hiv risk from oral and PEP

Hey guys,

I was going through some emotional turmoil in the past and ended up putting myself at possible risk for HIV and/or herpes. I banged 3 pros. 2 at a massage parlour and one from back page. I used a condom at all times, but I gave them oral sex (cunnilingus) and go an unprotected blowjob. After the 3rd one, I decided to go on PEP for 28 days. Here’s the time line:

week 0: sex with first lady. used condom for vaginal but: gave her oral sex
week 2: sex with second lady. used condom vaginal. (not risky)
week 4: sex with third lady. used condom for vaginal and anal but: gave her oral sex and she gave me unprotected head. I started PEP 15 hours after this exposure.
week 8 (yesterday): finished taking PEP

Now thought the risk is small, getting HIV from going down on a woman who is HIV+ is a low but existing risk and my doctor said that he himself has treated and cared for patients that became infected in this way. He’s a really good doctor and has been doing HIV for 20 years straight. Getting a blow job is lower risk but still possible. I am worried because I got some possible symptoms like rash, a fungal infection on my skin under my lip (taking loprox anti fungal cream), and a white sore inside my mouth.

My questions are (you don’t need to answer both!)

1. For hobbyists out here, people in a relationship with a HIV+ woman, or anyone else who can share something useful: What are your experience on going down on an HIV+ woman or a possibly HIV+ woman?

2. A tricky one for the doctors among you: PEP can delay seroconversion. So usually it’s recommended to test 12 weeks post PEP (16 weeks post exposure). My question is, when can I test for my exposure on week 0? I tested negative at week 4 right before starting PEP. If I test at week 12, does that count as 8 weeks or 12 weeks? (since 4 of them I was on PEP).

Thanks guys, I used to post a bit but now I’ve become more of a lurker on the forums :) . I’ll update this thread with my test results 3 months from now. One thing I’ve learned from all this is to never go down on a pro. Even though the risk of HIV is low, it still exists and there’s always herpes and many other nasty things you can easily get. There’s no point. Escorts are for your own pleasure, Disregard their pleasure. Save the uncovered blow jobs and pussy eating for your girlfriend/wife.

‘Now thought the risk is small, getting HIV from going down on a woman who is HIV+ is a low but existing risk and my doctor said that he himself has treated and cared for patients that became infected in this way’

How he knows for sure?

"Romero and others, in their article describing an excellent and diligent long term study failed to identify any risk at all in transfer of HIV from an HIV positive to an HIV negative partner through oral sex. In total 19000 episodes of oral sex were documented amongst 135 heterosexual couples over ten years and in 34% of these episodes the HIV positive male ejaculated into the HIV negative females’ mouth. (Romero J et al. Evaluating the risk of HIV transmission through unprotected orogential sex. AIDS 16:9:1269-97, 2002.)

Baggaley and others, in their article Systematic review of orogenital HIV-1 transmission probabilities. International Journal of Epidemiology 37 : 1255-65, 2008 have reviewed
…………………
The overall conclusion was that:-

- Chances of acquiring HIV through oral sex with an HIV infected partner are very low. The majority of the studies reporting zero to miniscule risk. "

Can I get HIV through oral sex? - Dr. Jose Gonzalez-Garcia, MD, MRCGP, PhD’s Blog - MedHelp

I don’t really know how much reliable this site is, but that accords with what I’ve always heard from supposed reliable experts.

The real danger is not that much HIV, but other things, like siphyllis, to say one.

Exactly. I’d be more concerned with the other things lurking around in there. I don’t know if I’d risk it with any Pro that would go unprotected or that you didn’t feel 100% about.

Thanks marinera,

I really appreciate that you are one of those rare posters who always back posts up by rigorous scientific claims. I understand the risk is low, however, this paper is from 10 years ago and our understanding of HIV has changed. The CDC has documented several cases of transmission through cunnilingus, fellatio, and anilingus and it is known that HIV is transmitted through these ways, albeit the risk is much lower than say anal or vaginal sex, and many cases involved bad dental hygiene.

Anyway, you’re right in saying my risk is low, and I’m waiting for my syphilis test results right now. My main question though is the confusion about window periods.

Sorry if I have misunderstood, you started PEP 4 weeks after being exposed? If so it only works within the first 72 hours. Second, trust me you can eat a woman with HIV out and very unlikely get HIV. Only if you can some major cuts in your mouth or sores then you are at risk. Plus if you test negative it 4 weeks good chance you don’t have it as 95 % of people test positive at 4 to 6 weeks.