Welcome, Guest. Please login or register.
January 21, 2018, 07:40:26 PM

Login with username, password and session length

  • Total Posts: 725381
  • Total Topics: 59134
  • Online Today: 365
  • Online Ever: 1421
  • (August 13, 2016, 05:18:44 AM)
Users Online
Users: 6
Guests: 242
Total: 248


Welcome to the POZ 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 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

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 pages, including our "HIV Transmission and Risks" and "Am I Infected? (A Guide to Testing for HIV)" basics, 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: Need clarification about insertive fellatio with blood in mouth from CDC site  (Read 2853 times)

0 Members and 1 Guest are viewing this topic.

Offline AHVincent

  • Standard
  • Member
  • Posts: 4
The situation:

Got a blow job from  a girl (might be a prostitute) in Thailand, noticeable ammount of blood on penis, about the same as having sex with a woman on her period.

No wound on penis.

Now according to all posts there is no danger with this exposure, however the CDC sites mentions that there could be a risk according to their PEP algorythm over here:


That page states that there is susbstancial risk from exposure to blood from mucous membrane....

It's very hard to get a clear answer on this, is blood dangerous or not?

Does saliva deactived the virus completely?

Was there a risk at all?

The doctors in Thailand all recommend PEP so I don't know what to do!

Offline jkinatl2

  • Member
  • Posts: 6,007
  • Doo. Dah. Dipp-ity.
There has never been a case of HIV documented to have been transmitted through insertive fellatio. This is because it is all but impossible to overcome the powerful anti-viral components in saliva.

CDC also sites deep kissing as a possible risk, despite all the evidence that shows it is not - nor has anyone ever been documented to have been infected in this manner.

Insertive fellatio is NO risk.

Neither is kissing, by the way.

Why does the CDC not update transmission vectors to accommodate science from the last fifteen years? You ought to ask them. We certainly have, multiple times.

"Many people, especially in the gay community, turn to oral sex as a safer alternative in the age of AIDS. And with HIV rates rising, people need to remember that oral sex is safer sex. It's a reasonable alternative."

-Kimberly Page-Shafer, PhD, MPH

Welcome Thread

Offline AHVincent

  • Standard
  • Member
  • Posts: 4
Hi Jkina,

Yes indeed, that CDC article should be updated then.

I see from your signature that you are a doctor.

Any research on the ratio of saliva to blood?

I mean, would a ratio of let's say 99 units of blood to one unit of saliva be sufficient?

Any links on the saliva deactivation resarch?


Offline jkinatl2

  • Member
  • Posts: 6,007
  • Doo. Dah. Dipp-ity.
Hi Jkina,

Yes indeed, that CDC article should be updated then.

I see from your signature that you are a doctor.

Any research on the ratio of saliva to blood?

I mean, would a ratio of let's say 99 units of blood to one unit of saliva be sufficient?

Any links on the saliva deactivation resarch?


My signature quotes a doctor. My research quotes multiple doctors, but I am a lowly AIDS Educator with 20 years in the field and ten of those here, answering questions, checking research and contributing to the LESSONS section of the forums.

As to your question, it has not been studied (to my knowledge). Over a dozen elements, enzymes and proteins, have been identified (so far) that render the glycoprotein shell surrounding the HI Virus inactive. They do so by dissolving that glyciprotein (GT 120) which connects HIV to cd4 and dendritic cells, then dissolving GT 41, a transmembrane glycoprotein that acts as a "stalk" to support GT120. At the same time, salivic enzymes weaken the lipid proteins which surround the viral particle and support GT41.

Once that happens, you are left with a bald matrix, a deccimated capsis membrane and an extremely vulnerable, inert RNA strand with no ability to inject itself into a cell.

There has been no research that I am aware of that tests the ratio of blood to saliva as regards infection transmissibility. Perhaps this is because saliva, infectious particles, and viral load are fluid (no pun intended) variables that cannot remain static in a single sample, much less as a base from which toi derive a constant.

And yes, I submit that were the CDC not a governmental agency whose references (when they choose to disclose them) are often three levels deep into Catholic Church-funded "science" that denies the role of condoms in preventing HIV, then the science would be paramount rather than the politics.

*Modified for spelling as AIDSMEDS chose to crash when I attempted to post this.

And to add sone reading material:

Secretory leukocyte protease inhibitor (SLPI) in mucosal fluids inhibits HIV-I.
Wahl SM, McNeely TB, Janoff EN, Shugars D, Worley P, Tucker C, Orenstein JM.
Laboratory of Immunology, NIDR, NIH, Bethesda, MD 20892, USA.


Mucosal and Plasma IgA from HIV-1-Exposed Uninfected Individuals Inhibit HIV-1 Transcytosis Across Human Epithelial Cells1
Claudia Devito*, Kristina Broliden2,*, Rupert Kaul†, Lennart Svensson‡, Kari Johansen‡, Peter Kiama†, Joshua Kimani†, Lucia Lopalco§, Stefania Piconi¶, Job J. Bwayo†, Francis Plummer†∥, Mario Clerici3 and Jorma Hinkula‡


Secretory leukocyte protease inhibitor: a human saliva protein exhibiting anti-human immunodeficiency virus 1 activity in vitro.

T B McNeely, M Dealy, D J Dripps, J M Orenstein, S P Eisenberg, and S M Wahl


Identification of a CD36-related Thrombospondin 1–binding Domain in HIV-1 Envelope Glycoprotein gp120: Relationship to HIV-1–specific Inhibitory Factors in Human Saliva

René Crombie*‡, Roy L. Silverstein*, Clarinda MacLow*‡, S. Frieda A. Pearce*, Ralph L. Nachman*, and Jeffrey Laurence*‡

« Last Edit: May 23, 2013, 01:57:00 AM by jkinatl2 »
"Many people, especially in the gay community, turn to oral sex as a safer alternative in the age of AIDS. And with HIV rates rising, people need to remember that oral sex is safer sex. It's a reasonable alternative."

-Kimberly Page-Shafer, PhD, MPH

Welcome Thread

Offline AHVincent

  • Standard
  • Member
  • Posts: 4
Thank you so much Jkina,

So basically no risk right?

Even if the person had a mouthful of blood?

I'm sorry and don't mean to be a pest....I just want to be asolutely certain.

Additionally, the girl is coming to see me tomorow and I'll have her checked.

Offline Ann

  • Administrator
  • Member
  • Posts: 28,138
  • It just is, OK?
    • Num is sum qui mentiar tibi?

Additionally, the girl is coming to see me tomorow and I'll have her checked.


You'll "have her checked"? What a rude, insensitive invasion of a person's privacy. You have no right to insist that anyone take any sort of medical test for your own peace of mind.

If you have questions about your own hiv status, the ONLY way to find out is to test YOURSELF.

Unless you repeatedly punched this woman in the mouth before she blew you, there could not possibly be enough blood present to cause concern - and even then it would be unlikely for you to test positive.

If you still have doubts, a negative test result at six weeks should put your mind at ease.

I have to wonder how many women you've had unprotected anal or vaginal intercourse with in the past, but didn't worry because you judged them to be "nice girls" (ie not sex workers).

We see it all the time here; men go around having unprotected anal or vaginal intercourse with all sorts of women, but they only worry about hiv when they believe (or know) the woman to be a sex worker. That is precisely how a lot of straight guys end up with hiv. 

If you have been having unprotected anal or vaginal intercourse with anyone other than this woman, for all you know you could already be hiv positive, unless you've been doing the responsible, adult thing and getting tested regularly.

You need to understand that hiv can and will affect ANYONE, regardless of whatever judgements you pass on them. Hiv does not discriminate and neither should you.

Here's what you need to know in order to avoid hiv infection:

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.

ALTHOUGH YOU DO NOT NEED TO TEST SPECIFICALLY OVER THIS BLOWJOB (aside from peace of mind), 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. Some of the other STIs can be present with no obvious symptoms, so the only way to know for sure is to test.

Use condoms for anal or vaginal intercourse, correctly and consistently, and you will avoid hiv infection. It really is that simple!

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

© 2017 Smart + Strong. All Rights Reserved.   terms of use and your privacy
Smart + Strong® is a registered trademark of CDM Publishing, LLC.