What Are The Risk Of HIV After Having Protected Anal Sex?

Posted on Mon, 15 Sep 2014

Question: Two days ago, I had protected anal sex (receptive) and unprotected oral sex (receptive) with another man. I am concerned because I had a canker sore in my mouth, on my bottom lip. Is this any real risk for HIV? Should I be concerned?

Answered by Dr. Bharatesh Devendra Basti (2 hours later)

Brief Answer:
IF open wound consult doctor for PEP.

Detailed Answer:

Hi
Thank you for query. I am Dr Bharatesh D Basti answering your query.
As you had protected anal sex the chances of transmission of HIV is almost nil provided there is no contact and of secretions of either of you.
usually transmission of HIV by Oral sex ( receptive ) is not possible unless there is ulcers or abrasions in the oral cavity.
The canker sores are nonspecific due to any other conditions like deficiencies or autoimmune etc.If was open raw wound there may some risk.
If open or raw wound is present in oral cavity and the HIV status of person is positive or unknown then you can consult your doctor for Post exposure prophylaxis(PEP) for HIV.This is considered a risk group.
It has to be better initiated within 3 days of exposure.Consult doctor for PEP as it is 2 days .
You can get back to me for any clarifications.
Thank you
Dr Bharatesh

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

Follow up: Dr. Bharatesh Devendra Basti (4 minutes later)

Hi,
Thank you so much. The sore was not raw, it was uncomfortable of course, but not bleeding or very painful. He also did not ejaculate .

Answered by Dr. Bharatesh Devendra Basti (12 minutes later)

Brief Answer:
Almost nil relax .

Detailed Answer:
Hi
Thank you for follow up query.
Then the chances are almost nil.So relax.do not worry
You can get back to me for any clarifications else please close the discussion and rate.
Thank you
Dr Bharatesh

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

Follow up: Dr. Bharatesh Devendra Basti (2 minutes later)

I only have one last question for future knowledge.

In oral sex, if there is no ejaculation does that affect chances of contracting the virus? I have read conflicting reports, because there could be pre-ejaculate that one may unwittlingly contact, and other reports that say no ejaculation reduces what are already extremely low odds. Thank you so much for your help.

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

Brief Answer:
Yes

Detailed Answer:
Hi
Thank you for follow up query.
Yes definitely no ejaculate very low odds of contracting HIV as secretions do not come in contact at all. and it depends on presence of ulcers or abrasions in both chances . Precum (preejacualte)as commonly called is also a secretion and and has little chances so low odds is given keeping in mind of these factors.
You can get back to me for any clarifications else please close the discussion and rate.
Thank you
Dr Bharatesh

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