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About Junko
Expertise
I can answer most questions pertaining to teen health, thought I cannot give medical advice. I can explain medical terminology, describe medical conditions and hopefully help people understand what is going on with their bodies. If I don`t know an answer to a question, being a medical student, I can easily find out the answer since I have many resources I can refer to.

Experience
I am a 4th year medical student.
 
   

You are here:  Experts > Teens > Health for Teens > Teen Health > ORAL SEX

Topic: Teen Health



Expert: Junko
Date: 8/6/2004
Subject: ORAL SEX

Question
Hi ...!
   Am Paul.I have gone through an article on "Primary HIV Infection Associated with Oral transmission" on CDC"s site (National Center for HIV, STD and TB Prevention,Divisions of HIV/AIDS Prevention)
   There was a study conducted in which ,one component of a primary and recent HIV infection study called the Options Project, is funded by the Centers for Disease Control and Prevention (CDC) at the University of California, San Francisco
   The purpose of this particular study was to ascertain the extent of HIV transmitted by oral sex among men who have sex with men who were identified with HIV within 12 months of becoming infected.
   It is mentioned that The percentage of recently infected men enrolled in this study who were probably infected through oral sex (8%) was higher than many researchers had thought likely or found in other studies.
   Here it was also mentioned that Nearly half (3 of 8) of these cases reported oral problems, including occasional bleeding gums.
   Now my question is very simple:-
Q1> What was the dental condition of the 8 people who got infected ?
   I know that almost half of them had gum problems...as u have stated, but what about the rest ?
   *I WISH TO KNOW DID THE REST of the people have perfectly fine healthy mouths Or they too had some kind of dental problems/wounds in their mouths so as to have a direct opening in the mouth ?

Q2>If the rest of the 5 people had perfectly healthy mouths does this experiment goes to prove the "theorotical" possibility of infection through(Invisible)Micro cuts ?
   
I know you must be very busy sir but plz...answer this question in detail and provide me with the best correct information you can.

PLZ TAKE all the time you want BUT *PLZ REPLY BACK*.PLZ DONT IGNORE my email.
Anxiously Awaiting your Response,

PAUL.

Email:- sweetkiller21@yahoo.com

PS:-If possible plz mail back to my personal email add given below.Thanks.
        
                 ***********  

Answer
Hi Paul,

Sorry, I can't reply to you through personal e-mail.  

You ask some very good questions about the CDC study.  Unfortunately, the people who performed the study you read about haven't published their data so I don't have access to the details of their study.  I can only find a summary of what they presented at a conference which is not any more informative than the article you read.  So I'm sorry to say that I can't tell you what the oral status was of the 8 people who got infected via oral sex.  Since they only specified 3 of the 8 as having oral conditions, the other 5 probably didn't have any significant problems.  However, they could have had other infections or other factors that could have contributed to transmission of HIV through oral sex.

To answer your second question, all this study proves is that the risk of HIV transmission via oral sex is higher than it was previously thought to be.  The exact mechanism of HIV transmission in this study is still unknown.  However, it further supports the fact that you put yourself at risk to get any kind of sexually transmitted infection anytime you exchange bodily fluids with someone else.  You still need to practice safe sex with oral sex.  

I'm sorry I can't be more informative about this study.  Your best bet would probably be to contact the CDC directly to try to get more information.  I hope this has been somewhat helpful to you!

-Junko  

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