What Are The Chances Of HIV Through Oral Sex?

Posted on Thu, 29 Jan 2015

Question: I had mutual oral no condoms with a pre op filipina tranny escort in my town midwest usa on 9/20/14 she didnt cum i might of had pre cum in her mouth but I stopped and she gave me hand job and I cummed on her chest. I tested at 4 weeks dna pcr qualitive test negative and orasure finger prick test negative. At 10 weeks I had orasure saliva swab negative. Am I in the clear. I have been having dry eyes and clogged ears and headaches sporadicly for a month know

Answered by Dr. Bharatesh Devendra Basti (6 hours later)

Brief Answer:
Elisa after 3 months exposure conclusive.

Detailed Answer:
Hi
Thank you for query.I am Dr Bharatesh D Basti answering your query.

The chances of HIV transmission by oral sex is rare .The possibilities even by the other modes mentioned is rare.Though the risk of transmission is possible is very low.

It is good your HIV tests have come negative.
The DNA PCR after 4 weeks is very sensitive .
The ora test is not conclusive.

But to be conclusive you can go for antibody test like Elisa after 3 months exposure. Now as 3 months is over you can get Elisa test to relieve your anxiety .
The symptoms are nonspecific and not related to HIV.
You can get back for any clarification.
Thank you
Dr Bharatesh D Basti
Dermatologist and venereologist

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Bharatesh Devendra Basti (16 hours later)

So if I took that elisa test now I should be okay why isnt the orasure test good I did it at a planned parenthood clinic.

Answered by Dr. Bharatesh Devendra Basti (8 minutes later)

Brief Answer:
Elisa after 3 months is conclusive.

Detailed Answer:
Hi
Thank you for follow up query.

Antibodies take 2 weeks to 3 months to be formed.
So the tests are considered conclusive only after 3 months .Oraquick test is not conclusive by 10 weeks exposure.
Elisa after 3 months exposure is considered conclusive.
You can get back for any clarification.
Thank you
Dr Bharatesh D Basti

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Bharatesh Devendra Basti (1 hour later)

Would a finger prick orasure test work or does it need to be elisa.

Answered by Dr. Bharatesh Devendra Basti (6 minutes later)

Brief Answer:
Elisa preferred but orasure test OK

Detailed Answer:
Hi
Thank you for follow up query.

The risk of HIV transmission being almost nil and DNA PCR negative, the finger prick test should be okay.Though Elisa is more sensitive , it should be OK.
You can get back for any clarification.
T XXXXXXX you
Dr Bharatesh D Basti

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Bharatesh Devendra Basti (16 minutes later)

So any test I choose would be conclusive and I could move on.

Answered by Dr. Bharatesh Devendra Basti (6 hours later)

Brief Answer:
Yes.

Detailed Answer:
Hi
Thank you for follow up query.

As you have no risk either test would be okay.Elisa would be better.You will be relived of the anxiety of repeating test.

You can get back for any clarification.
Thank you
Dr Bharatesh D Basti

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Above answer was peer-reviewed by : Dr. Raju A.T