Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Can HIV Be Contracted Through Oral Sex?
Posted on
Thu, 28 Jul 2016
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Thu, 28 Jul 2016
Answered on
Wed, 17 Aug 2016
Last reviewed on
Question : Hi Doctor
I was recently (5 days back) on a business trip in hong kong and went for a massage session. Post the massage, the lady gave me a hand job and a blow job (with condom). During this, I also kissed her vagina and performed oral sex for a short time (< 20 seconds).
What are the chances of HIV infection? I dont have any symptoms as such but I would want to rule this out and hence could you suggest any suitable tests for an early and confirmatory resolution to this issue
I was recently (5 days back) on a business trip in hong kong and went for a massage session. Post the massage, the lady gave me a hand job and a blow job (with condom). During this, I also kissed her vagina and performed oral sex for a short time (< 20 seconds).
What are the chances of HIV infection? I dont have any symptoms as such but I would want to rule this out and hence could you suggest any suitable tests for an early and confirmatory resolution to this issue
Brief Answer:
Oral sex carries a low risk.
Detailed Answer:
Hi,
Welcome to HCM.
Thanks for posting your query.
Massage activities and hand job carry almost 'nil' risk as far as HIV is concerned as there is no exchange of body fluids happened.
Oral sex carries a low risk. Infected blood transfusion, needle sharing, anal sex and vaginal sex are considered to be high risk for HIV transmission whereas oral sex carries a low risk as per CDC, XXXXXXX USA. The risk through vaginal sex is around 4-8 per 10000 exposures. It is very much lesser with oral sex. Then you can imagine your risk.
HIV can be ruled with antibody detecting tests 3 months after the risk activities conclusively. PCR test for HIV 1 and HIV 2 (available separately) can rule out this possibility more conclusive by 3-4 weeks, even though it can detect the presence of infection as early as one week after the exposure.
Dr S.Murugan
Oral sex carries a low risk.
Detailed Answer:
Hi,
Welcome to HCM.
Thanks for posting your query.
Massage activities and hand job carry almost 'nil' risk as far as HIV is concerned as there is no exchange of body fluids happened.
Oral sex carries a low risk. Infected blood transfusion, needle sharing, anal sex and vaginal sex are considered to be high risk for HIV transmission whereas oral sex carries a low risk as per CDC, XXXXXXX USA. The risk through vaginal sex is around 4-8 per 10000 exposures. It is very much lesser with oral sex. Then you can imagine your risk.
HIV can be ruled with antibody detecting tests 3 months after the risk activities conclusively. PCR test for HIV 1 and HIV 2 (available separately) can rule out this possibility more conclusive by 3-4 weeks, even though it can detect the presence of infection as early as one week after the exposure.
Dr S.Murugan
Above answer was peer-reviewed by :
Dr. Priyanka G Raj
Hi Doctor
Thanks for your response. So do you recommend that I do a PCR Test at the end of say 12 days as well as at the end of 4 weeks to rule this out?
Would these two be sufficient or is there a possibility that both of the above tests come out negative and I still get a positive detection through an antibody tests at the end of 3 months.
I also had a question on "The risk through vaginal sex is around 4-8 per 10000 exposures" - is this in cases where the other partner is HIV positive or a blended ratio of when one does not know the status of the partner.
Also, as per your knowledge, with respect to HIV via oral sex - is it an academic possibility or have there been documented reported cases of oral sex leading to HIV?
Thanks for your response. So do you recommend that I do a PCR Test at the end of say 12 days as well as at the end of 4 weeks to rule this out?
Would these two be sufficient or is there a possibility that both of the above tests come out negative and I still get a positive detection through an antibody tests at the end of 3 months.
I also had a question on "The risk through vaginal sex is around 4-8 per 10000 exposures" - is this in cases where the other partner is HIV positive or a blended ratio of when one does not know the status of the partner.
Also, as per your knowledge, with respect to HIV via oral sex - is it an academic possibility or have there been documented reported cases of oral sex leading to HIV?
Brief Answer:
RNA PCR test 4 weeks after the exposure is conclusive.
Detailed Answer:
Hi,
Welcome back.
We had seen one or two cases of HIV acquired through oral sex during my carrier of More than 25 years in HIV practice. The statistics given by CDC is referring to sex with known HIV population.
Negative Separate Qualitative RNA PCR tests for HIV 1 and 2, 4 weeks after the exposure is conclusive. No need to go for further antibody test after 3 months.
Dr S Murugan
RNA PCR test 4 weeks after the exposure is conclusive.
Detailed Answer:
Hi,
Welcome back.
We had seen one or two cases of HIV acquired through oral sex during my carrier of More than 25 years in HIV practice. The statistics given by CDC is referring to sex with known HIV population.
Negative Separate Qualitative RNA PCR tests for HIV 1 and 2, 4 weeks after the exposure is conclusive. No need to go for further antibody test after 3 months.
Dr S Murugan
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
