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Author Topic: HIV risk from Insertive Fellatio + Kissing  (Read 3312 times)

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Offline UK_29_M

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HIV risk from Insertive Fellatio + Kissing
« on: October 24, 2012, 05:35:45 PM »
I am a virgin and occasionally use escorts for massage, kissing, receiving unprotected or protected oral sex. I had routine blood tests for HIV in Sep 2011 and Jan 2012, and both tests came out negative. I then visited two escorts (at the same agency) in Sep 2012: 

1. The first escort gave me protected oral sex on my penis + light kissing + handjob + she sucked my testicles and I ejaculated on my stomach.

2. Three weeks later, a second escort gave me: kissing + unprotected oral sex on my penis + I ejaculated in her mouth + I sucked her breasts. I did not see any blood in either encounter and I did not have any sores or cuts on my penis. I NEVER gave any oral sex to either of them.   

After 4 weeks after this second encounter, I went to the sexual health clinic as I was worried about the risk of HIV. The advisor insisted that I do not need a HIV test as I apparently "did not have a HIV risk" and he did not "want to collude with my anxiety by taking a HIV test for a no-risk encounter". He only took urine samples to test for other possible STD's and said the results would be available in 2 weeks. He said I could take a HIV test at the 3 month mark if I really want to for peace of mind (and as a reward for managing my anxiety!).

What do you think? Was I at risk? Do I still need to take a HIV test? And when should I take it?

Online Andy Velez

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Re: HIV risk from Insertive Fellatio + Kissing
« Reply #1 on: October 24, 2012, 05:56:28 PM »
You are worrying needlessly about HIV.

In the entire history of the HIV epidemic there has never been even a single confirmed case of transmission to a guy in that manner, and it's one of the most common of sexual activities. It is safe to say you are not going to make history by becoming the first.

The ONLY confirmed risks for the sexual transmission of HIV are unprotected vaginal and anal intercourse. As long as condoms are used properly for those activities everytime you will be well protected.

Other STDs are much easier to acquire so we advise anyone who is sexually active to at least annually have a full STD panel done and every 6 months would be even better.

Based on what you have reported, at this time you have no reason to be concerned about HIV nor any need for HIV testing. 
Andy Velez

Offline jkinatl2

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Re: HIV risk from Insertive Fellatio + Kissing
« Reply #2 on: October 24, 2012, 06:30:45 PM »
No matter how you parse it, getting oral from a female or giving oral to a female will not put you at risk for HIV. Neither will kissing.

"Many people, especially in the gay community, turn to oral sex as a safer alternative in the age of AIDS. And with HIV rates rising, people need to remember that oral sex is safer sex. It's a reasonable alternative."

-Kimberly Page-Shafer, PhD, MPH

Welcome Thread

Offline Tammy11

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Re: HIV risk from Insertive Fellatio + Kissing
« Reply #3 on: October 29, 2012, 05:08:44 PM »
I have beeping reading oral sex related transmission over weeks now. I have never seen any answer that upset me. However very a few people came back an reply their negative results. Please please for the other people who are anxious, share us the good news. Thank you.

Offline RapidRod

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Re: HIV risk from Insertive Fellatio + Kissing
« Reply #4 on: October 29, 2012, 05:41:26 PM »
Tammy11, ■Only those Moderators and members who are authorized to answer questions in the Am I Infected? forum are permitted do so. Unauthorized responses may be deleted without permission of the poster. Repeatedly posting replies of this nature may result in a Time Out or permanent ban, at the discretion of the Moderator Team.

Offline jkinatl2

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Re: HIV risk from Insertive Fellatio + Kissing
« Reply #5 on: October 29, 2012, 07:36:51 PM »
Sadly, a large number of posters do not come back to report their negative result. In the handful of positive results from this forum, most of those posters report back in the week or weeks where test results are verified and almost all positive posters end up in the Just INfected forum.

In the absence of follow-up, it is safe to assume that the poster tested negative. Especially in a thread like this where no risk existed.

"Many people, especially in the gay community, turn to oral sex as a safer alternative in the age of AIDS. And with HIV rates rising, people need to remember that oral sex is safer sex. It's a reasonable alternative."

-Kimberly Page-Shafer, PhD, MPH

Welcome Thread

Offline UK_29_M

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Re: HIV risk from Insertive Fellatio + Kissing
« Reply #6 on: November 15, 2012, 01:51:07 PM »
I understand my encounter was near-zero risk for HIV, but I took the tests for peace of mind. For those who are interested, here are my results: At the 4-week mark, I was tested for Gonorrhoea and Chlamydia = both were NEGATIVE. At the 6-week mark, I took a HIV-Duo test for HIV and a test for Syphilis = both were NEGATIVE. :)

-
By the way, I have a couple of general questions about the HIV-Duo test:

1. How long do p24 antigens remain detectable in the body? As I understand, levels of p24 antigens peak in the first couple of weeks and then start to drop. Would these antigens remain in the body at a detectable level at 6 weeks, for the Duo test to pick it up?

2. As for the antibody portion of the test, are HIV antibodies always detectable at 6 weeks?

Just curious and interested to learn more. Thanks in advance!
« Last Edit: November 15, 2012, 01:54:16 PM by UK_29_M »

Offline RapidRod

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Re: HIV risk from Insertive Fellatio + Kissing
« Reply #7 on: November 15, 2012, 02:29:18 PM »
You were advised you never had an exposure.

Offline Ann

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Re: HIV risk from Insertive Fellatio + Kissing
« Reply #8 on: November 16, 2012, 04:26:04 AM »
UK,

No. It would be unusual for the p24 antigen to still be detectable by six weeks, as most people will already be testing antibody positive by six weeks if they've actually been infected. It's rare for someone to take more than six weeks to create enough antibodies to trigger a positive antibody test, but the window period remains at three months to catch that rare person.

The p24 antigen disappears as the antibodies appear. The p24 antigen test is only useful in the first two to three weeks, before enough antibodies are created to trigger a reactive (aka positive) antibody result.

It's no surprise your six week hiv test was negative - you did NOT have a risk for hiv infection. You are conclusively hiv negative and you do not need further hiv testing at this time. You are conclusively negative because you DID NOT HAVE A RISK.

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 FURTHER HIV TESTING AT THIS TIME, 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. Some of the other STIs can be present with no obvious symptoms, so the only way to know for sure is to test.

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

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

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline UK_29_M

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Re: HIV risk from Insertive Fellatio + Kissing
« Reply #9 on: November 16, 2012, 07:26:08 AM »

Ann, thank you for that informative post!

So basically, antigens and antibodies tend to exist in the body in an inverse relationship; as antibodies levels rise, antigen levels reduce?

I am in perfectly good health otherwise so I'm guessing I would have produced antibodies at the 6 week mark (had I been exposed or infected) and the Duo test would've surely picked it up?

And yes, I understand that I don't need to worry about HIV any more. But the interesting thing about this experience, is that I've learnt so much about HIV, the tests, precautions and treatments available. But I'm a curious individual hence my questions here! :)

Offline Ann

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Re: HIV risk from Insertive Fellatio + Kissing
« Reply #10 on: November 16, 2012, 07:39:10 AM »

So basically, antigens and antibodies tend to exist in the body in an inverse relationship; as antibodies levels rise, antigen levels reduce?


Yes.


I am in perfectly good health otherwise so I'm guessing I would have produced antibodies at the 6 week mark (had I been exposed or infected) and the Duo test would've surely picked it up?


Yes, you would have tested hiv positive by that time. The vast majority of people who have actually been infected will seroconvert and test positive by six weeks, with the average time to seroconversion being only 22 days.

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

Ann
Condoms are a girl's best friend

Condom and Lube Info  



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

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

 


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