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Author Topic: HIV risk for protected sex and cunninglus  (Read 368 times)

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Offline Danishtaymoor1987

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HIV risk for protected sex and cunninglus
« on: November 08, 2019, 04:39:08 am »
Hi Guys,

I am from australia and i have risks that i am worried about.

1) 12th OCT

Went and saw a escort and i had protected sex. Condom was intact all my cum was on top inside condom so it didnt break. Although i notices some blood as she might be bleeding little from fucking but condom was intact...

I did an HIV TEST 24 DAYS AFTER THIS DUO negative alll std negative


2) 26th october.
Met a woman and all was done was i recieved oral and did cunninglus for 10 seconds. I spoke to the lady she did hiv test also and showed me results all negatiive,


The test i did last time was 24 days from first exposure and 10 days from next.

Should i retest ? Did i had a risk ?
I have spoken to sydney sextual centre and they said there has never been a case where someone got hiv from recieving oral or cunninglus.

I am not worried about second encounter but more from the first one where i did an HIV test but it was protected and all my cum was on top so i am sure it didnt break but i have read internet and it seems even protected sex is not safe..


Offline Jim Allen

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Re: HIV risk for protected sex and cunninglus
« Reply #1 on: November 08, 2019, 04:51:37 am »
Hiya,

Quote
I spoke to the lady she did hiv test also and showed me results all negatiive,
Irrelevant BTW, all it means is she was not living with HIV some 3 months ago and it's not about her status but about what activities you engage in and more to the point how that are risks or not.

Anyhow read your post three times, it's simple HIV can't transmit through an intact latex or polyurethane condom. If a condom fails during the act of intercourse it's obvious to the insertive partner, as this issue did not happen there is no reason to stress.  Cunnilingus and Getting a blowjob are not HIV risks.

If this was your only activities then move on with your life and test at least yearly out of standard routine for HIV & STI's as every sexually active adult should.

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

Kind regards

Jim

P.s

Quote
I have spoken to sydney sextual centre and they said there has never been a case where someone got hiv from recieving oral or cunninglus.

Correct, there has never been a documented case and this makes sense since it lacks exposure and there are simply too many barriers for this to be a risk.
HIV 101 - Everything you need to know
HIV 101
Transmission and Risks:
HIV Transmission and Risks
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 Danishtaymoor1987

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Re: HIV risk for protected sex and cunninglus
« Reply #2 on: November 08, 2019, 05:04:01 am »
Thanks so much ..
Was i at risk from any of those activities for HIV ?
If condom is intact how come some websites say they are only 85% effective so there is always a chance.
Can i continue now without further testing?
Also, why cunilingus is not a risk and giving blowjob is negligiable? why this difference?

Offline Danishtaymoor1987

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Re: HIV risk for protected sex and cunninglus
« Reply #3 on: November 08, 2019, 05:04:40 am »
Hiya,
 Irrelevant BTW, all it means is she was not living with HIV some 3 months ago and it's not about her status but about what activities you engage in and more to the point how that are risks or not.

Anyhow read your post three times, it's simple HIV can't transmit through an intact latex or polyurethane condom. If a condom fails during the act of intercourse it's obvious to the insertive partner, as this issue did not happen there is no reason to stress.  Cunnilingus and Getting a blowjob are not HIV risks.

If this was your only activities then move on with your life and test at least yearly out of standard routine for HIV & STI's as every sexually active adult should.

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

Kind regards

Jim

P.s

Correct, there has never been a documented case and this makes sense since it lacks exposure and there are simply too many barriers for this to be a risk.



Thanks so much ..
Was i at risk from any of those activities for HIV ?
If condom is intact how come some websites say they are only 85% effective so there is always a chance.
Can i continue now without further testing?
Also, why cunilingus is not a risk and giving blowjob is negligiable? why this difference?

Offline Jim Allen

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  • Twitter @JimAllenDublin
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Re: HIV risk for protected sex and cunninglus
« Reply #4 on: November 08, 2019, 05:27:51 am »
Hiya,

It's simple and proven time and time again, HIV can't transmit through an intact latex or polyurethane condom.

One of the problems is that condoms can break in the real world mostly due to incorrect usage and if they do break during intercourse the effectiveness is gone. Hence statistically condoms are less than 100%,  the other issues with the 85% claims are things like the old story of inconsistent usage and using self-reported behaviours with regards to condom usage & efficiency when we know this is faulty data *

Back to the point, stats without content simply do not apply to individuals (you). What applies to you is simply the following; It's proven HIV can not transmit through an intact condom during the act of intercourse and, as long as this obvious issue of condoms shredding does not happen and you used the condom throughout the entire act of intercourse there is no reason to worry about HIV from intercourse, there is no reason to stress or test outside of normal standard routine.

One of the bigger problems is STI's & HIV often get grouped incorrectly together when looking at effectiveness causing undue panic by many sources. See the levels of protection for various STIs also depends greatly on differences in how the diseases or infections are transmitted.  Some infections (Not HIV) are transmitted primarily by skin-to-skin contact, which may infect areas not covered by a condom ( Such as genital herpes, human papillomavirus [HPV] infection, syphilis, and chancroid). So effectiveness also depends on what STI you are concerned about.

All these are some of the reasons its called safer sex not safe sex and, everyone sexual active should simply test at least yearly for STI's out of standard routine.

Anyhow what you posted was not an HIV concern so if this was your only activities then move on with your life and test at least yearly out of standard routine for HIV & STI's as every sexually active adult should.

Jim

Example:

Biggest ever review

15 years of follow-up over a dozen studies into modern condoms. HIV/AIDS: European Research provides clear proof that HIV virus cannot pass through condoms
http://ec.europa.eu/research/press/2003/pr2010-hiv-en.html

https://www.poz.com/article/anal-sex-condoms-lube-slip-break-less-1-time


The problem with self-reported data

2018
https://doi.org/10.1016/j.eclinm.2018.08.001

STI Risk Perception in the British Population and How It Relates to Sexual Behaviour and STI Healthcare Use: Findings From a Cross-sectional Survey (Natsal-3)

We have identified falsely optimistic views of personal STI risk among a substantial proportion of those at risk of STIs in the British population, which could have a negative impact on efforts to promote safe sex and STI testing, and the control of STIs.

Among those classed as having ‘unsafe sex’ in the past year (comprising approximately 1 in 5 sexually-active 16–44-year-olds), 39.2% of men and 51.0% of women rated themselves as not at all at risk of STIs

2018
http://journals.sagepub.com/doi/abs/10.1177/0032885517753163

Underreporting in HIV-Related High-Risk Behaviors: Comparing the Results of Multiple Data Collection Methods in a Behavioral Survey of Prisoners in Iran

Participants reported more sexual contact in prison for their friends than they did for themselves. In men, NSU provided lower estimates than direct questioning, whereas in women NSU estimates were higher. Different data collection methods provide different estimates and collectively offer a more comprehensive picture of HIV-related risk behaviors in prisons.

2018
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5268760/

Socially desirability response bias and other factors that may influence self-reports of substance use and HIV risk behaviors: A qualitative study of drug users in Vietnam

The accuracy of self-report data may be marred by a range of cognitive and motivational biases, including social desirability response bias

2018
http://emj.bmj.com/content/35/1/46
Self-perceived risk of STIs in a population-based study of Scandinavian women

Subjective perception of risk for STI was associated with women’s current risk-taking behaviours, indicating women generally are able to assess their risks for STIs. However, a considerable proportion of women with multiple new partners in the last 6 months and no condom use still considered themselves at no/low risk for STI.

2018
https://www.tandfonline.com/doi/abs/10.1080/09540121.2017.1384787

Social desirability bias and underreporting of HIV risk behaviors are significant challenges to the accurate evaluation of HIV prevention programs for orphans and vulnerable children (OVC) in sub-Saharan Africa

2018
https://www.thelancet.com/journals/lanhiv/article/PIIS2352-3018(18)30062-6/fulltext

Non-disclosed men who have sex with men in UK HIV transmission networks: phylogenetic analysis of surveillance data

Jim: In short they analysed the genetic code of the virus from HIV-positive people and came to the conclusion that some of the self-reported heterosexual mens HIV was more than likely actually non-disclosed MSM.

2017
https://www.ncbi.nlm.nih.gov/pubmed/28509997

Social Desirability Bias and Prevalence of Sexual HIV Risk Behaviors Among People Who Use Drugs in Baltimore, Maryland: Implications for Identifying Individuals Prone to Underreporting Sexual Risk Behaviors.

2017 --In regards to STI's
https://journals.lww.com/stdjournal/toc/2017/07000
Sexually Transmitted Diseases: July 2017 - Volume 44 - Issue 7 - p 390–392

Is Patient-Reported Exposure a Reliable Indicator for Anogenital Gonorrhea and Chlamydia Screening in Young Black Men Who Have Sex With Men?

Among 485 young black men who have sex with men recruited in Jackson, MS, 90-day anal sexual exposure significantly predicted rectal infection, but 19.4% of rectal infections would have been missed among men denying receptive anal sex. Reports of consistent condom use were associated with lower infection rates only in men reporting insertive anal sex.

2016
https://www.sciencedirect.com/science/article/pii/S0010782416305418
Could misreporting of condom use explain the observed association between injectable hormonal contraceptives and HIV acquisition risk?

Jim - Not a conclusive or in depth study but under the study participants it did find: 9 out of every 20 sex acts reported with condoms are actually unprotected

2009
The Validity of Teens’ and Young Adults’ Self-reported Condom Use
https://jamanetwork.com/journals/jamapediatrics/articlepdf/380711/poa80067_61_64.pdf

A significant degree of discordance between self-reports of consistent condom use and YcPCR positivity was observed. Several rival explanations for the observed discordance exist, including (1) teens and young adults inaccurately reported condom use; (2) teens and young adults used condoms consistently but
used them incorrectly, resulting in user error; and (3) teens and young adults responded with socially desirable answers

BMC Public Health 2007
https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-7-60

Analyses of data from the Demographic and Health Surveys, Sexual Behaviour Surveys and from other countries show a similar pattern indicating under-reporting
It is probable that as HIV campaigns encouraging delayed sexual debut and abstinence before marriage reach the population, people will report behaviour
assumed to be more socially desirable.

there are some signs of differential reporting bias in our study. We found that controlling for less risky sexual behaviour substantially reduced the association between HIV and survey time among urban men, but less so among women; this may suggest that self-reports from men about sexual behaviour are more reliable. Studies suggest that respondents, especially women, tend to under-report the number of lifetime sexual partners . Therefore, analyses of associations with, and changes in, self-reported sexual behaviour should be interpreted with caution.

2010
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2957626/

Self-presentation bias (wishing to be viewed in a positive light) may result in patients underreporting behaviors they perceive to be stigmatizing

Approximately a third of the men in the sample reported that they did not disclose all of their risk behaviors to the HIV counselor during the face-to-face risk assessment. These results echo similar studies of risk disclosure to medical providers
« Last Edit: November 08, 2019, 05:30:53 am by Jim Allen »
HIV 101 - Everything you need to know
HIV 101
Transmission and Risks:
HIV Transmission and Risks
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

 


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