Question: Im 34 m, married. This is the first time in my life I have made a mistake outside my marriage. I had all my medical check done in my office in KL August end, my HIV and VDRL is negative.

I had unprotected oral sex (BJ) from a CSW in Kuala lumpur 7 days back. She initially took me into a room , washed me up with water and herself separately and gave me a clean towel to dry. I washed my mouth with water and she did the same. I was made to lie on the bed and she did some massage, i just kissed her on cheeks and neck and sucked her nipples slowly for 2 mins (No secretions came out). Apart from this I did not have sexual intercourse with her either vaginal or anal. Then she gave me a blowjob unprotected for 5 mins. I had french kissed her for 5 mins after the blow job. For briefly 30 seconds, I touched her clitoris with my right middle finger (Without cuts) and did not insert my finger in her vagina. Later she gave me a hand job and I ejaculated on my lower belly, later wiped it with a clean cloth. I wore my under vest and came back. I have not cleaned my penis with water after that. Can I get HIV from Oral blow job? I have not seen or smell of any blood in her mouth or vaginal fluid near me as the vagina was far away from my body.



Post this episode I have met following Doctors



1. Doctor in Brickfields (Saturday) provided me Antibiotic injection and 2 tabs (Doxicycline and Flagyl) for 5 days and said dont worry, you are getting anxious , do a test only for your satisfaction. Its very low to get HIV by this way.



2. Another Doctor in Brickfields (Sunday) again told me the same thing, if you want to get tested, do it after 6 weeks to relieve your anxiety. The transmission is low this way.



3. I visited an other STD specialist in Bangsar on Wednesday, he told me that if you had come to me within 72 hours, I had given you an anti viral pill. He examined my penis and took a urethral swab and said it was normal. He suggested me to get HIV tested after 4 weeks. He too said it is very very very low by this way.



4. I had counselling from 2 people including Mr XXXXXXX and said that it was negligible risk.



Please clarify if I may get HIV? I am very much annoyed and not sleeping.



If the CSW is HIV positive and she sucks my cock for 5 minutes, does the HIV transmit? I do not have cuts on my penis (Uncircumcised) . But I have not observed any blood in her mouth?? If it were to be, what could be the chances?



I have french kissed the girl for 2 mins after her blow job? Will this transmit?



I have not cleaned my penis after I wiped off all semen on my belly? Will this transmit?



Please tell me with your experience , any case like me with unprotected BJ leading to HIV?



I can also do the RNA HIV PCR testing if required?



Please tell me if I need HIV testing in this regard???



Thanks.

Thanks a lot Doctor for the answer

Few more queries

My major concern is if the prostitute is HIV positive and if she licks my dick, can it pass? I dont have any scratches on my penis. I have not seen or smelt blood in her mouth while kissing.

I have french kissed the girl after blowjob? will this transmit?

After I wiped my cum with a cloth, i wore my vest and came back and did not clean my penis the whole night? will this cause problems

My penis Is uncircumcised , does this cause problems

If the girl would have had some.blood. In her mouth, what could.be the transmission.

Was the post exposure prophylaxis necessary here as suggested by one doctor.

Lastly please tell me with your experience, any patients with received blowjob and acquired hiv, I have not done any inter course with her.

These are my worries.

Thanks Doctor.

One last doubt, if the penis is uncircumcised, my penis when erect has an outer skin and hole ( urethra) in between, otherwise no cuts on the shaft. Does this cause problems.