Quantcast

Subscribe to:
POZ magazine
E-newsletters
Join POZ: Facebook MySpace Twitter Pinterest
Tumblr Google+ Flickr MySpace
POZ Personals
Sign In / Join
Username:
Password:
Welcome, Guest. Please login or register.
September 03, 2014, 02:02:41 AM

Login with username, password and session length


Members
  • Total Members: 23381
  • Latest: Jon24
Stats
  • Total Posts: 636962
  • Total Topics: 48354
  • Online Today: 183
  • Online Ever: 585
  • (January 07, 2014, 02:31:47 PM)
Users Online
Users: 2
Guests: 142
Total: 144

Welcome


Welcome to the POZ/AIDSmeds Community Forums, a round-the-clock discussion area for people with HIV/AIDS, their friends/family/caregivers, and others concerned about HIV/AIDS.  Click on the links below to browse our various forums; scroll down for a glance at the most recent posts; or join in the conversation yourself by registering on the left side of this page.

Privacy Warning:  Please realize that these forums are open to all, and are fully searchable via Google and other search engines. If you are HIV positive and disclose this in our forums, then it is almost the same thing as telling the whole world (or at least the World Wide Web). If this concerns you, then do not use a username or avatar that are self-identifying in any way. We do not allow the deletion of anything you post in these forums, so think before you post.

  • The information shared in these forums, by moderators and members, is designed to complement, not replace, the relationship between an individual and his/her own physician.

  • All members of these forums are, by default, not considered to be licensed medical providers. If otherwise, users must clearly define themselves as such.

  • Forums members must behave at all times with respect and honesty. Posting guidelines, including time-out and banning policies, have been established by the moderators of these forums. Click here for “Am I Infected?” posting guidelines. Click here for posting guidelines pertaining to all other POZ/AIDSmeds community forums.

  • We ask all forums members to provide references for health/medical/scientific information they provide, when it is not a personal experience being discussed. Please provide hyperlinks with full URLs or full citations of published works not available via the Internet. Additionally, all forums members must post information which are true and correct to their knowledge.

  • Product advertisement—including links; banners; editorial content; and clinical trial, study or survey participation—is strictly prohibited by forums members unless permission has been secured from POZ.

To change forums navigation language settings, click here (members only), Register now

Para cambiar sus preferencias de los foros en español, haz clic aquí (sólo miembros), Regístrate ahora

Finished Reading This? You can collapse this or any other box on this page by clicking the symbol in each box.

Welcome to Am I Infected

IMPORTANT UPDATE
Posted Tuesday, August 28, 2012

Welcome to the "Am I Infected?" POZ forum.

New members -- those who have posted three or fewer messages -- are permitted to post questions and responses, free of charge (make them count!). Ongoing participation in the "Am I Infected?" forum -- posting more than three questions or responses -- requires a paid subscription.

A seven-day subscription is $9.99, a 30-day subscription is $14.99 and a 90-day subscription is $24.99.

Anyone who needs to post more than three messages in the "Am I Infected?" forum -- including past, present and future POZ Forums members -- will need to subscribe, with secure payments made via PayPal.

There will be no charge to continue reading threads in the "Am I Infected?" forum, nor will there be a charge for participating in any of the Main Forums; Meds, Mind, Body & Benefits; and Off Topic Forums. Similarly, all POZ and AIDSmeds pages, including our "How is HIV Transmitted?" and "Am I Infected? (A Guide to Testing for HIV)" lessons, will remain accessible to all. 

NOTE: HIV testing questions will still need to be posted in the "Am I Infected?" forum; attempts to post HIV symptoms or testing questions in any other forums will be considered violations of our rules of membership and subject to time-outs and permanent bans.

To learn how to upgrade your Forums account to participate beyond three posts in the "Am I Infected?" Forum, please click here.

Thank you for your understanding and future support of the best online support service for people living with, affected by and at risk for HIV.

Author Topic: Unprotected oral and mouth ulcers... risk?  (Read 3139 times)

0 Members and 1 Guest are viewing this topic.

Offline Andy89

  • member
  • member
  • Posts: 2
Unprotected oral and mouth ulcers... risk?
« on: August 05, 2013, 11:14:24 PM »
Hi all...

Basically I want to get some reassurance. About two and a half weeks ago I had an anonymous encounter with a guy. One time thing, just wanted to try it out. We kissed a lot, and blew each other, but didn't come in each other. I know from what I've read on here that oral in and of itself is a low risk, but here's my issue. After the fact, I realized that I had some ulcers on my tonsils. Didn't think anything of it at the time. This was a Thursday.

On Sunday, I started feeling really awful, ended up with a high fever (103 to 104), dizziness, nausea, etc, and I ended up at the ER. Long story short, they admitted me and I was in hospital for two days. They ran all sorts of tests but didn't find anything and decided it was some random virus. They did give me two doses of IV Rocephin though.

I had a low fever for a few days after they let me out on Tuesday, but felt better after that. The following Monday I had an appointment with the primary care doctor just to follow up on my other health conditions (diabetes, cholesterol, and the like), and I asked them to run an STD panel since they were drawing blood anyway.

So that panel came back negative for HIV, HBV, HCV, and all, but positive for syphilis. The encounter I described was the only one I've had in the past 2-3 months.

Fast forward to this past Saturday, I've got a fever that comes and goes (temp is actually low in the morning but climbs to 99-99.5 in the afternoon), muscle aches, joint pain, drowsiness, fatigue, and all that. I know I'm probably getting worked up over nothing, and I'm planning on getting tested again at the appropriate time, but I'm wondering if anyone can offer any reassurance (or any terrifying information, if appropriate)  ;).

I guess what my question boils down to is this: I know that HIV and syphilis exist together more and more often these days, and I know that oral is low risk (even giving it), but that having open wounds can increase risk. First of all, is it even possible that the positive syphilis result could come from this incident (and yes, I know it's not a syphilis forum, but it's relevant), and the second part of that question is: given the circumstances as I've laid them out, if he was positive, what are the chances of transmission?

PS. They didn't think it was necessary to treat the syphilis again since the Rocephin in the hospital should have wiped it out. Said they'd do penicillin if the results indicated it on the next test. 

PPS. Really hoping I don't end up as that one-in-a-million statistic.

Offline Ann

  • Administrator
  • Member
  • Posts: 28,140
  • It just is, OK?
    • Num is sum qui mentiar tibi?
Re: Unprotected oral and mouth ulcers... risk?
« Reply #1 on: August 06, 2013, 04:40:26 AM »
Andy,

If the ulcers on your tonsils were actually syphilis chancres, then yes, if the guy you blew was hiv positive and had a high viral load, then you were at risk. Syphilis chancres are painless, so unless you see it, you won't know it's there.

If the sores on your tonsils were just ordinary pockets of debris and not syphilis chancres, then you weren't really at risk. If they were syphilis chancres, then it could be a problem. Even then, the guy would have to have a high viral load.

Thing is, saliva contains over a dozen different proteins and enzymes that damage hiv and render it unable to infect. This is why unless there are extenuating circumstances such as poor oral health, or the presence of syphilis chancres in the oral cavity, coupled with a high viral load on the part of the insertive partner, blowjobs just do not normally result in hiv infection.

Given you had possible syphilis chancres in your mouth, you would be prudent to test. He didn't cum in your mouth, so I think you'll come out of this ok, but the only way to know for sure is to test.

You should test at six weeks following this encounter. 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.

A six week negative must be confirmed at the three month point, but is highly unlikely to change.

And make sure you get retested for syphilis to ensure the antibiotics did indeed clear it.

Good luck.

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

Offline Andy89

  • member
  • member
  • Posts: 2
Re: Unprotected oral and mouth ulcers... risk?
« Reply #2 on: August 06, 2013, 03:38:36 PM »
Thanks, Ann. That sets me a little more at ease. This fever (while low) is still troubling me, but I know it's probably psychological. Suppose the ulcers were just tonsillitis and not syphilis chancres, I assume the risk would be lower? Can't wait to test at 6 weeks and hope this whole thing is over. If nothing else, I'm going to be a lot more careful in future.

I guess a follow:up question I have is, given that this was the only sexual encounter I've had since well before my last tests, how likely is it that I could have picked up syphilis or anything else and had it appear on a test 9 days later? Would whatever illness I had the weekend immediately after affect anything as far as testing?

Offline Ann

  • Administrator
  • Member
  • Posts: 28,140
  • It just is, OK?
    • Num is sum qui mentiar tibi?
Re: Unprotected oral and mouth ulcers... risk?
« Reply #3 on: August 07, 2013, 06:11:09 AM »
Andy,

I want to be absolutely clear in that I'm only suggesting you test for hiv over receptive oral due to the possibility of the sore on your tonsils being a syphilis chancre. I'm very much erring on the side of caution here.

If it's another, different infection, your tonsils would likely be sore (tonsillitis hurts like hell) and you haven't mentioned them being sore once. Syphilis chancres are painless.

Also, tonsils can accumulate debris from eating and that debris can be mistaken for a sore - and this debris collection will also (usually) be painless.

It is also possible that what you saw on your tonsils was a lesion caused by the second stage of syphilis (secondary syphilis). They're also painless.

It takes an average of 21 days for a primary chancre to appear, but it can happen anywhere from ten to 90 days. Lesions or rashes associated with secondary syphilis can appear anywhere from two weeks to two months (sometimes longer) after the primary chancre has disappeared.

Because syphilis shares a three month testing window period for a conclusive negative result with hiv, it is possible that your earlier tests missed it. Please keep in mind that syphilis is MUCH more easily transmitted than hiv and is easily transmitted during oral sex, UNLIKE hiv.

Check this out: http://www.nlm.nih.gov/medlineplus/ency/article/000861.htm

Again, I do think you'll come out of this hiv negative, but the prudent thing to do (given the presence of syphilis and the sores on your tonsils) is to test for hiv at the appropriate time.

By the way, you only have one free post left before you'll have to take out a subscription*, so please use it wisely. *(See details in the Pay-For-Participation Subscription Instructions thread at the top of the Am I Infected? index page.)

Good luck.

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

 


Terms of Membership for these forums
 

© 2014 Smart + Strong. All Rights Reserved.   terms of use and your privacy
Smart + Strong® is a registered trademark of CDM Publishing, LLC.