Anonymous
Hi, I am a 22 year old male, virgin, the only activities that I have engaged in were receiving oral sex from a gay guy (my penis being sucked) and my penis was irritated from excessive masturbation, I don't know if this would increase the risk or not, I don't remember any blood coming from his mouth, this incident was 1 year ago, after that that I used to go to massage parlours and receive hand jobs. Now, I feel ashamed of what I've done, and I am afraid if I have put my self in risk for Hiv, my last massage was 6 weeks ago, and my last Hiv test was 3 months ago, which is 9 months after the oral sex, Now to my questions.
1) what is the definite window period for Hiv, when can I be 100% sure that I'm not infected?
2) Do I need any further testing regarding my handjobs and oral sex, can anyone get Hiv by a handjob?
3) how can you reduce the anxiety, and how can you be sure you're not one of the late seroconverter? 

I know that my questions may seem silly, but I'm from a religious family and I really feel ashamed of what I've done, and I couldn't find any better resource to trust, thanks guys for your hard work.

Worried guy      
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helpline-volunteer
Hi there,

Thank you for your inquiry. From what we gather from your question, you are asking about the possibility of HIV transmission after receiving oral sex. From the information given, this scenario is determined to be Negligible Risk (There is no evidence or no documented cases of transmission. However, there is a theoretical possibility of transmission under certain extenuating circumstances). 

 

For HIV transmission to be possible, three components must be met (see below).

Helpline Transmission Equation .jpg
HIV transmission requires the presence of HIV positive fluid (such as semen, vaginal fluid, pre-cum, rectal fluid, breastmilk, etc), coupled with a High, Low, or Negligible Risk activity, that provides the virus with direct access to the bloodstream.

The activity you described above is of Negligible Risk as the transmission equation is not fully satisfied. Theoretically, there could have been direct access to the bloodstream if you did have small open wounds present on your penis, however, HIV is not transmitted through saliva, as it contains enzymes that break down the virus (1). Therefore, there is a Negligible Risk of transmission in this case.

You mentioned you received HIV testing 9 months after engaging in oral sex, but did not specify which type of test was used. HIV tests in general are very accurate; for example, 4th generation tests are considered 99.9% accurate at 12 weeks (2). 

Recommendation: There is no evidence or no documented cases of transmission. Refer to a healthcare professional for more personalized answers. 

Regards,

AIDS Vancouver Helpline/Online, Ashley

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Additional Resources:
HIV Transmission and Saliva (1)
HIV Testing Technologies (2)
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