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Questions about oral

Question: 

Pls help, I had unprotected oral sex with a girl(gave and received), after that I noticed I had bruises on my penis, really scared, I went and did rapid antibody test with the girl the next day and we both came back negative. Do I need another testing at 12 weeks?

Answer: 

Hi there! Thanks for contacting the AIDS Vancouver helpline with your HIV related questions and concerns. We're happy to help!

Giving oral sex is considered a Low Risk activity. What this means is that although there have been cases of infection in this manner, they're normally attributed to identifiable conditions. In this case, if someone had major wounds in their mouth with lots of blood, that would account for the low risk. If not the risk is greatly diminished. This is because saliva cannot transmit HIV, and contains an enzyme that helps to inactivate it.

Receiving oral sex is considered a negligible risk which means that although you could technically make a case for transmission in this way, there hasn't been a single case of transmission in this manner in British Columbia.

It's great that you took the initiative to go get tested! Great job! Although that's really early for an HIV test, that's still great to hear! For early tests however, we recommend the NAAT PCR RNA/DNA tests or the pooled RNA "early test" since these test for the actual genetic material of the virus which will be present right away, whereas the antibodies take time to be made (21-25 days usually). These early tests are most effective within the first couple weeks of exposure!

If you want to test again before 12 weeks, you could test with the 4th generation test which tests for antibodies or antigens, or with any of the above mentioned tests. Tests become 95% or more accurate at 4-6 weeks. Tests are still considered conclusive however at 12 weeks, but a negative test at 4-6 weeks is unlikely to change.

All that being said, your risk level was very low, a bruise wouldn't affect anything so that's not a risk factor. Testing isn't even really necessary in this situation, but if you're concerned thats the only way to know.

I hope this helped!

Sincerely,

Christian

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