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AIDS/HIV Through Oral Sex Risky?

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Question
about 3 and a half weeks I received a blowjob from a female for about 10-15 mins and I noticed she was using alot of saliva to masturbate me and suck me doing both on and off switching. I am circumsized too. I did notice afterward that I had sort of an abrasion or mark just below the head of my penis. like maybe a scab was going to form I am not sure. I put some alcohol on it and it stung a little. A scab actually never really formed that I could recall. My question is what are my possibilities or chances(percentage, etc.) of contacting HIV from this woman? I didn't see any blood at all on my penis from her blowjob. All I saw what alot of saliva. she kept spitting and adding saliva to it as well and I could hear the saliva in her mouth as she was going up and down on my penis. I did notice in the past that when I masturbated alot or really hard I would get these same type of abrasions just below the head of the penis where the skin is from a circumcision. I guess my skin there is really sensitive. I did an HIV test 2 weeks later and it was negative. I want to repeat it again if so when should I repeat it? in another 2 weeks? I do have some flu/sinus symptoms that are freaking me out too, but I am not convinced they are related to HIV(flu/sinus type symptoms)can you please answer my question to ease my mind because sometimes I can't stop thinking about it and am worrying alot about it thanks.

Answer
Dear Fred:

Peace.  

HIV is transmitted primarily through blood, semen, vaginal secretions, and in some cases breast milk.  Saliva would not effectively transmit HIV, though other sexually transmitted infections are possible.  As you report this one incident, no visible blood, no evidence of exposure to vaginal secretions or the semen of another, I would see your risk of HIV as very low.  A standard ELISA/Western Blot test after two weeks would best tell you if you were infected prior to this incident; it appears you were not.  Six weeks from possible exposure would be more reliable than four; I suggest you wait if you want to be tested again.  The flu/sinus symptoms are probably just that.

I don't know if this eases your mind but it represents the best information I can provide you.

Best to you and yours,

Terry

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Terry B

Expertise

Help in assessing personal and professional risk of HIV transmission; tips in teaching about HIV/AIDS; cultural competency for teaching about HIV/AIDS in Catholic settings; considerations in US and overseas HIV/AIDS programs and education for health and other professionals. Specific questions about treatment should be referred to your health provider; opinions and information offered are not meant to replace medical advice

Experience

Seven years with academic medical center and national AIDS education and training center, seven subsequent years with focus on international HIV/AIDS in East and South Africa. Former clinician, bioethics preceptor at an academic medical center and presenter in wide range of fora including international AIDS conference.

Organizations
Disabled American Veterans American Public Health Association MENSA AA

Publications
Human Variety, EC Sociological Society Proceedings of the International AIDS Conference, Durban, South Africa "HIV and Primary Care"

Education/Credentials
BS Psychology MPH Master of Public Health PhD studies underway

Awards and Honors
Naval School of Health Sciences, Hospital Corps with Highest Honors, Neuropsychiatry with Honors and High Distinction

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