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What Are The Chances Of HIV Transmission Through Kissing?
Question: Hi Dr.
I received a massage body slide. She rubbed her body on my penis. It was very long exposure. But no vaginal contact.
I do have a lip biting habit. We kissed couple of time for 5-6 seconds, not tongue. But I am bit worried due to my lip biting habit.
1) Is there an exposure to HIV due to body slide on penis for long time.
2) Is there any exposure because of kissing and my lips biting habit.
3) Should I go for a PEP treatment and do I need to go for a test?
I received a massage body slide. She rubbed her body on my penis. It was very long exposure. But no vaginal contact.
I do have a lip biting habit. We kissed couple of time for 5-6 seconds, not tongue. But I am bit worried due to my lip biting habit.
1) Is there an exposure to HIV due to body slide on penis for long time.
2) Is there any exposure because of kissing and my lips biting habit.
3) Should I go for a PEP treatment and do I need to go for a test?
Brief Answer:
No likelihood of HIV transmission in your case
Detailed Answer:
Hi XXXXX,
Thanks for writing in to us.
I have read through your query in detail.
Please find my observations below.
1. There is no risk to HIV exposure from your incident as described. HIV is transmitted due to the entry of infection containing body fluids or blood to the recipient through genital route, open wound or needle route. Since there is no vaginal contact or oral sex by either partners in the above incident therefore no risk to exposure of HIV is there.
2. Kissing on lips for 5 to 6 seconds will not transmit HIV. Kissing is not a risk factor for transmission of HIV infection. I do not think you have a bleeding wound on your lips and also there was no saliva exchange during kissing. Also saliva does not contain sufficient amount of infection causing virus even if the other person is infected. You are still safe.
3. There is no compulsion to go for a PEP or testing as no active sexual activity has occurred. For your information, PEP is always recommended within 3 days of a possible exposure. However you do not seem to have any risks for HIV transmission and do not require any PEP.
Testing is not mandatory but recently there are fourth generation rapid tests which give an accurate result when done 12 days after possible sexual exposure. Such a test can be taken by you for double confirmation and to reduce anxiety.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
No likelihood of HIV transmission in your case
Detailed Answer:
Hi XXXXX,
Thanks for writing in to us.
I have read through your query in detail.
Please find my observations below.
1. There is no risk to HIV exposure from your incident as described. HIV is transmitted due to the entry of infection containing body fluids or blood to the recipient through genital route, open wound or needle route. Since there is no vaginal contact or oral sex by either partners in the above incident therefore no risk to exposure of HIV is there.
2. Kissing on lips for 5 to 6 seconds will not transmit HIV. Kissing is not a risk factor for transmission of HIV infection. I do not think you have a bleeding wound on your lips and also there was no saliva exchange during kissing. Also saliva does not contain sufficient amount of infection causing virus even if the other person is infected. You are still safe.
3. There is no compulsion to go for a PEP or testing as no active sexual activity has occurred. For your information, PEP is always recommended within 3 days of a possible exposure. However you do not seem to have any risks for HIV transmission and do not require any PEP.
Testing is not mandatory but recently there are fourth generation rapid tests which give an accurate result when done 12 days after possible sexual exposure. Such a test can be taken by you for double confirmation and to reduce anxiety.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Dr.,
I am very much thankful for your quick response. It relieves some anxiety I am going through.
Regarding point
1) What If the masseur has massaged old client and not washed her body properly. I realized that later.
and I do remember that my penis did not touch her vagina at all but what if it slightly touched. Sorry it could be a dumb question.
2) I do not have a bleeding wound on my lips but you can imagine how would lip biting can cause. No visible blood but I can see my lips red.
3) If you would be my personal Dr. and I come to you with this situation - would you recommend for PEP as I am still under 3 days cycle.
Kindly reply as you have done now as I am very much worried and could not eat and sleep.
We are planning for a baby and I don't want my wife to be at risk due to my stupid act which if you trust me happened during that time and it was pre planned.
Please let me know if I should start PEP and do test after 1 month or the above mentioned act is completely Zero risk and non-existent.
I am very much thankful for your quick response. It relieves some anxiety I am going through.
Regarding point
1) What If the masseur has massaged old client and not washed her body properly. I realized that later.
and I do remember that my penis did not touch her vagina at all but what if it slightly touched. Sorry it could be a dumb question.
2) I do not have a bleeding wound on my lips but you can imagine how would lip biting can cause. No visible blood but I can see my lips red.
3) If you would be my personal Dr. and I come to you with this situation - would you recommend for PEP as I am still under 3 days cycle.
Kindly reply as you have done now as I am very much worried and could not eat and sleep.
We are planning for a baby and I don't want my wife to be at risk due to my stupid act which if you trust me happened during that time and it was pre planned.
Please let me know if I should start PEP and do test after 1 month or the above mentioned act is completely Zero risk and non-existent.
Brief Answer:
Please find details below
Detailed Answer:
Hi XXXXXXX,
Thanks for writing back with an update.
I understand your concern and that you and your wife are soon planning to have a baby.
Please find details below
1. There is a lot of anxiety in you right now and I have noticed this in other men who have had similar incidents and got massage done and then fear HIV. I reassure you that the HIV virus gets destroyed in air within 10 seconds and the chance of an old client getting a massage and then HIV infection being transmitted to you is difficult to imagine and it cant happen that way. You have already confirmed that you did not have penetrative sex so there is no risk of HIV transmission in skin to skin contact between her lower abdomen and your penis.
2. I have reviewed literature on HIV infection by kissing from the recent documents available on the topic released by the Centers for Disease Control and Prevention CDC which is an authority and followed in the US. They recommend the following
"The risk of getting HIV through kissing depends on the type of kiss. HIV is not spread casually, so kissing on the cheek is very safe. Even if the other person has the virus, unbroken skin is a good barrier. No one has become infected from ordinary social contact, such as dry kisses, hugs, and handshakes.
Open-mouth kissing is considered a very low risk activity for the transmission of HIV, but prolonged, open-mouth kissing could damage the mouth or lips. This could allow HIV to pass from an infected person to a partner. HIV could then enter the body through cuts or sores in the mouth. CDC recommends against open-mouth kissing with an infected partner because of this risk"
3, Keeping in mind the recommendations of the CDC as above, you have said that there has been only close mouth lip to lip kissing for 5 to 6 seconds. This means there was no tongue contact and what you did was dry kissing. With this information, should have been my patient, I would have recommended you get tested after 15 days to a month with the fourth generation HIV test to help you with your anxiety.
PEP is not required if your kiss is within the definition of "dry kissing" laid down by the CDC that will never transmit HIV infection.
Testing by fourth generation rapid test is to reduce your fear of the condition and to re assure you that you are HIV free.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please find details below
Detailed Answer:
Hi XXXXXXX,
Thanks for writing back with an update.
I understand your concern and that you and your wife are soon planning to have a baby.
Please find details below
1. There is a lot of anxiety in you right now and I have noticed this in other men who have had similar incidents and got massage done and then fear HIV. I reassure you that the HIV virus gets destroyed in air within 10 seconds and the chance of an old client getting a massage and then HIV infection being transmitted to you is difficult to imagine and it cant happen that way. You have already confirmed that you did not have penetrative sex so there is no risk of HIV transmission in skin to skin contact between her lower abdomen and your penis.
2. I have reviewed literature on HIV infection by kissing from the recent documents available on the topic released by the Centers for Disease Control and Prevention CDC which is an authority and followed in the US. They recommend the following
"The risk of getting HIV through kissing depends on the type of kiss. HIV is not spread casually, so kissing on the cheek is very safe. Even if the other person has the virus, unbroken skin is a good barrier. No one has become infected from ordinary social contact, such as dry kisses, hugs, and handshakes.
Open-mouth kissing is considered a very low risk activity for the transmission of HIV, but prolonged, open-mouth kissing could damage the mouth or lips. This could allow HIV to pass from an infected person to a partner. HIV could then enter the body through cuts or sores in the mouth. CDC recommends against open-mouth kissing with an infected partner because of this risk"
3, Keeping in mind the recommendations of the CDC as above, you have said that there has been only close mouth lip to lip kissing for 5 to 6 seconds. This means there was no tongue contact and what you did was dry kissing. With this information, should have been my patient, I would have recommended you get tested after 15 days to a month with the fourth generation HIV test to help you with your anxiety.
PEP is not required if your kiss is within the definition of "dry kissing" laid down by the CDC that will never transmit HIV infection.
Testing by fourth generation rapid test is to reduce your fear of the condition and to re assure you that you are HIV free.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank You Dr.
You confirmed about first point which I really appreciate.
Even though it was for 4-5 second, and 2-3 time we did kiss open mouth which means exchange of very less amount of saliva on lips.
It was not deep kissing and not touched each others teeth or tongue with tongue.
I am really sorry I am asking you again and again. These questions may be very dumb or irritating. Does that above condition seems a risk?
I am going through a trauma and don't know what to do.
I want my wife to be safe. It was my fault.
Please help and let me know if the above condition seems a risk and I should do PEP?
I also have a pressure of planning a baby as my wife has came out of a difficult situation of endometriosis and now we cant wait.
I am considering you my family Doctor. Please help.
You confirmed about first point which I really appreciate.
Even though it was for 4-5 second, and 2-3 time we did kiss open mouth which means exchange of very less amount of saliva on lips.
It was not deep kissing and not touched each others teeth or tongue with tongue.
I am really sorry I am asking you again and again. These questions may be very dumb or irritating. Does that above condition seems a risk?
I am going through a trauma and don't know what to do.
I want my wife to be safe. It was my fault.
Please help and let me know if the above condition seems a risk and I should do PEP?
I also have a pressure of planning a baby as my wife has came out of a difficult situation of endometriosis and now we cant wait.
I am considering you my family Doctor. Please help.
Brief Answer:
Please find details below
Detailed Answer:
Hi XXXXXXX,
Thanks for writing back with an update.
I understand your situation and will help you understand your situation better.
After reviewing your case in detail and analyzing the incident, I find that a 5 to 6 second kiss is not sufficient to cause transmission of HIV. There is no need to take PEP keeping in mind every detail of your incident.
However, if you feel that I am not convincing enough then you can take a second opinion from a HIV treatment center in your location. This will help take anxiety off your mind
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please find details below
Detailed Answer:
Hi XXXXXXX,
Thanks for writing back with an update.
I understand your situation and will help you understand your situation better.
After reviewing your case in detail and analyzing the incident, I find that a 5 to 6 second kiss is not sufficient to cause transmission of HIV. There is no need to take PEP keeping in mind every detail of your incident.
However, if you feel that I am not convincing enough then you can take a second opinion from a HIV treatment center in your location. This will help take anxiety off your mind
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I was reviewing other forums and found this
http://www.thebody.com/Forums/AIDS/SafeSex/Q222495.html
http://www.thebody.com/Forums/AIDS/SafeSex/Q238884.html
Sir, please final words. Can I revive my normal life with my partner or should I wait for 30 days?
Please answer considering my situation, we have been going through medical issues from 5 years and now gained strength and now this happened.
I really appreciate your site and response.
http://www.thebody.com/Forums/AIDS/SafeSex/Q222495.html
http://www.thebody.com/Forums/AIDS/SafeSex/Q238884.html
Sir, please final words. Can I revive my normal life with my partner or should I wait for 30 days?
Please answer considering my situation, we have been going through medical issues from 5 years and now gained strength and now this happened.
I really appreciate your site and response.
Brief Answer:
Please find details below
Detailed Answer:
Hi XXXXXX,
Thanks for writing back with an update.
The above links have been reviewed by me and I find the suggestions valid and acceptable.
My opinion is based on the present healthcare regulations and I have analyzed your incident in detail while replying to your query.
There is no chance of getting infected by HIV from your incident and you can resume your normal life. The question of waiting has more to do with your anxiety level.
If I tell you to resume your normal life today itself then you will still have anxiety and then this will continue. Rather than having anxiety, it will be best to do the test after 15 days and I am sure your results will be negative. That will be more like a document proof in your hand that you are normal. I hope you have understood what I mean.
We can discuss anything more that you feel I have not touched up on or anything else you have in your mind.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please find details below
Detailed Answer:
Hi XXXXXX,
Thanks for writing back with an update.
The above links have been reviewed by me and I find the suggestions valid and acceptable.
My opinion is based on the present healthcare regulations and I have analyzed your incident in detail while replying to your query.
There is no chance of getting infected by HIV from your incident and you can resume your normal life. The question of waiting has more to do with your anxiety level.
If I tell you to resume your normal life today itself then you will still have anxiety and then this will continue. Rather than having anxiety, it will be best to do the test after 15 days and I am sure your results will be negative. That will be more like a document proof in your hand that you are normal. I hope you have understood what I mean.
We can discuss anything more that you feel I have not touched up on or anything else you have in your mind.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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