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Author Topic: Contact with potentially infected semen + blowjob  (Read 284 times)

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Offline scareddave

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Contact with potentially infected semen + blowjob
« on: January 09, 2022, 08:12:56 am »
Hello there and thanks in advance for your help.

Almost 7 weeks ago I met a random guy and received a blowjob but for less than a minute and did not ejaculate. The guy did masturbate himself to ejaculation straight on my penis including on my penis head and also the public area which I had earlier used cream to remove hair and there was slight soreness from the chemicals, nothing major but the area was a bit inflamed.

Afterwards I contacted this guy on the app I met him on and he revealed he does not know his status. He wanted to meet again and I said no and he has now blocked me. But I see from comments he has for certain had unprotected receptive sex with men who are HIV positive.

Anyway I went to the A&E within 30 hours and described my situation but PEP was not dispensed due to it been considered low risk. But the Dr made an assumption that most people living with HIV in the UK are on treatment and undetectable. If this guy doesn't know his status he could have a very high viral load.

I was tested at A&E anyway and it was negative for HIV which was expected as I have not engaged in any other sexual activity since I was last tested a year ago. I then had a follow up test at sexual health clinic 4 weeks later which was negative for HIV, Chlamydia, Gonorrhoea and Syphilis. I was advised to have a conclusive test at 3 months for HIV which I will do.

So I have some questions please:
- Would you expect the 4 week result to change?
- Why would PEP not be dispensed here when I explained to the doctor this person was likely HIV+ and his semen had come in to direct contact with my penis head (membrane and urethra) and irritated skin?
- Also receiving a blowjob, though I did not ejaculate, his saliva still came in to contact with my penis. I did not see the state of his gums or whether they were bleeding but if we assume they were combined with high viral load what risk would you attribute to this?

I had a rash on my upper body about 2 weeks after the incident and this is what freaked me out.

One final question please. About a week after my 4 week HIV test I got covid which I am fully recovered from. But I am concerned this might interfere with the 12 week test as some studies including from BMJ say this is possible and can give a false positive.

Sorry for the long post. There is so much conflicting information online about receiving blowjobs, some say it is low risk and some say none at all. The blowjob is probably the least of my worries but his semen coming to contact with my penis and irritated skin is worrisome for me.

Thankyou.

Offline Jim Allen

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Re: Contact with potentially infected semen + blowjob
« Reply #1 on: January 09, 2022, 09:16:01 am »
Hiya,

Irritated skin isn't a route for HIV and your other concerns lack all the biological and environmental conditions needed for acquiring HIV.

Move on with your life!

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

Keep in mind that some sexual practices described as 'safe' in terms of HIV might still pose a risk for transmission of other STI's, so please get tested at least yearly for STI's, including but not limited to HIV. Test more frequently if any condomless intercourse occurs.

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

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Offline Jim Allen

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Re: Contact with potentially infected semen + blowjob
« Reply #2 on: January 09, 2022, 09:19:31 am »
Quote
One final question please. About a week after my 4 week HIV test I got covid which I am fully recovered from. But I am concerned this might interfere with the 12 week test as some studies including from BMJ say this is possible and can give a false positive.

You don't need to test over this incident. Also, false positives happen on screening tests, this is not new and it isn't an issue as reactive screening tests aren't a diagnosis and simply means further confirmation testing would needed to confirm a reactive result.

However, you don't need to retest, you did not need to test outside of the standard yearly routine to begin with. Relax and move on with your life.
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 scareddave

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Re: Contact with potentially infected semen + blowjob
« Reply #3 on: January 09, 2022, 10:00:21 am »
Hello Jim thankyou for the fast responses.

When you say confirmation testing what do you mean by this? The 4 week test was blood drawn from a vein and the 12 week test will be the same. Is this considered a confirmed test or reactive?

I agree with you this is probably a low risk encounter. But still I am worried and did consider attending a different hospital and lying about what had happened to get PEP because the information sheet the doc showed did not say that insertive oral was zero risk, I think the figure was 1 in less than 10000 from the blowjob alone. Add to that the persons (probably infected) semen coming in to contact with the urethra, mucous membranes and skin irritation and this must increase the risk, no?

To ask clearly:
- If this person was HIV+ with a high viral load and had bleeding gums - would you still say the blowjob was no risk?
- If this person was HIV+ with a high viral load and his semen covered my penis head and irritation from hair removal cream - would you still say there is no risk?
- Are you aware of anyone having contracted HIV from receiving a blowjob or being in contact with infected semen in the way I describe?
- What percentage would you put on me getting HIV from either of these incidents?

I don't think I will be able to get over this until I have had the conclusive test at 3 months.

Great work you do here, sorry for all the questions.

Thankyou

Offline Jim Allen

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Re: Contact with potentially infected semen + blowjob
« Reply #4 on: January 09, 2022, 10:15:35 am »
Quote
- What percentage would you put on me getting HIV from either of these incidents?

Zero, I have already told you this.

Quote
I agree with you this is probably a low risk encounter.

A relatively low sexual risk would be if you had insertive anal or vaginal sex without a condom.

There was no HIV risk from the encounter posted here to you whatsoever. None!

Quote
insertive oral was zero risk
Quote
I think the figure was 1 in less than 10000 from the blowjob alone. Add to that the persons (probably infected) semen coming in to contact with the urethra, mucous membranes and skin irritation and this must increase the risk, no?
Quote
his saliva still came in to contact with my penis.

No, because receiving a blowjob lacks the conditions required for acquiring HIV. Thus it makes sense that after nearly 40 years of the HIV pandemic in terms of BJ's, there hasn't been a single documented case of HIV transmission to an insertive partner (the person being "sucked"), and you will not be the worlds first.

Saliva does not contain viable HIV, it is in fact hostile towards HIV damaging the receptors needed to infect.

The only oral that's an HIV concern is giving a blowjob and even that would be such a minute risk that it would not warrant testing outside of the yearly routine.

Quote
When you say confirmation testing what do you mean by this? The 4 week test was blood drawn from a vein and the 12 week test will be the same. Is this considered a confirmed test or reactive?

This would be a screening test and any reactive result on those tests would then require confirmation testing to rule out HIV or to diagnose HIV.

Now I wish you well but the only way you are going to acquire HIV is if something happened that you are not telling and I am not going to entertain that what you posted is a risk or requires testing as it would be a disservice to you and the community.

Please don't post about this again, thank you.

Quote
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« Last Edit: January 09, 2022, 10:34:38 am 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 scareddave

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Re: Contact with potentially infected semen + blowjob
« Reply #5 on: January 09, 2022, 01:38:00 pm »
Thankyou Jim. Appreciate the help and honest assessment. I had read studies about couples living together where one had HIV and one didn't and they engaged exclusively in oral sex and I don't think there was a single case reported. I trust your judgement and will put this behind me.

 


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