cunnilingus on csw and female ejaculation

[Nervous123]

Hello all.  Several weeks ago I was with a prostitute. She was about 24 year old. She performed unprotected oral on me and I performed unprotected cunnilingus on her. I was pretty anebriatted at the time. While I was performing oral on her she became extremely stimulated and squirted a fair amount on her fluids in my mouth which I swallowed. I am nervous about the fact that I swallowed her fluids and if they can contain HIV. Also do you think I should get tested for this risk. I do have a partner at home and am very nervous about having sex with her unprotected. Your thoughts would be very much appreciated.

[RapidRod]

You never had an exposure in the situations you've provide.

[Nervous123]

Ann, what is your opinion? Do you really believe it is a zero risk especially with alot of her ejaculation fluids in my mouth. I am having a hard time getting over this and wanted to know if you thought this was a risk that deserves testing for HIV. Thank you

[jkinatl2]

HIV transmission doesn't stand a chance of happening via female genitals to mouth - there are just too many obstacles on the oral route.

The first obstacle is the mouth itself. The mouth is a veritable fortress, standing against all sorts of pathogens we come into contact with every minute of our lives. It's a very hostile environment and saliva has been shown to contain over a dozen different proteins and enzymes that damage HIV.

HIV is a very fragile virus - literally. Its outer surface doesn't take kindly to changes in its preferred environment; slight changes in temperature, moisture content and pH levels all damage the outer surface. Importantly, it needs this outer surface to be intact before it can latch onto a few, very specific cell types and infect. 

Which leads to the second obstacle. HIV can only latch onto certain types of cells, cells which are not found in abundance in the mouth.

The third obstacle to transmission this way is having HIV present in the first place. The female secretion where HIV has been shown to be present is the cervicovaginal fluid. This fluid is actually a thick mucus that covers and protects the cervix.

The fluid a woman produces when sexually excited comes from the Bartholin's glands, located on either side of the vaginal opening. I have yet to discover one shred of evidence (and believe me, I've looked) that shows this lubricating fluid to have any more HIV present than other bodily secretions such as saliva, sweat or tears. Saliva, sweat and tears are NOT infectious fluids.

So there you have it. Once the results of the serodiscordant studies started rolling in, what we know about HIV transmission on the cellular level was validated. The only people who were getting infected were those who had unprotected anal or vaginal intercourse. Period. One of the three studies went on for ten years and involved hundreds of couples. That's a lot of nookie.


 (with liberal thanks to Jeff G)

[Nervous123]

Do you think I should get tested for this episode? I was just tested about 2 months ago and I was fine. This has been my only exposure since then. I am just really worried. Thank you

[RapidRod]

No you do not need testing, you never had an exposure.