risk percentage for these practices

[kennn]

Hello

I am very concerned with practicing oral sex male to male. I have read carefully many questions on this foum regarding this subject and the answer is the same: no risk. no documented cases, according some studies vafrried out on discordant couples.

Have this fact been corroborated more recently by newer studies?

Thanks

[Andy Velez]

There has been no documented evidence to disprove the longterm studies you refer to.

If you are talking about giving oral male to male, there is ample and credible evidence that it is not a risk. Obviously if you have very fresh open wound in your mouth it makes sense to not give oral. Or if you have really poor oral health. Your own saliva acts as a very effective barrier to the transmission of viable HIV.

Finally, I always tell people not to do anyting they are not comfortable with. You can always use a condom for giving oral. You have to decide if your concern is such that it would worry you too much to do it without protection. But I see doing that as something strictly for your personal comfort zone and not because there is a real risk.

I haven't said anything about receiving oral because that has long been accepted as no risk whatsoever.

[jkinatl2]

I do not know of any studies since the HOT Study, the Romero study, and the third Page-Shaeffer studies in the early to mid 2000's. One study was ten years in the making, another five years, and another almost a year.

After none of these studies were able to find a single documented case of orally transmitted HIV in the couples they followed and the reports they received, the studies concluded. I do not know of any further studies currently being conducted.

[kennn]

hello IŽd like to figure out how risky is in an approximate way these practices:

1- Compared with receptive anal intercourse, How risky maybe insertibe unprotected in approximate percentages?

2- A man receiving non protected sex from other man

3-  a man sucking other manŽs penis

4- Deep kissing supposing one man swallows some hypothetical blood (for example due to gingivitis)coming from the mouth of his partner.

I am very concerned with all these questions. Thanks

[Ann]

Ken,


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We don't deal with percentages here. Sorry.

1. Unprotected insertive anal intercourse is a lower risk than unprotected receptive anal intercourse, but it is still a risk.

2. Unprotected receptive anal intercourse is very risky.

3. No risk. This has already been explained to you.

4. No risk. The person would have to be bleeding profusely in order for there to be any risk, and you're not going to kiss someone who is bleeding that heavily.

Here's what you need to know in order to remain hiv negative:

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.

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

[kennn]

Thanks for your kind answers.

Let me ask a question about a hypothetical case. I know that may sound a biy exagerate. But IŽd like to know also about this posibility:

Is there any risk if a person sucks a part of the body of other person, for example the belly, where could be present some amount of dry semen(for example, from a previous masturbation or a previous intercourse of that person) and the there is swallowing of that dry fluid?

Also, from the previous point number 3 I asked, I can state that there is neither risk from pre-cum, as this is present very soon after sexual intercourse has begun although ejaculation doesnŽt come until later. Correct? Thank you

[Ann]

Ken,

Successful hiv transmission occurs INSIDE the body, as in unprotected anal or vaginal intercourse where the virus never leaves the confines of the two bodies.

Once hiv is outside the body, small changes in temperature, and pH and moisture levels all quickly damage the virus and render it unable to infect.

Also, saliva contains over a dozen different proteins and enzymes the damage hiv and render it unable to infect. This is one of the reasons why transmission does not happen orally.

So no, sucking cum - dried or other wise - is not a risk for hiv infection.

I do not understand your last question.

Use condoms for anal or vaginal intercourse, correctly and consistently, and you will avoid hiv infection. IT REALLY IS THAT SIMPLE!!!

Ann

[kennn]

hello

my last question was about how risky is pre-cum which is always present in any fellatio as pre-cum appears soon. But from your answer it seems that it is zero.

However, although of course I believe all what you have told me, I am not expert and I get very confused when I read informations like this

http://aids.about.com/cs/safesex/a/oralsex.htm

[Ann]

Ken,

The only "documented" cases of oral transmission that I know about are "documented" through patient report - which means the person infected swore up and down that their only possible risk was oral.

However, studies of serodiscordant couples have shown us that this just doesn't happen in real life. I believe the studies over the patient report, which is notoriously unreliable.

You will have to choose what you believe.

Ann