What Are The Chances Of HIV Transmission Through Unprotected Oral Sex?

Posted on Mon, 9 Mar 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 9 Mar 2015 Answered on

Sat, 28 Mar 2015 Last reviewed on

Question : I had unprotected oral sex and protected sex with an escort in Canada a month ago. I a week later I started to have a burning sensation in my urthetha . My doctor tested me for chlamydia and gonorreah and did a urine culture test and everything came back normal and negative. Nothing that would suggest herpes either. He felt my prostate and he said it was inflamed so he have me all the meds for to treat gonnorrhea and chlamydia . He said these STD's may have caused prostatitis. For three weeks the pain went away and late last week it returned. I am bit worried what this burning/pain is being caused by if its not an STD. What would be your next steps.

Answered by Dr. Sankaranantham Murugan (2 hours later)

Brief Answer:
Prostatic massage and examination of the prostatic fluid would help.

Detailed Answer:
Hi,
Welcome to HCM.
Thanks for posting your query.

Unprotected oral sex carries a very low risk for transmission of STD/HIV.
Relapse of pain and burning sensation of urethra indicates inadequate treatment or partner not being treated.

If it is due to Prostatitis, then go for a prostatic massage and examine the prostatic fluid for presence of pus cells and culture and sensitivity test for STD and non- STD organisms. As per the outcome treatment has to be planned and to be continued for 2 weeks to achieve a total cure along with your sex partners.
Get well soon
Dr S.Murugan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sankaranantham Murugan (1 hour later)

Hi Doctor,

Thanks for your reply. I had both urine STD cultures and bacterial cultures would that not show if there is any infection. I was only with this partner once and have refrained from sex since. What other stds can effect the uretha other than clhamydia /gonorrhea? And since my tests came back negative for those ones should I be tested for others? Would it be safe to have sex or continue refraining for the time being?

Thanks

Answered by Dr. Sankaranantham Murugan (2 hours later)

Brief Answer:
Mycoplasma, ureaplasma can cause prostatitis

Detailed Answer:
Hi,
Welcome back
Mycoplasma and ureaplasma are other possibilities. Repeat culture may be useful as some results were misleading.
Dr S Murugan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sankaranantham Murugan (4 minutes later)

Thanks and should I be concerned about stds like herpes and would should i refrain from having sex ?

Answered by Dr. Sankaranantham Murugan (4 hours later)

Brief Answer:
Abstain from sex till get cured

Detailed Answer:
Hi, Welcome back..
Herpes would have manifested already, if you have been infected. So not to worry about the same.
Sexual abstinence is preferable till you got relieved from prostatitis.
Dr S Murugan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sankaranantham Murugan (32 hours later)

Hi Dr,

I saw my doctor today and is sending me to urologist and put me on cipro for two weeks. If am better he wants me to do it for the next two weeks . He said the same thing about sex not because its transfersble but because it could cause sympotms .

Answered by Dr. Sankaranantham Murugan (1 hour later)

Brief Answer:
Ciprofloxacin can do better for Prostatitis.

Detailed Answer:
Hi,
Welcome once again.

It is good to try an alternate antibiotic. It may be helpful to you. At what dose you are taking Ciprofloxacin? Get well soon. Dr S.Murugan

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Sankaranantham Murugan (52 minutes later)

Hi doc . 500 mg twice a day

Answered by Dr. Sankaranantham Murugan (6 hours later)

Brief Answer:
Complete the course and get cured.

Detailed Answer:
Hi, Welcome once again.
That is a correct dose. Carry on and complete the course. You will likely to get relieved from your symptoms. Get well soon.
Dr S.Muruagn

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Sankaranantham Murugan (56 minutes later)

Thanks i will let you know what the urologist says . Since the sex i had was protected and the condom did not break do i still need to get tested for hiv a d other stds

Answered by Dr. Sankaranantham Murugan (3 hours later)

Brief Answer:
Protected sex offers a high degree of protection against STD/HIV

Detailed Answer:
Hi,
Welcome back.

As you had protected sex with an intact condom assures you that you had negligible risk for STD/HIV,almost nil. Your problems might not have any relation to STD.
Dr S.Murugan

Above answer was peer-reviewed by : Dr. Shanthi.E