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Question
i really like ur quick responses and answers

could u help i am warried?????

i bring a sex worker(prostitute) 2 days ago

1- we did open and closed kissing i have no open wounds or sores or ulcers but my teeth hygine is not good and i have dental caries and (some kind of pus collection under one of my teeth 2 week prior to expouser and i treated with amoxicellin and gone)so som gum inflamation still found

2-she sucked my penis over the condom but my penis was sleep so am not sure if she touch the back of my penis  and i sucked(slight tounge movement) in her vagina and anus

3- we huge each other over the bed so yes there is a touch bet my penis(no condom) and her vagina but sure i didnt penitrate her vagina and no intercours happend
4- i did outside sex(my penis without condom bet her legs)but not near to her vagina

thank u again and am really warried  

Answer
Dear Fahhad:

Peace.  The fluids that transmit HIV are primarily blood, semen, and vaginal secretions.  There are few documented cases of transmission through oral contact alone.  These factors work in your favor regarding HIV transmission.  If your sexual partner is in fact infected, you can reduce the number of times you're exposed, the amount of the fluids to which you are exposed, and provide a barrier of latex to decrease the chances of your becoming infected.  

Specifically, the open-mouthed kissing would not (in the absence of her blood in her mouth) place you at significant risk; the performing oral sex on her - exposing your mouth to her vaginal secretions - might place you at some risk of HIV infection if she is infected; your ejaculating on her legs placed you at no significant risk of HIV infection.

Please go to www.avert.org and/or www.thebody.com and research how to reduce your risk.  Understand also that other infections can be transmitted more easily than HIV, and reducing your risk from these infections is also important.  Again, more specific information available at the sites I mentioned.

For the sake of your safety and that of your sexual partners, I'd suggest you refrain from fluid exchange for at least six weeks, and talk to your health provider about a full examination and sexually transmitted infection test at the end of that time.  This way you will have knowledge of your status and how to continue to protect yourself and others, as well as attend to any health concerns that might arise.  

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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