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Is HIV Infection Possible Through Oral Sex?

Posted on Fri, 18 Aug 2017

Question: I am a male 30 yrs old. I recently went to a massage parlor and had a naked body to body massage for the first time in my life (7 days ago) . She first asked me to lie on my stomach and then gave me a body to body massage on my back, hips with her naked body. She rubbed her vagina with my hips. Then she asked me to turn around, on my back that is. She then rubbed her vagina on my penis and on my whole body. During this time she went to and fro on my penis many a times. I also caressed her body and moved my fingers on the outer of her anus and vagina. Then sucked her breasts for some time, i don't think she was lactating. We also kissed but for 2 - 3 seconds, during which her tongue got in touch with my tongue. I can confidently say it was not a passionate or deep kiss, it was like sucking the heads of our tounges. Then she took my penis in her hand and started jerking it, meanwhile i started fingering her. The finger that i inserted was a bit chipped off around nails, actually i had peeled it with my teeth in the morning and i had seen a small needle head sized blood on that area in the morning due to this peeling. After few hours that area became red as if its a mixture of scab and some blood still there. I will say it was not fully healed, though i did not see running blood coming out but it was red with small drop of blood still visible. I am really terrified now about contracting HIV. I am not able to sleep after this incident.Â I did not insert my penis in her vagina, it was just a masturbation done by her.

1. Is there a possibility that i can get hiv due to this cut on my skin? I have heard that the cut needs to be deep, will my cut be counted as a deep one?Â
2. Can smooching for 2 - 3 seconds make me catch HIV? When it was not deep at all.Â
3. Can sucking boobs be a concern? They were not lactating as far as i remember.Â
4. I can't wait for 12 weeks to get myself tested, what can u suggest as a confident tesr that i can do right away and which will give conclusive results?Â

I am really terrified and did a huge mistake which i will never repeat in my life. It's not worth it. Please help.Â

Thanks

Answered by Dr. Pavan Kumar Gupta (2 hours later)

Brief answer.....chances of HIV are as good as nil
Detailed answer....
Hello,
Thanks for the query.
I have read your query and understand your concern.
I am going to answer you one by one.
1....Although theoretically possible to get HIV this way but practically no such type of case has ever been reported. A neglible risk can exist if the wound is deep and there is free flow of blood from your finger at the time of inserting your finger.
2...no chance of HIV by kissing
3... No chance of HIV by sucking boobs
4...Although chances of you getting HIV is as good as nil but to get the peace of mind,you can go ahead with HIV NAAT test which is a very sensitive test and can detect HIV RNA as early as 7-14 days after infection with HIV. This test will always give positive result as long as there is HIV in someone's blood.
I again reassure you that you are unlikely to get HIV this way.
I hope it helps,however you are most welcome to revert to me for any further query.
Best of luck
Thanks

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Pavan Kumar Gupta (45 minutes later)

Thanks Dr XXXXXXX Few queries -

1. The abrasion on my finger did not have much blood flowing out . It was like what you see when you peel your skin and get little blood. It happened in morning and i got the massage in evening. The finger was a bit red. Do you think this kind of peeling exposes the blood stream for the virus to enter.

2. I don't know if she had sores or cuts in her mouth and hence i don't know if her blood entered my mouth. How risky was my activity?

3. The test you have mentioned, will that give correct result in 7 to 10 days. I have read that we sgiuld wait for 3 weeks. If it is still ok, i will go ahead with it. Also what are the chances of it giving false results?

4. Do i need prescription for this test. I want this to be done without anyone knowing.

Eagerly waiting for your response.

Answered by Dr. Pavan Kumar Gupta (7 minutes later)

Hello,
1.....This abrasion is unlikely to cause the entry of HIV
2....your activity was for just 2-3 seconds. Unlikely to result in transmission
3.....it gives accurate result between 7-14 days.
4....Ideally you need a prescription for this,however you can try to talk to lab people directly.
Thanks

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Pavan Kumar Gupta (1 hour later)

Thanks for the information.

How long does it take for the results to come for this test? Ate there any chances of getting false results in this?

Answered by Dr. Pavan Kumar Gupta (1 minute later)

Hello,
You should get the result in couple of days. No chance of false positive or negative report with this test.
Thanks

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Pavan Kumar Gupta (27 minutes later)

What is the exact name of this test, i was asking about it with a lab and they did not get the name

Answered by Dr. Pavan Kumar Gupta (21 minutes later)

Hello,
This can also be called as VIRAL LOAD test or PCR test.
Thanks

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Pavan Kumar Gupta (4 hours later)

Thanks. To be on a safer side, i would like to go and get myself tested after 16 days, till then would like to keep this thread open.. So that i can discuss my results with you. Hope that's okay.

Answered by Dr. Pavan Kumar Gupta (17 minutes later)

Hello,
You are most welcome to revert to me anytime.
Thanks

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Pavan Kumar Gupta (42 hours later)

Hi Dr. XXXXXXX I got a hiv1 RNA and hiv1/2 p24 combo test on the 8th day. I have got the result for the combo test and it has come non reactive. How conclusive is this report? Is this test commonly known as hiv duo test also? Is taking a viral load test on 8th day a conclusive thing, i will share the result of that test by friday. Attached is the image of my report. Please advise.

Answered by Dr. Pavan Kumar Gupta (6 minutes later)

Hello,
HIV RNA on 8 th day is conclusive, however HIV DUO test ( HIV 1/2 p24 ) may not be conclusive on 8th day. I have seen your report and it is normal.
Thanks

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Pavan Kumar Gupta (27 hours later)

Hello sir, just got my HIV1 RNA test result and it shows as not detected. Does this mean i don't have hiv? Is this result on 8th day conclusive? What should be my next course of action?

Answered by Dr. Pavan Kumar Gupta (2 hours later)

Hello,
This result of HIV RNA is negative and is almost conclusive.
To be doubly sure you can get the HIV RNA test again after a week or so or a HIV DUO test on 27 or 28 days post exposure. A repeat negative test should be the ultimate peace for you in case you are still jittery.
Thanks

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Pavan Kumar Gupta (43 minutes later)

Thanks doctor. I have heard that quantitative rna test is for prognosis and not for diagnosis of hiv. Is that right? Also should I have gone for qualitative dna pcr or rna pcr test rather than this quantitaive one. Really worried.

Answered by Dr. Pavan Kumar Gupta (1 hour later)

Hello,
Although it is correct that HIV RNA OR DNA test are not routinely used for the diagnosis of HIV,but there is no other way to diagnose HIV within few days of exposure.
Ideally speaking it takes time for HIV test to show its result. Different tests take different time. Generally speaking it is a 3 months time where tests are 100% conclusive,but a negative test around 3-4 weeks of exposure almost rules out HIV.
In your case,basically speaking,you are not a candidate for being HIV positive,but you are still excessively worried. At the top of it you want to get tested immediately. What to do? Only thing left is to get the PCR test done. Ideally speaking you should have got it done around 2-3 weeks of exposure but you got it done on 8th day.
Now just wait and watch.
If I was you,I would have simply stopped thinking about HIV anymore.
If you still want it,then go ahead with HIV DUO TEST around 28 days post exposure and then either a western blot test or a HIV PCR at 12 weeks.
I know all these are going to be negative.
It would be better if you stop worrying.
Just touching here and there doesn't lead to HIV so easily.
I hope it helps you.
Thanks

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Pavan Kumar Gupta (19 minutes later)

Thanks sir.. This is reassuring.. Its just that i am concerned about the small cut around my nail after the skin got peeled and i fingered with it. Hope that will not cause hiv? Also i will follow your advise and get otjwr tests in the window you have mentioned

Answered by Dr. Pavan Kumar Gupta (2 minutes later)

Hello,
Be happy and relax.
Best of luck
Thanks

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar