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Is HIV Transmission Possible Through Saliva?

Posted on Wed, 12 Nov 2014

Question: Dear Doctor,

I hope you are doing well. A couple of days ago I went to a strip club. The stripper pulled out my penis and began to give me a hand job. In the process she spit on my exposed/uncircumcised penis twice. I am concerned that her saliva may have had blood mixed in or she had bad oral hygiene. Furthermore, she may have had someone else's semen on her hand. I am concerned that the any or a combination of these agents/fluids may have touched cuts on my penis (don't know if I have any cuts) and/or it may have touched or entered my urethra making me vulnerable for STDs, namely HIV.

I should note that people in that area widely use heroine and cocaine. I don't know about the stripper, but sadly she seemed different.

I sincerely appreciate your thoughts. I am really scared here and this is not typical activity for me. Should I get tested?

Thank you and regards!

Answered by Dr. Arun (57 minutes later)

Brief Answer:
No possibility of HIV...

Detailed Answer:
Hello XXXX
I understand your concern. I am Dr. Arun Tank , infectious disease specialist, answering your concern.

- There is no possibility of transmission of HIV to you since oral sex has least possibility of HIV transmission. Because saliva contains substances that prevents multiplication and so survival of HIV.

- Saliva do not contain blood in it so there is no possibility of HIV in that case also.

- If it is a semen of other person in hand and cut on the penis than there is possibility of HIV transmission. But overall possibility of HIV is least in my view.

You can come back for further assistance, We wish you a best health at healthcare magic.
Thank you for contact,
Dr. Arun Tank
If you are satisfied with my answer rate me as five star and close the answer

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Arun (1 hour later)

Dear Doctor,

Thank you so much. What if there was a strain of blood in the saliva due to a bite, gum disease, etc? My concern is the possibility of a small cut on my penis or it getting into the urethra.

Really appreciate your help.

Thank you sir!

Answered by Dr. Arun (39 minutes later)

Brief Answer:
No possibility of HIV....

Detailed Answer:
Hello XXXX

- No possibility of HIV since by bite its only small amount of blood which may get diluted in saliva and become ineffective for infection.

I will be glad to assist you for further query. Kindly come up with.
Thank you,
Dr Arun Tank
Infectious Disease Specialist
If your query is resolved kindly close the discussion and rate the answer.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Arun (10 hours later)

Dear Dr. XXXXXXX

Thank you very much for your answers. I am still a little concerned here with the possibility that the stripper had a cut/wound on her hand and bleeding amidst the hand Job since she may be a drug user.

I'd appreciate your thoughts.

Thank you so much! May god bless you!

Answered by Dr. Arun (14 hours later)

Brief Answer:
Very little possibility of HIV..

Detailed Answer:
Hello XXXX
- Still there is a very little possibility of HIV. Possibility only arises if the

1) Fresh blood is dropping on the fresh cut on penile mucosa and

2) Virus got the good time to enter virus on the cut of penis.

I will be happy to answer your further query. Kindly ask for the query.

Thank you,
Dr Arun Tank,
Infectious Disease specialist,
If your query is resolved kindly close the answer and rate.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Arun (11 hours later)

Dear Doctor,

Thank you so much for your responses. Do you think I need to be tested?

My Best Regard,
XXXX

Answered by Dr. Arun (14 hours later)

Brief Answer:
No need to test

Detailed Answer:
Hello XXXX

- With the provided information and our talk, I can say there is no requirement for you to get tested...

I will be glad to answer your further concern.
Thank you,
Dr Arun Tank,
Infectious Diseases specialist,
If your query is resolved kindly close the answer and rate me.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Arun (7 hours later)

Dear Doctor,

Thank you for your kind advice, which I respect and appreciate very much. Does the fact that I am not circumcised change your thought regarding the need to be tested.

Sincere regards!

Answered by Dr. Arun (1 hour later)

Brief Answer:
No need to get tested...

Detailed Answer:
Hello XXXX

- If you are not circumcised, your chances of getting HIV still decreases. So there is no need for you to get tested.

I will be glad to answer your further concern.
Thank you,
Dr Arun Tank,
Infectious Diseases specialist,
If your query is resolved kindly close the answer and rate me.

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

Follow up: Dr. Arun (2 days later)

Hello Again Doctor,

I sincerely appreciate your advice, means the world. Since I am uncircumcised with presence of foreskin if there were blood in the saliva or the hand of the lady, would I still be at risk. I know HIV dies quickly in open air/outside its environment, but I don't know how fast.

Again, I did not ejaculate and I did not allow the lady to finish out of fear. My penis was exposed in open air for maybe two minutes XXXXXXX and then I put my pants back on. I regret taking two hours to wash my penis area.

Does the additional information make things more risky?

Again, I am sorry about the repeated question. Need some mental help!

Regards!

Answered by Dr. Arun (6 hours later)

Brief Answer:
No possibility of HIV with additional information

Detailed Answer:
Hi XXXX

- You are anxious and stressed about the incidence. The fear of the HIV after incidence has not gone from your mind. You should forget about the incidence and have to make your mind calm and tension free that you are not HIV negative.

- You can test your self if the stress is not relieved for HIV proDNA PCR, it is gold standard and definative test for HIV.

- As I mentioned earlier oral sex has least possibility of HIV, even if it has blood by bite the saliva cause dilution and make transmission ineffective. So there is no question as when you washed your penis or when you take in your paint etc.

Glad to answer your further concern.
We wish you a best health at healthcare magic.
Thank you,
Dr. Arun Tank
If you are satisfied with my answer rate me as five star and close the answer

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Arun (2 hours later)

Thank you so much Dr. XXXXXXX It makes me feel much better that you think there is no risk of HIV.

From a medical perspective, do I need to get tested for HIV?

This is the last question, I promise sir.

God Bless You!

Answered by Dr. Arun (4 hours later)

Brief Answer:
You can test it for your mental satisfaction...

Detailed Answer:
Hello XXXX

- No, there is no need for testing but to keep your mind calm and anxiety free I advised you to get your self tested with HIV pro DNA PCR. Once the report is negative you will be free from the stress situation.

Glad to answer your further concern.
We wish you a best health at healthcare magic.
Thank you,
Dr. Arun Tank
If you are satisfied with my answer rate me as five star and close the answer

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Above answer was peer-reviewed by : Dr. Ashwin Bhandari