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Can HIV Be Transmitted Through Oral Sex?

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Posted on Tue, 27 Sep 2016
Question: Dear Doctor,
I am a Chinese boy,and I am 33 years old.The day before yesterday,I looked for a prostitute(female),and I just received oral sex from the female sex worker.I used the condom on my penis when she served for me,and the female sex worker served for me with her mouth.The service lasted for about five minutes.when the service finished,I wanted to check the quality of condom that just had been used.(we all know the quality of condoms produced by China don't very well)I put the water into the condom,then I found that there is a very very small hole just like needle tip on the side of the condom,Water can flow out through the very small hole.So the sex worker's saliva or other body fluids,may be she has an oral ulcer or bleeding gums that I am not sure,would enter into the condom and touched my penis mucous membrane.
I want to know that is there the risk of infection?(If the sex worker is infected)
Do I need to test for HIV?
That night when I went back home,I found that my throat began to hurt,and now I am very very anxious.Please help me.
There isn't bleeding wound on my penis ,but My foreskin is a little long,so I sometimes have Balanitis,so I'm not sure whether the penis mucous membrane has the breakage of the invisible.
I checked the mouth of the sex worker,and I found that there are a lot of bloodshot on oral palate.
My English is not very well,I'm not sure whether I describe clearly.Please help me,please.
doctor
Answered by Dr. Sunil Jangid (15 minutes later)
Brief Answer:
No risk of infection.

Detailed Answer:
Dear XXXX,

Welcome to HCM.

Human saliva is not the fluid which transmits HIV and there is no cut or wound on your penile skin so you need not to worry because there is no risk of infection in the exposure you had mentioned.

Sore throat may be due to some other infection not HIV. Consult physician and follow the treatment for the same. As such no testing is required but still to relieve your anxiety get tested with 4th gen Duos or RNA PCR after four weeka of exposure.

Thank You
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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Follow up: Dr. Sunil Jangid (1 hour later)
Thank you Doctor, but my foreskin is a little long, might be change the result?and I went to take a shower after five minutes later when the sex worker finished,is that affect the result?
doctor
Answered by Dr. Sunil Jangid (2 minutes later)
Brief Answer:
Nothing to worry.

Detailed Answer:
Dear XXXX,

Welocme back and thanks for follow-up.

If your foreskin is long then also there is no risk for any infection and shower after the act has nothing to do with test result so just calm down, forget the episode and move ahead in life happily.

Thank You
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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Follow up: Dr. Sunil Jangid (17 minutes later)
Thank you Doctor,and you know that I didn't sleep well for two days,Your answer make me feel better,thank you very much.
doctor
Answered by Dr. Sunil Jangid (1 hour later)
Brief Answer:
You are most welcome.

Detailed Answer:
Dear XXXX,

Welcome back once again.

I am happy to hear that you are feeling relaxed now and you are most welcome any time if needed any help. I am always here to help you straight way.

Thank You
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Sunil Jangid (19 hours later)
Hello Doctor,I have remembered one detail,that will change the result?Before the sex worker served for me with her mouth,I used my one finger to touch the sex worker's vulva for one or two seconds,just touch the outside,didn't insert into the vagina.The sex worker's vulva had a little wet,mostly dry.Then after half a minute,the sex worker said we should clean your penis because there were a lot of massage oil on it,and I said OK,so I used that finger ,which just touch the sex worker's vulva, to get a piece of wet tissue paper and handed that wet tissue to sex worker.Then the sex worker used that wet tissue paper to clean my glans and penis.
SO maybe there were some sex worker's body fluid on my finger,and I put it on the wet tissue paper,and the sex worker used that paper to clean my penis to infection me .
Is that possible,Doctor?
doctor
Answered by Dr. Sunil Jangid (43 minutes later)
Brief Answer:
Not possible.

Detailed Answer:
Dear XXXX,

The way of transmission of infection you had mentioned is not possible practically so forget about the episode, calm down you self and move ahead in life happily.

Thank You
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Sunil Jangid (21 hours later)
Hello doctor,Please forgive me so boring,I think I become a little paranoid,but there are still two questions bothering me,I have to continue to consult your.Thank you very much.
The one question is when the sex worker finished her service,she first went to shower,using the movable shower nozzle.I noticed that when the sex worker washed her vulva,she squat down and put the shower nozzle under her vulva,and used the water, that gush from the shower nozzle, to clean her vulva.After half a minute,I went to shower,and used the shower nozzle to clean my penis.I want to know if the sex worker's body fluid from her vulva dropped to the shower nozzle,and when I used the shower nozzle,Her body fluid maybe would gush to my penis with the water. Is there the risk to infection?
The other thing is that last week I lived in a hotel for 4 days,and one day morning,when I brushed my teeth with my own toothbrush,I felt the taste of semen in my mouth.I am not a XXXXXXX and I never find a man.I suspect that my toothbrush had been used by someone ,even wiped with semen by someone .I want to know if someone wiped the semen to my toothbrush,and after 9 hours I used the toothbrush to brush my teeth, Is there the risk to infection?
Thank you very much.
doctor
Answered by Dr. Sunil Jangid (34 minutes later)
Brief Answer:
No risk of infection.

Detailed Answer:
Dear XXXX,

Welcome to HCM once again.

HIV virus can not survive outside the human body or in an open environment and it will die within few minutes only so the chances of getting the infection through the exposures you had mentioned are practically not possible. Don't worry too much and allay the fear or anxiety related to HIV because you are not at risk.

Thank You
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Sunil Jangid (3 days later)
Hello Doctor,I want to consult you for another thing.A few months ago,It happened in February this year,and I found a girl do massage for me,The girl just served for my penis with her hand and breast,and I ejaculated on her breast.(I haven't had Vaginal intercourse with prostitute since 2014).When she finished,I found that my penis had been scratched,and there were a small amount of blood flow out,maybe by her fingernail.After six days,I began to diarrhea,but I didn't have a fever,and Diarrhea continued for a week.After 36 days,I did a test With three generations of reagent,chemiluminescence,the result was negative.Chinese doctor said 36 days is not enough,you should at least wait six weeks or eight weeks.
I checked the girl's hand and breast,I didn't see the wound.
I want to know whether I should test again for that thing. Is there the risk to infection?
doctor
Answered by Dr. Sunil Jangid (1 hour later)
Brief Answer:
The risk is very unlikely.

Detailed Answer:
Dear XXXX,

Welcome back and thanks for follow-up.

The risk of contracting HIV through massage without any vaginal intercourse and the exposure you had mentioned is very unlikely. As such the test result after 36 days is also reliable and accurate but still it is better to get tested after 6 and 12 weeks as per international HIV guidelines so don't get worried or anxious.

Diarrhea might be due to some gastric infection or food poisoning for which take symptomatic treatment after consulting your physician. Just calm down as the risk is very remote in your case so forget about the episode, get done the test after six weeks and get back to me with result.

Thank You
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Sunil Jangid (17 days later)
Dear doctor:
My transaction reference is HCM211646,Do you remember me?It is about three weeks ago,I consulted Dr XXXXXXX Jangid about a HIV question.I said I had received oral sex from the female sex worker, I used the condom on my penis when she served for me with her mouth ,but after the service I found that there was a very very small hole just like needle tip on the side of the condom,I asked whether there was a risk of infection? and you said there was no risk of infection.
But last week,My throat felt very uncomfortable,It just like cold symptoms ,sneezing and run at the nose,I have a lot of secretion of pharynx ministry,But I haven't been running a fever ,Symptoms continued for a week.I went to see the doctor,and the doctor said it was because of pharyngitis.
I want to ask whether the Symptoms was because of HIV?and could HIV cause pharyngitis?
Doctor:
I felt a headache for two nights last week.
doctor
Answered by Dr. Sunil Jangid (2 hours later)
Brief Answer:
Not related to HIV.

Detailed Answer:
Dear XXXXX,

Welcome to HCM once again.

The symptoms you have are due to pharyngitis or throat congestion as said by the doctor which is very common seasonal infection but non specific for HIV so don't worry, follow the treatment regime as per expert advice and you will be fine soon. Avoid thinking about HIV as headache and pharyngitis are not peculiar symptoms of HIV so be relaxed, forget the episode and move ahead in life happily.

Thank You
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Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Sunil Jangid

HIV AIDS Specialist

Practicing since :2009

Answered : 2020 Questions

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Can HIV Be Transmitted Through Oral Sex?

Brief Answer: No risk of infection. Detailed Answer: Dear XXXX, Welcome to HCM. Human saliva is not the fluid which transmits HIV and there is no cut or wound on your penile skin so you need not to worry because there is no risk of infection in the exposure you had mentioned. Sore throat may be due to some other infection not HIV. Consult physician and follow the treatment for the same. As such no testing is required but still to relieve your anxiety get tested with 4th gen Duos or RNA PCR after four weeka of exposure. Thank You