Expert: Terry B - 12/5/2006

Question
Please can you give me advice.  I had unprotected oral sex with another lady two months ago.  There was no pre-cum and I was more on the receiving end.  Please tell me if this is a risky factor and wether you think I must get tested?
Thank you Kelly

Answer
Dear Kelly:

Peace and all good things to you.  It is difficult to tell from your letter if you performed oral sex on the lady in question ("more on the receiving end") and what role pre-cum might play in your risk.  Let me try to give you some information and you can make a judgement about risk and your need to be tested.

Semen (precum, cum) is produced by the male in preparation for and ejaculation, essentially protecting sperm from the fluids of the vagina and helping to facilitate fertilization.  In the semen of an HIV infected male there is found sufficient virus to infect another person.  The other fluids that contain sufficient virus to infect another in sexual activity are vaginal secretions and blood (or blood products).  Breast milk is also able to transmit HIV, though this does not appear a factor in the situation you describe.

Other factors which increase risk include the condition of the skin or mucous membranes - were there breaks from other infections, were there tears that occurred during the act?  Also, the amount of fluids, the length of time of the exposure (duration), and how often the exposure(s) occurred factor into calculating risk.

Take a look at the above and apply the information to your situation.  I recommend that everyone who is sexually active be tested and counseled for HIV and other Sexually Transmitted Infections; knowing your own status is of help both in peace of mind and in responsible intimacy.

I hope this is helpful, and wish you and yours the best.

Sincerely,

Terry