Anonymous
Hello! I'm a man and I had a sex with a girl, but the vaginal sex was protected so I hope there is no risk. What I'm mostly worried about is the oral sex. I was performing cunilingus and I'm worried about the risk of HIV transmission this way. Is it a high risk, should I be worried?
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Anonymous
Hi there, and thanks a lot for contacting the AIDS Vancouver Helpline for your HIV/AIDS related health information. It seems you're concerned about the possibility of HIV transmitting during an encounter. We're happy to answer your question for you.

Protected sex and giving oral sex are both considered low risk activities. Low risk means that while transmissions are possible, specific circumstances are usually required (like the condom breaking, for example). To see the risk levels of these activities and many others, we encourage you to check out our [risk assessment page](http://helpline.aidsvancouver.org/question/risk-assessment-chart).

To get a better sense of what is required for HIV transmission, check out our transmission equation:
HIV TRANSMISSION EQUATION


BODY FLUID
+
ACTIVITY
+
DIRECT ACCESS TO BLOODSTREAM
---------- -------- ----------------------------
• blood (including menstrual) • unprotected anal or vaginal intercourse • vagina
• semen • sharing needles • anus
• pre-cum • mother to child (in specific cases) • urethra in the penis
• rectal secretions • open cuts and sores (in theory)
• vaginal fluids • other mucosal membranes
• breast milk • points of needle injection
You'll see that required for transfer are all of a fluid known to be involved in transfer, an activity known to be involved in transfer, and direct access to the bloodstream.

Have you ever been for an HIV test? We at AIDS Vancouver recommend routine HIV testing for all sexually active individuals, so if you've never been for a test, we'd encourage you to go.

Thanks a lot for contacting the AIDS Vancouver Helpline with your question, we hope it has been answered fully.

Trevor

AIDS Vancouver Helpline/Online

helpline.aidsvancouver.org
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= RISK OF HIV TRANSMISSION