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Author Topic: Receptive Oral Sex on HIV+  (Read 2154 times)

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Offline Shanaya

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Receptive Oral Sex on HIV+
« on: June 23, 2020, 01:16:08 am »
Hi dearies,
I hope my message finds you in radiant health and best of spirits.

I recently had sex with a black man with circumcised penis, he was flaccid when I went down on him and there was no pre-ejaculate and gobbled down the whole thing till the back of my throat and he was still dry with no erection, the man tested positive recently (a day after we met) and is not on Antiretrovirals. I have an excellent oral hygiene and I only bleed sometimes when I brush, I did not brush or floss before giving oral; the man is HIV+ and we had anal sex with a condom, after sex I checked if the condom had leaks or punctures-by filling water. I have been on PrEP for over 2 weeks now and after my doctorís recommendation I started PEP within 43 hours. Was PEP needed in this scenario?

My exposure was at 2000hrs on Saturday and the first PEP pill was taken on Monday at 1500hrs. Please assess my risk and also are there chances for seroconversion.

Thank you once again,
Shanaya
« Last Edit: June 23, 2020, 01:28:05 am by Shanaya »

Offline Jim Allen

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Re: Receptive Oral Sex on HIV+
« Reply #1 on: June 23, 2020, 02:39:32 am »
Hiya,
 
I don't even see a reason to be testing outside of routine.

Look giving a blowjob, the mouth simply lacks route (Cells to infect) for HIV, and even if there was damage to your mouth creating a possible route than saliva & air also act to neutralize HIV by damaging the receptors needed to infect human cells.

All in all, giving a blowjob is such a minute concern with regards to HIV that we don't even recommend specifically testing over it. Just get tested whenever you are next normally due a routine check-up.

The intercourse, 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. There is no reason to be stressing about intercourse or testing outside of routine as long as this obvious issue did not happen.

As for water testing after the fact, stop it.

There is no way or need for you to "test" condoms, if you test the condom before you use it this can weaken the condom, making it more likely to break during use. So don't and, also never test a condom after you use it either. Instead, immediately dispose of the condom in the bin.

Testing the condom after intercourse could damage the condom, as it's not designed as a reusable (re-stressed) product and this could lead you to mistakenly think that the condom was damaged during sex, when in fact you actually caused the damage after the intercourse by trying to "test" it with water. In short, testing the condom yourself before or after use is not a reliable way to tell you anything.

Testing condoms yourself is basically a step shy of all-out paranoia if you ask me. Instead, use condoms correctly and consistently.

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. Continue taking PrEP as an additional layer of HIV protection.

Keep in mind that some sexual practices which may be described as Ďsafeí 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

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Offline Shanaya

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Re: Receptive Oral Sex on HIV+
« Reply #2 on: June 23, 2020, 03:33:39 am »
Hey Jim,

Thank you so much for responding, I am on PEP & continuing PrEP as my daily layer of protection, does it make sense to be on PEP or PrEP was something that did itís job when I had the exposure only if I had an exposure. Mind is tricky and it lets you think out of the box which creates panic and anxiety.

I tested the condom post the intercourse and thank you for making me aware.

Offline Jim Allen

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Re: Receptive Oral Sex on HIV+
« Reply #3 on: June 23, 2020, 04:28:18 am »
Hiya,

I don't see any real-world exposure from what you posted, so if this was your only sexual encounter then relax and move on with your life.

Quote
I am on PEP & continuing PrEP as my daily layer of protection

Not sure how to read this.

PrEP is commonly a once a day pill with two drugs tenofovir and emtricitabine.
PEP is normally a once a day combination of three drugs or more. Example one pill with tenofovir and emtricitabine + the third drug-like raltegravir or dolutegravir.

Are you now taking 2x daily tenofovir and emtricitabine + 1 the third?
Or are you now taking 1x daily tenofovir and emtricitabine + 1 the third?

Jim






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Offline Shanaya

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Re: Receptive Oral Sex on HIV+
« Reply #4 on: June 23, 2020, 04:48:06 am »
Hi Jim,

I am taking Raltegravir (Zepdon)400mg  x 2 daily with a gap of 10-11 hours between each dose + PrEP (Tenofovir & Emtricitabine)

Offline Jim Allen

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Re: Receptive Oral Sex on HIV+
« Reply #5 on: June 23, 2020, 05:12:32 am »
Hiya,

Yeah, that's okay. I was worried you may have been double dosing on the Tenofovir & Emtricitabine hence my question but I see it's fine.

Look I don't see any HIV concern in what you posted that would require testing outside of routine let alone PEP. End of the day though it's up to you if you want to take PEP over this near negligible concern.

Best, Jim
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Offline Shanaya

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Re: Receptive Oral Sex on HIV+
« Reply #6 on: June 24, 2020, 02:15:30 pm »
Hi Jim,

I just happened to remember before I gave him a blow job, I had a few neat whiskies post which I had dinner. I read somewhere HIV risk increases through oral sex when One drinks alcohol and blows, is this true? Because I am now freaking out, the boy is newly infected and must have a high viral load. I was on PrEP And still on PrEP when this happened. Does PrEP protect me from HIV from such a low risk? I am still taking PEP and PrEP. I have been stressing out and reading various articles that say - Precum is no risk while some say estimated risk is between 1-3%.

Look forward to hearing from you.

Cheers,
Shanaya :)

Offline Jim Allen

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Re: Receptive Oral Sex on HIV+
« Reply #7 on: June 24, 2020, 04:53:37 pm »
Hiya,

Short answered, if you downed a bottle of drink the HIV risk from giving a blowjob would remain near negligible. The rest of what you added changes nothing either, the assessment is based on worst case scenario already.

Stop reading out of context Petri dish studies and move on with your life!

1-3 %  is bullshit, statistically unprotected anal receptive intercourse condomless, no PrEP, no PEP is not even 3%

Best Jim
« Last Edit: June 24, 2020, 04:59:23 pm by Jim Allen »
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Offline Shanaya

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Re: Receptive Oral Sex on HIV+
« Reply #8 on: June 24, 2020, 05:07:07 pm »
Hi Jim,

Thank you!

Best,
Shanaya

Offline Jim Allen

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Re: Receptive Oral Sex on HIV+
« Reply #9 on: June 25, 2020, 01:22:17 am »
You're welcome.
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Offline Shanaya

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Re: Receptive Oral Sex on HIV+
« Reply #10 on: June 25, 2020, 06:38:58 am »
Hey Jim,

One last question is on my mind - when I met the boy he got his testing kits before it was confirmed the next day he is pos, he did not know how to use, I ran a test and later cleaned the wound for him. I have no breaks or punctures, after which I ran a test on myself With a fresh lancet. Talking hypothetically - for eg if I tested myself first with a prick on my finger and then tested him and got some blood on my fingers on the pricked site, what is the probability of his blood entering the punctured site? Just asking for my knowledge.

In all scenarios a different lancet was used each time for pricking.

Look forward to hearing from you!

Merci,
Shanaya

Offline Jim Allen

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Re: Receptive Oral Sex on HIV+
« Reply #11 on: June 25, 2020, 07:57:45 am »
Hiya,

You can't get HIV from or through small cuts, day to day wounds, scrapes, puncture wounds or skin issue.

The only near negligible concern was the blowjob, so HIV realistically is not a concern unless there have been other sexual encounters within the last 3 months since you last tested.

Jim

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Offline Shanaya

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Re: Receptive Oral Sex on HIV+
« Reply #12 on: June 25, 2020, 08:09:34 am »
Hi Jim,

Thanks for your quick revert, so leaving all behind, blow job is my only concern, and when you say itís a near negligible risk which means itís okay to forget about it and not worry? I did not have a real life exposure? I am just concerned, after your reply which is going to be in the next post will put my over active mind at peace.

This is my only concerns since I was last tested on 12th June post a condom failure on AG/AB test which was negative at median testing time 18th day.

Look forward once again.

Thanks,
S
« Last Edit: June 25, 2020, 08:12:38 am by Shanaya »

Offline Jim Allen

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Re: Receptive Oral Sex on HIV+
« Reply #13 on: June 25, 2020, 08:47:52 am »
Asked and answered.

Quote
All in all, giving a blowjob is such a minute concern with regards to HIV that we don't even recommend specifically testing over it. Just get tested whenever you are next normally due a routine check-up.

As for the 18th-day test post the condom breaking.  Look, I would not expect the result you have to change however, retest at 6 weeks post-exposure with a blood-drawn HIV antibodies test, a negative result at that time will rarely ever change. Although not needed, you can test for a definite result at 3 months post-exposure if you wish.

Jim
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Offline Shanaya

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Re: Receptive Oral Sex on HIV+
« Reply #14 on: June 25, 2020, 09:15:40 am »
Thanks Jim.
The guy with whom I had an exposure was someone I was dating, he tested post the exposure. I am certain he said was negative. Like you tell others on your blog I am also telling you he said he never practised bareback due to marriage concerns and a conservative family. So my test at day 18 was just a test I wanted to take to give myself a sigh of relief - blood drawn from the vein - HIV Combo test Ag/Ab test.

Reset thank you so much for all your help.

Best,
Shanaya

Offline Jim Allen

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Re: Receptive Oral Sex on HIV+
« Reply #15 on: June 25, 2020, 09:48:55 am »
Quote
The guy with whom I had an exposure was someone I was dating, he tested post the exposure. I am certain he said was negative. Like you tell others on your blog I am also telling you he said he never practised bareback due to marriage concerns and a conservative family.

This is means nothing at all in terms of HIV risk. He tested or claims to have done, great for him and depending on the test it means he did not have HIV some 3 months ago, not much good to you.

As for always safer sex claims and therefore not concerned about an incident etc, I've heard it from people and usually, it's post-diagnosis crying about how they trusted someone because of X Y Z ...

The only real-world risk you have mentioned so far is the condom breaking situation and you have the testing guidelines should you wish to confirm your HIV status. Also, test for far easier to acquire STI's whilst you are at it.

Best, Jim
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Offline Shanaya

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Re: Receptive Oral Sex on HIV+
« Reply #16 on: June 25, 2020, 10:27:38 am »
Hi Jim,

Thanks for replying. I am 100% sure of my exposure and I got nothing. I only shared what was in my mind, my HIV specialist asked me to get an Ag/Ab test done at 18th day at median point since he mentioned protein 24 peaks around 14 days and so the test at 18th day will catch an infection. Not to argue, thanks a lot for your help.

Will keep in mind going forward blow job is a negligible risk to avoid anxiety. Thanks for educating me.

Cheers and all the best.
Adios
Shanaya :)

Offline Jim Allen

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Re: Receptive Oral Sex on HIV+
« Reply #17 on: June 25, 2020, 11:21:20 am »
Hiya,

You're welcome.

Aware of P24 combo and the reasons and testing for HIV Type 1, changes nothing much. Hence the assesment is I would not expect the result you have to change, however, retest at 6 weeks post-exposure with a blood-drawn HIV antibodies test, a negative result at that time will rarely ever change.

Although not needed, you can test for a definite result at 3 months post-exposure if you wish.

Best, Jim
« Last Edit: June 25, 2020, 11:28:58 am by Jim Allen »
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Offline Shanaya

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Re: Receptive Oral Sex on HIV+
« Reply #18 on: June 25, 2020, 11:33:31 am »
Thanks for everything Jim.
Wishing you happy days ahead, all the best...

Take care

Cheers,
S :)

Offline Shanaya

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Re: Receptive Oral Sex on HIV+
« Reply #19 on: June 25, 2020, 02:30:09 pm »
Hey Jim,

So this just happened, I met him again, there was no oral sex or anal sex. I made his dick wet with the lube and put it in between my thighs and he fucked my thighs. I did shag him with my hand for a few minutes, while we were walking towards the shower his dick brushed against my dick head, is that a cause of concern. Can I get STIs? He ejaculated in the shower and it was pale yellow in colour. Canít think what to make of it, but have I been exposed to STIs? I also licked his balls however there were no scrapes or pimples. We like each other a lot.

FYI - I have a jock itch, but there are no breaks in my skin or rash or itch. I tend to get this often in summers also he doesnít have any STIs.

I like educating my self at the same time. Your response will be appreciated.
« Last Edit: June 25, 2020, 02:39:06 pm by Shanaya »

Offline Shanaya

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Re: Receptive Oral Sex on HIV+
« Reply #20 on: June 25, 2020, 03:12:49 pm »
PS - he did have Gonorrhea in Jan for which he was treated and was on antibiotics. Does it increase my chance or have I been exposed to some STI?

Offline Shanaya

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Re: Receptive Oral Sex on HIV+
« Reply #21 on: June 25, 2020, 03:51:47 pm »
My jock itch is not severe neither red because I apply topical ointment that too I get only when I donít shower for a day.

Offline Jim Allen

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Re: Receptive Oral Sex on HIV+
« Reply #22 on: June 25, 2020, 04:05:07 pm »
Gonorrhea treated in Jan is irrelevant today.

What you posted is zero HIV risk that much is certain and as for easier to acquire STI's there is always some risk, that's just the way it is hence you should be testing routinely instead of panicking about every contact situation.

Relax, no HIV risk, no reason to test for STi's outside of routine either, move on with your life.
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Offline Shanaya

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Re: Receptive Oral Sex on HIV+
« Reply #23 on: June 26, 2020, 11:01:17 am »
Hi Jim,

My subscription will expire soon and I will stop hammering you  ;D, a quick question does flaccid penis produces pre-cum? Even if the penis is sucked and the man doesn't have an erection does precum still ooze out? If the viral load is high and there is precum and I am on PrEP, does it still put me at risk? I am stressing out. Have you ever heard of anyone turning pos after exposure to high viral load precum via oral sex that too on a flaccid penis?

Another thing - he happened to apply vaseline on his dick yesterday and later he just massaged my anus ring does that put me at any risk? Please reply to all my queries. I know I should not be stressing over these negligible risks hence the world turns to an expert called Jim, hehe.

Thanks once again.
S :)
« Last Edit: June 26, 2020, 11:10:50 am by Shanaya »

Offline Shanaya

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Re: Receptive Oral Sex on HIV+
« Reply #24 on: June 26, 2020, 12:23:25 pm »
Also the guy suffered Pneumonia, does it have any affect on me? He was cured of it. Is it possible for it to be passed on to me?

Offline Jim Allen

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Re: Receptive Oral Sex on HIV+
« Reply #25 on: June 26, 2020, 01:28:23 pm »
Rubbing your anus is not an HIV concern and nothing you can mention will change the assessment of the blowjob.

Pneumonia ... Look if you keep having these infection fears then perhaps taking to a therapist might help you cope and put things into perspective.

Best, Jim
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Offline Shanaya

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Re: Receptive Oral Sex on HIV+
« Reply #26 on: June 29, 2020, 12:59:04 pm »
Hi Jim,

Annoyance is back again  ;D, his viral load is 1,57,369, does that mean anything? Or shall I move on with my life because I had no risk?

Regards,
S

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Re: Receptive Oral Sex on HIV+
« Reply #27 on: June 29, 2020, 01:26:33 pm »
Hiya,

Changes nothing.

Best, Jim
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Offline Shanaya

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Re: Receptive Oral Sex on HIV+
« Reply #28 on: July 01, 2020, 02:27:17 pm »
Does licking the head of the penis for a second cause any infections/HIV?  No fellatio, only licked it with the tongue for a second. Taking in account he is positive, this is someone else, no sex happened because of my PEP course, he was naked so I just licked his head... just clearing my doubts, I am starting therapy soon along with CBT like you suggested 😇.

Good luck,
S
« Last Edit: July 01, 2020, 02:43:07 pm by Shanaya »

Offline Jim Allen

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Re: Receptive Oral Sex on HIV+
« Reply #29 on: July 01, 2020, 03:00:59 pm »
You need to use some common sense and apply the information already provided.

If you fully gave him a BJ it would be such a near negligible HIV concern that no HIV testing would be warranted outside of routine. Licking his penis for a second is less risk then that but not an absolute zero risk either.


Quote
Look giving a blowjob, the mouth simply lacks route (Cells to infect) for HIV, and even if there was damage to your mouth creating a possible route than saliva & air also act to neutralize HIV by damaging the receptors needed to infect human cells.

All in all, giving a blowjob is such a minute concern with regards to HIV that we don't even recommend specifically testing over it. Just get tested whenever you are next normally due a routine check-up.

Quote
The only real-world risk you have mentioned so far is the condom breaking situation and you have the testing guidelines should you wish to confirm your HIV status. Also, test for far easier to acquire STI's whilst you are at it.
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Offline Shanaya

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Re: Receptive Oral Sex on HIV+
« Reply #30 on: July 01, 2020, 03:32:52 pm »
Why donít you use some common sense, near negligible is a risk, telling people around that we donít consider testing but then licking the head of someoneís penis is not zero risk. You have contradicted your own statements Jim. Licking is like a slurp on someoneís cock with the tongue, how is it not zero risk? Please explain when there was no mouth to Penis, Maybe not even a lick, but with the tip of the tongue touched the head of the dick, no sucking. Itís like putting your tongue on spoon to lick a particle. How is it risky? Please explain. You can ban me from the site because I fail to understand youR stupid contradiction.

I donít look forward hearing from you, however next time around you please use your common sense and read the question maybe a zillion times and then revert.

Ciao,
Shanaya Wallace

PS - if people did have common sense they would not come to this site with anxieties, learn to be nice to people. You may be a subject matter expert in HIV or internal medicine, that doesnít mean you become a person with a demeanour. Donít treat people like shit.

« Last Edit: July 01, 2020, 03:37:06 pm by Shanaya »

Offline Shanaya

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Re: Receptive Oral Sex on HIV+
« Reply #31 on: July 01, 2020, 03:51:39 pm »
If you can reply to this - well and good -

Will get off PEP in 2 weeks, can I consume alcohol post quitting PEP on day 28th.

Thanks again.

Good luck.

This is my last post and never to come back to this site to get insulted. I paid hence I am using it to my full potential.

Adios Jim.

Offline Jim Allen

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Re: Receptive Oral Sex on HIV+
« Reply #32 on: July 01, 2020, 03:57:25 pm »
 ;D

Hiya,

There is no contradiction, prehaps you should try reading before posting.

Giving a blowjob is a near negligible HIV risk. Licking, slurping his penis can't be stated as zero HIV risk and his penis is not the same as a licking, slurping or sucking a spoon.  ;D

Apply the information already provided to you in this thread because I am not going to continue answering the same or similar questions that have already been answered.

About the alcohol, talk to your doctor or pharmacist.

Jim 
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