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Can HIV Be Contracted Through Oral Sex?

Posted on Tue, 21 Jun 2016

Question: worried risk of hiv from oral sex on male ....I am a male ....he wore condom but I think it tore

Answered by Dr. Sankaranantham Murugan (55 minutes later)

Brief Answer:
Hiv transmission risk is negligible only.

Detailed Answer:
Hi,
Welcome to HCM.
Thanks for posting your query.
Your sex partner would unlikely be a HIV positive man. If he is a HIV negative man there is no chance for you to get HIV from him.
Oral sex carries a low risk for HIV when compared to Blood transfusion, Needle sharing, penetrative anal sex and vaginal sex in that order as per CDC XXXXXXX
Moreover blow job with condom on, the HIV risk is almost nil.
If there was a possibility of broken condom, you could have felt it or the taste buds of your tongue would have felt the same. If it had not felt inside your mouth, the condom was considered to be well intact. So you need not worry about the same. You are safe.
Dr S.Murugan

Above answer was peer-reviewed by : Dr. Naveen Kumar

Follow up: Dr. Sankaranantham Murugan (9 hours later)

negligible means so I still have a chance of getting it ?I'm worried that xondom might hv had small holes as it was rough n deep oral sex...I have never done such things before neither ever had anal or vaginally sex with a male or female ....I'm. not sure if his precum entered my throat....be did not ejaculate on my mouth or in xondom but worries if pre cum entered....I'm don't know his hiv status....I'm very scared ...Plz help.....so I need testing...I just tested last week but that was after I kissed someone who has hiv it was negative...so I need to keep testing even if I don't have vaginal or anal sex..Plz help me
..I'm very scared n hv decided to abstain from such activities completely...plz reply...thanks dr

Answered by Dr. Sankaranantham Murugan (31 minutes later)

Brief Answer:
Condom available in the market are in good standard unlikely to have hole

Detailed Answer:
Hi,
Welcome back.
Don't get too much anxious or panicky about that act. You don't have much risk for HIV. Moreover HIV is not a life threatening disease no longer. It is well manageable disease with treatment nowadays. But this does not mean that you would be likely to have. I am assuring you. That is all.
Condoms come to the market after a thorough quality check up at different stages. There will not be any chances for a hole in the condom, if it does not cross the expiry date. If at all, it could break during the act near the tip that has the air space, if not applied correctly and then it would be obvious as the broken area is wide and can't hold anything inside.
Precum is not exceeding more than two or three drops and it is more viscus. So it can not flow and seep through the hole(s) over the condom unless there was a tear of condom.
So your fear is baseless and relax.
DR S.Murugan

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Sankaranantham Murugan (31 minutes later)

I'm really worried do I need testing ...I donno if hole was big or small n if precum comes in line with mucous membrane dosent it cause risk ??

Answered by Dr. Sankaranantham Murugan (47 minutes later)

Brief Answer:
Chances of getting HIV through precum through condom is unlikely

Detailed Answer:
Hi, Welcome back.
Infectiousness of precum is negligible, that too through a Condom hole is unlikely. Testing for HIV and rule out the negligible possibility of HIV will calm your mind. Otherwise you will likely to attribute even small illness like headache to that incident.
Dr S Murugan

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Sankaranantham Murugan (23 minutes later)

ok dr is pep warranted after this exposure ?us huv testing medically warranted
..is it zero risk or negligible risk...this is the first time I did such an activity I have never done anal or vaginal sex ever....I'm very worried...It was mouth fucking do I wonder if the friction of his penis in my throat or mouth can cause hiv ???I read on the net it says low risk...I'm confused...Is testing medically warranted...do I hv to keep testing after such incidents even if I nevr have anal or vaginally sex ....plz help...I am very stressed n I can't even tell my family...request a prompt response dr ...thanks very much

Answered by Dr. Sankaranantham Murugan (3 hours later)

Brief Answer:
PEP has no value after 72 hours. Indicated only for occupational exposures

Detailed Answer:
Hi,
Welcome back.
PEP is indicated only for occupational exposures for health care providers and not for sexual contact. Moreover PEP can be started within 72 hours of exposure and not later than this. That too, it will be more reliable when started as early as possible (within six hours). It is having no value after 72 hours.
Zero risk can not be predicted by any doctor or third person. Negligible risk amounts to less than 1 per 10000 exposures.
Friction of penis in oral sex is lesser than with anal or vaginal sex and in protected sex, the risk had not increased in anyway. you need not be so tense and your risk is negligible.
Dr .S.Murugan

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Sankaranantham Murugan (13 minutes later)

thanks dr ...is testing warranted medically ??do u know of any cases where a person got hiv from protected oral sex on a male....??

Answered by Dr. Sankaranantham Murugan (1 hour later)

Brief Answer:
I have yet to come across a HIV case acquired through protected oral sex

Detailed Answer:
Hi,
Welcome back.
I didn't come across any person acquired HIV through protected oral sex on a male either in my 25 years of practice as a HIV physician or in any journals or conferences. You have no real indication for a HIV test, it is just to Clear the mental tension.
Dr S Murugan

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Sankaranantham Murugan (15 minutes later)

thank you so much dr....u have relieved my anxiety to a great extent ....just a last question since it was deep oral sex and involved a lot of friction is there any way pre cum can pass through the mucous membrane since mucous lining is very delicate and I felt pain in my mouth n throat fr a few minutes after the act was over .....I was also having a sore throat at that time ...so I'm just thinking if the pre cum rubbed against a small cut or lesion in the throat or mouth ........thanks again ....

Answered by Dr. Sankaranantham Murugan (15 minutes later)

Brief Answer:
Precum could not come in contact with mucosa in protected oral sex

Detailed Answer:
Hi
Welcome back.
Don't imagine odd possibilities. Whether it was a deep or Superficial oral sex, whether you had a sore throat already or not is immaterial. With protected oral sex, you are safe. Precum has least concentration of HIV virus, that too occasionally.
There was no chance for the precum to come in contact with the throat mucosa to cause a HIV infection in protected oral sex.
Dr S Murugan

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

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

thanks dr ...I'm just saying that I think the condom might hv been torn...bcoz wen I saw it in told my part ner it's torn but hw said it's an air bubbles but I insisted him to again wear a new one....I'm just thinking wat if xondom was torn or had a small hole since it was rough oral sex and his precum entered my mucous.....then I am at risk ??this has really been giving me sleepless nights

Answered by Dr. Sankaranantham Murugan (5 hours later)

Brief Answer:
Precum not increased the risk of HIV even with broken Condom

Detailed Answer:
Hi,
Welcome back.
Hole in the condom is unlikely with a fresh and unexpired one. Unprotected oral sex carries a low risk for HIV as per CDC, XXXXXXX
So a broken Condom in a oral sex has low risk only. When there was no ejaculation, the risk was negligible and it remained same with precum.
Dr S Murugan

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

Follow up: Dr. Sankaranantham Murugan (5 minutes later)

do I need testing ...I'm worried if cindom tore during the act??

Answered by Dr. Sankaranantham Murugan (7 minutes later)

Brief Answer:
Ruling out HIV by testing will relieve unnecessary tension

Detailed Answer:
Hi,
Welcome back.
If you think that your condom torn during the oral sex, it is better to rule out HIV infection by a blood test even though the risk is negligible.
Dr S Murugan

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

Follow up: Dr. Sankaranantham Murugan (6 minutes later)

thanks dr ...u expect it to be negative ??have there been any such cases before??

Answered by Dr. Sankaranantham Murugan (6 hours later)

Brief Answer:
You will get a nonreactive result for HIV test

Detailed Answer:
Hi,
Welcome once again.
I expect a nonreactive result for you without any doubt. You can boldly take up the test after appropriate window period for the test.
Dr S.Murugan

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

Follow up: Dr. Sankaranantham Murugan (3 hours later)

thanks dr ...my only concern is since he was using a cindom and it was oral sex which was deep and with lot of friction if the condom tore and due to friction his pre cum entered my mucous lining of mouth or throat...then it's a risk right??require some clarity on this..thanks once again

Answered by Dr. Sankaranantham Murugan (8 minutes later)

Brief Answer:
You acts carry a negligible risk for HIV.

Detailed Answer:
Hi,
Welcome back.
I can not guess odd possibilities.
Once again, oral sex has a low risk for HIV infection. Protected oral sex reduce the risk further to a negligible extent. HIV concentration in precum is very low. With all these facts, your risk is negligible only.
Dr S Murugan

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

Follow up: Dr. Sankaranantham Murugan (59 minutes later)

thanks dr ....so u expect a non reactive result right?

Answered by Dr. Sankaranantham Murugan (1 hour later)

Brief Answer:
You will get a non-reactive report for HIV test

Detailed Answer:
Hi,
Welcome back.
Yes, absolutely. I am expecting a non-reactive report for your HIV test.
Dr S Murugan

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

Follow up: Dr. Sankaranantham Murugan (6 hours later)

dear Dr I'm getting very stressed...is there any way I can stop stressing ....I was stressed fr a month last time because I had kissed someone and I XXXXXXX got to know ow he had hiv so I had waited and tested for that ...n just after 2 days of negative report again this happened...I have secured not to ever indulge in anything like that with a male or female ever on my life ...I am really worried...could you suggest something to easy my anxiety.......if u remember about a year back I had asked u a question regarding hiv transmission from a blood test after which I had tested over 10 times and was still not convinced....this cycle keeps haunting me ....could u suggest something....any testing quicker which is very accurate ....I kissed ow u said negligible risk is there but it's still a risk at that's wat is playing on my mind

Answered by Dr. Sankaranantham Murugan (4 hours later)

Brief Answer:
You have to consult a psychiatrist to calm your mind.

Detailed Answer:
Hi,
Welcome back.
Even though HIV antigen tests can pick up the presence of disease as early as 1 week after the encounter, but considered more conclusive by 4 weeks. You have to take up this test separately for HIV 1 ans 2.
It seems that you had mentally disturbed very much. I suggest you to have a consultation with a psychiatrist.
Dr S.Murugan

Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

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