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Oral Sex

Question: 

I visited a Massage Parlor in Macao on the 19th of October, where the paid sex worker gave me a blow job with condom on my penis, but later she sucked my testicles a couple of times, i had no active blood on the testicles at that point, may be some dry patch which may have occurred due to previous scratching, i am completely unaware if she had some cut in her mouth, my groins had some rashes, may be her saliva touched some groin area too, May be some transfusion by Hair Pores or some ruptured hair pores

I am pretty tensed about the incident and getting mixed reviews, regarding the incident, please explain and let me know when should i get tested if i need too

Answer: 

Hello, Thank you for your inquiry. From what we gather you are asking about your risk of acquiring HIV from being on the receiving end of oral sex during which a condom was used for protection. Specifically you are concerned about transmission from her saliva coming into contact with the unprotected skin on your scrotum and groin.

Being on the receiving end of oral sex is considered to be a negligible risk activity for the transmission of HIV, meaning that there is a potential for HIV transmission from this activity due to the exchange of bodily fluids, but there has never been a confirmed report of such a transmission. In your case, the risk would be even further reduced due to the fact that you used a condom, which is commendable.

In regards to your concern of acquiring HIV from the sex worker's saliva on your skin, HIV is not transmitted through saliva, tears, or sweat that is not mixed with the blood of an HIV-positive person. HIV is not transmitted via hair follicles.

In order to transmit HIV the following conditions must be met:

  • There must be HIV present in a bodily fluid. The five bodily fluids that carry the HIV virus include: blood, semen (including pre-ejaculate), vaginal fluids, breast milk, and rectal secretions.
  • The bodily fluid containing HIV must have direct access to the bloodstream. This can be through cuts, tears, rips, mucous membranes, open sores, or needles.
  • Transmission occurs through a risky activity in which the first two conditions are met. For example: condomless sex, sharing needles, unsafe tattoos or piercings, vertical transmission–from mother to child (in utero, during delivery, breastfeeding). (1)

Recommendation: No need for HIV testing for the scenario you described. Please refer to a doctor if you have any further concerns regarding this matter

Regards, AIDS Vancouver Helpline/Online, Dyson