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Author Topic: Concern about oral wounds  (Read 3983 times)

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Offline rainbow66

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Concern about oral wounds
« on: November 25, 2019, 03:57:36 pm »
Hello. I unfortunately had a perianal abscess worked on about 6 weeks ago. It was completely external---on the skin near my crack (sorry for these lovely words Im using)

The doctor at my check-up said it's healing.

So, a few days ago I bottomed, and he used protection. I can't tell if he tampered with the condom, but it seemed there was some semen near the abscess when I went to clean up. The sore is very small by now. It hasn't actively bled in a while---but it does have that red dot in the center where it sometimes still needs cleaning or may ooze a slight drop of blood now and then.

Since the sore is mostly healed and outside my body to begin with, I wanted to get your guys' take on my risk level. I don't know if there was a hemorrhoids present as well, but I've read hemorrhoids generally don't increase transmission risk. Thank you!!

Offline Jim Allen

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Re: Concern about oral wounds
« Reply #1 on: November 25, 2019, 04:05:19 pm »
Hiya,

Firstly, I hope you fully heal soon and I wish you well.

Some fluids externally even in contact with healing wounds is not an HIV concern, even if it has a red dot. Haemorrhoids would only be something to possibly consider if they were internal and during an event that already was a risk like during condomless intercourse.

I see no reason to stress or panic post this encounter.

Here's what you need to know in order to avoid hiv infection:
Use condoms for anal or vaginal intercourse, correctly and consistently, every time, no exceptions. Consider starting PrEP as an additional layer of HIV protection going forward

Keep in mind that some sexual practices which may be described as ‘safe’ in terms of HIV transmission might still pose a risk for transmission of other STI's, so please do get fully tested regularly and at least yearly for all STI's including but not limited to HIV and test more frequently if unprotected intercourse occurs

Also note that it is possible to have an STI and show no signs or symptoms and the only way of knowing is by testing.

More information on HIV Basics, PEP, TaSP and Transmission can be found through the links in my signature to our POZ pages, this includes information on HIV Testing

Kind regards

Jim

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As a member of the AM I Infected Forum you are required to only post in this one thread no matter how long between visits or the subject matter. You can find this thread by going to your profile and selecting show own post and it will take you here . It helps us to help you when you keep all your thoughts or questions in one thread and it helps other readers to follow the discussion. Any additional threads will be deleted.



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Offline rainbow66

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Re: Concern about oral wounds
« Reply #2 on: December 01, 2019, 06:33:01 pm »
If an actively bleeding wound forms OUTSIDE the anus during sex and semen gets on it, what is the risk level? Recently a sore got irritated and bled minorly during sex. I was unaware. When he took the condom off, I think some semen got on the wound. However, the semen was exposed to air.....my gut tells me this makes the risk low

Thank you :)

Offline Jim Allen

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Re: Concern about oral wounds
« Reply #3 on: December 01, 2019, 06:43:16 pm »
Hiya,

Not an HIV concern, unless you have had other encounters relax and move on with your life.
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Offline rainbow66

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Re: Concern about oral wounds
« Reply #4 on: May 19, 2021, 10:14:31 pm »
Hello, recently I gave a man oral and he finished in my mouth, I didn't swallow right away. I got caught up and forgot my lips were chapped---raw, all week. To the point where it would ever so slightly bleed sometimes.

Also, I bite the inside of my cheeks sometimes and don't always notice. In my understanding ---it takes a pretty serious wound in the mouth + ejaculating almost directly into it for even theoretical risk?

Offline Jim Allen

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Re: Concern about oral wounds
« Reply #5 on: May 20, 2021, 03:26:36 am »
Hello, recently I gave a man oral and he finished in my mouth, I didn't swallow right away. I got caught up and forgot my lips were chapped---raw, all week. To the point where it would ever so slightly bleed sometimes.

Also, I bite the inside of my cheeks sometimes and don't always notice. In my understanding ---it takes a pretty serious wound in the mouth + ejaculating almost directly into it for even theoretical risk?



Hiya,

Look giving a blowjob, the mouth generally lacks a route for HIV to infect, even if you had gaping holes in your mouth like meth mouth saliva also acts to neutralize HIV by damaging the receptors needed to infect human cells. It's such a minute risk that we don't even recommend specifically testing over it.

Just get tested whenever you are next normally due for a regular STI & HIV screening.

Here's what you need to know to avoid HIV infection:
Use condoms for anal or vaginal intercourse, correctly and consistently, every time, no exceptions. Consider talking to your health care provider about taking PrEP going forward as an additional layer of HIV protection.

Keep in mind that some sexual practices which may be described as ‘safe’ in terms of HIV transmission might still pose a risk for transmission of other STI's, so please do get fully tested regularly and at least yearly for all STI's including but not limited to HIV and test more frequently if unprotected intercourse occurs

Also, note that it is possible to have an STI and show no signs or symptoms and the only way of knowing is by testing.

Kind regards

Jim

Please Note.
As a member of the "Do I have HIV?" Forum you are required to only post in this one thread no matter how long between visits or the subject matter. You can find this thread by going to your profile and selecting show own post and it will take you here. It helps us to help you when you keep all your thoughts or questions in one thread and it helps other readers to follow the discussion. Any additional threads will be deleted.
« Last Edit: May 20, 2021, 03:45:07 pm by Jim Allen »
HIV 101 - Everything you need to know
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PEP and PrEP

Offline rainbow66

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Re: Concern about oral wounds
« Reply #6 on: October 03, 2021, 04:08:14 pm »
I always use protection no matter my position. I was bottoming.

Luckily, he did not ejaculate inside me. However, once he took the condom off and went to the bathroom, I went to throw the condom away. He had poked holes in it. I know there are a subset of people who do this, so I don't feel it's in my head.

I am beside myself. I started PEP around 45 hours post exposure. Research on PEP is vastly inconsistent. Some reputable studies say administration after even 24 hours may lose its benefit. However, these studies involve primates given large viral loads.

My questions:::

1) Have you heard of a case from a one-time receptive anal incident with a damaged or tampered condom---- without ejaculation ---that led to infection?

2) How effective is PEP at 45 hours?

Thank you so very much for any help or insight.

Offline Jim Allen

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Re: Concern about oral wounds
« Reply #7 on: October 03, 2021, 04:17:18 pm »
Hiya,

Primate testing...

If I was a different species of primate I would have been cured a dozen times already but I'm human, it seems that a few % difference between primates and artificial testing vs real-world situations and SIV vs HIV makes all the difference.

Quote
1) Have you heard of a case from a one-time receptive anal incident with a damaged or tampered condom---- without ejaculation ---that led to infection?

Sure, headline stuff e.g so rare it's going to be headline news tomorrow. Anyhow, tampering would lead to the condom failing obviously during intercourse. How did you detect this issue?

Quote
2) How effective is PEP at 45 hours?

Highly. Anything within 72 hours post-exposure is highly effective, part of this is simply because it takes HIV a better part of a week to infect post-exposure and take hold.

Here's what you need to know to avoid HIV infection:
Use condoms for anal or vaginal intercourse, correctly and consistently, every time, no exceptions. Consider talking to your healthcare provider about PrEP as an additional layer of HIV protection

Keep in mind that some sexual practices described as ‘safe’ in terms of HIV transmission might still pose a risk for transmission of other STI's, so please do get tested regularly and at least yearly for all STI's including but not limited to HIV and test more frequently if unprotected intercourse occurs

Also, note that it is possible to have an STI and show no signs or symptoms and, the only way of knowing is by testing.

Kind regards

Jim

Please Note.
As a member of the "Do I have HIV?" The forum you are required to only post in this one thread no matter how long between visits or the subject matter. You can find this thread by going to your profile and selecting show own post and it will take you here. It helps us to help you when you keep all your thoughts or questions in one thread and it helps other readers to follow the discussion. Any additional threads will be deleted.
« Last Edit: October 03, 2021, 04:19:57 pm by Jim Allen »
HIV 101 - Everything you need to know
HIV 101
Read more about Testing here:
HIV Testing
Read about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read about HIV prevention here:
HIV prevention
Read about PEP and PrEP here
PEP and PrEP

Offline Jim Allen

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Re: Concern about oral wounds
« Reply #8 on: October 03, 2021, 04:18:47 pm »
P.S

I merged your threads, please only post in this one thread going forward. Thanks.

Quote
Please Note.
As a member of the "Do I have HIV?" Forum you are required to only post in this one thread no matter how long between visits or the subject matter. You can find this thread by going to your profile and selecting show own post and it will take you here. It helps us to help you when you keep all your thoughts or questions in one thread and it helps other readers to follow the discussion. Any additional threads will be deleted.
HIV 101 - Everything you need to know
HIV 101
Read more about Testing here:
HIV Testing
Read about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read about HIV prevention here:
HIV prevention
Read about PEP and PrEP here
PEP and PrEP

Offline rainbow66

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Re: Concern about oral wounds
« Reply #9 on: October 03, 2021, 04:23:18 pm »

Okay, so it seems I am safely within the PEP window. I am not sure how there were holes without the condom failing, but the doctor at the gay male health clinic said he has heard of it (yes, I know that is dependent on self-report haha)

So you're saying a condom failing one time without ejaculation would almost make headlines?

Offline Jim Allen

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Re: Concern about oral wounds
« Reply #10 on: October 03, 2021, 04:26:02 pm »
Okay, so it seems I am safely within the PEP window. I am not sure how there were holes without the condom failing, but the doctor at the gay male health clinic said he has heard of it (yes, I know that is dependent on self-report haha)

So you're saying a condom failing one time without ejaculation would almost make headlines?

No, I am saying you had no risk from SIV from this event and if the condom failed during the intercourse resulting in a possible HIV risk it would be obvious. So primate SIV PEP studies are not relevant unless you happen to be a primate that is non-human? That would be a first for me.

As for what the gay male health clinic doctor heard  ::)

Again, not sure how you found out the condom had issues afterwards, I hope it's not the water test as I would then recommend therapy.

 
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HIV Testing
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You can read about HIV prevention here:
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Offline rainbow66

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Re: Concern about oral wounds
« Reply #11 on: October 03, 2021, 04:43:20 pm »
No it was not the water test, The wrapper was initially torn at the corner, and it looked like he poked holes in the top with a paperclip.

My comparison to SIV was just to ask if that's why those studies showed a short, 24hour window period for PEP---because of such a high viral load. Other than that I am not talking about SIV.

I consider this incident to be some degree of sexual assault. Please, I want to know the estimated risk from a one time condom malfunction with no ejaculation.

I do understand some men probably say the condom was tampered with because it's more socially acceptable than saying it was unprotected sex. Is that what what you mean by saying if the condom fails, the condom noticeably fails?


Offline Jim Allen

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Re: Concern about oral wounds
« Reply #12 on: October 03, 2021, 05:09:07 pm »
The reason I mention it is that this is HIV, not SIV, so reading PEP studies in primates is like me getting cured or treatment from studies that worked or did not work in primates, it simply means nothing.

Anyhow, I read what you posted about the wrapper, here is my assessment, if a condom fails during the act of intercourse it's obvious. There is no reason to be stressing about intercourse as long as this obvious issue did not happen.

I see no obvious risk or testing warranted, let alone PEP as PEP is really for post-high-risk or confirmed exposure. Anyhow, if you started PEP finish the course and test but unless you have had other exposures I would expect a non-reactive result.

Recommend you do consider PrEP going forward as an additional layer of prevention and for peace of mind.


HIV 101 - Everything you need to know
HIV 101
Read more about Testing here:
HIV Testing
Read about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read about HIV prevention here:
HIV prevention
Read about PEP and PrEP here
PEP and PrEP

Offline rainbow66

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Re: Concern about oral wounds
« Reply #13 on: October 03, 2021, 05:14:24 pm »
Thank you for all you do!

Offline rainbow66

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Re: Concern about oral wounds
« Reply #14 on: October 11, 2021, 08:40:19 pm »
Hello, I have a followup question on broken condoms.

Same scenario as above but another question. I pulled the condom off after I bottomed and gave him oral for several minutes. Aside from damanged condoms rarely going unoticed, wouldn't I have tasted something besides latex when I gave him oral? It seems like I should have been tasting...myself...to some degree on the head of his penis if the condom broke...correct?

Offline Jim Allen

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Re: Concern about oral wounds
« Reply #15 on: October 11, 2021, 08:51:17 pm »
Hiya,

So giving a blowjob is a minute HIV risk and the condom question I've answered. If you tasted crap afterwards or not changes nothing.

Jim.

Anyhow, I read what you posted about the wrapper, here is my assessment, if a condom fails during the act of intercourse it's obvious. There is no reason to be stressing about intercourse as long as this obvious issue did not happen.

I see no obvious risk or testing warranted, let alone PEP as PEP is really for post-high-risk or confirmed exposure. Anyhow, if you started PEP finish the course and test but unless you have had other exposures I would expect a non-reactive result.

Recommend you do consider PrEP going forward as an additional layer of prevention and for peace of mind.
HIV 101 - Everything you need to know
HIV 101
Read more about Testing here:
HIV Testing
Read about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read about HIV prevention here:
HIV prevention
Read about PEP and PrEP here
PEP and PrEP

Offline rainbow66

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Re: Concern about oral wounds
« Reply #16 on: October 11, 2021, 08:52:43 pm »
In the meantime, I was wondering if there is any validity to my idea that the condom likely did not break because I did not taste my ass when I sucked his dick after it was in me. I know condoms failing is usually noticeable but I am just asking

Offline Jim Allen

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Re: Concern about oral wounds
« Reply #17 on: October 11, 2021, 08:56:51 pm »
And I've already answered this.

Relax, live your life, finish the PEP and test.

Best, Jim.
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Offline rainbow66

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Re: Concern about oral wounds
« Reply #18 on: October 11, 2021, 08:59:59 pm »
Sorry for dragging it on, there's just nothing to lean on until the test. So I think me and some others on here clamor for any reassurance and we can't trust our own minds, so we turn to experts.

Offline Jim Allen

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Re: Concern about oral wounds
« Reply #19 on: October 12, 2021, 04:35:51 am »
Sure, I understand.

Try not to overthink things, live your life, finish the PEP and test. If what you posted was your only potential exposure then you can fully expect a non-reactive result.
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Offline rainbow66

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Re: Concern about oral wounds
« Reply #20 on: October 12, 2021, 06:25:30 pm »
For the hell of it, I poked a thumb tack through the center of a fully wrapped condom, so a pretty tiny hole. I tried it (alone, of course) and it did not last long. I think this and your responses subdued my concerns.

Offline Jim Allen

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Re: Concern about oral wounds
« Reply #21 on: October 12, 2021, 07:18:18 pm »
Yeah, the outcome of that home test is not really scientifically relevant.

Anyhow, relax.
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