm water. Do not swallow the sperm! Even if you are HIV-positive, there is no risk of infection for your partner.

I promise I'll shut up now, I'm most likely being overly paranoid.

Offline Ann

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Re: Oral + topping a poz guy
« Reply #5 on: April 17, 2007, 06:19:16 AM »
worried,

Precum can be a problem in unprotected anal intercourse. However, with oral, hiv has a difficult time because the mouth is an extremely inhospitable place for hiv to be. Hiv is fragile and will become damaged and unable to infect when it is exposed to subtle changes in moisture content, temperature and pH levels. Saliva contains over a dozen different proteins and enzymes that damage hiv. This is why oral transmission is rare, in the greater scheme of things.

Ann
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"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

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