Anonymous
Hi Vancouver,

Last week, I visited the Body massage in VietNam. After massaging, she suggested me having a blowjob. My penis is not hurt or any visible cut or sores. She only used her lips and I noticed- that she didn't suck all my penis but only the tip of my penis. She didn't use her tongue. And of course there will be saliva cover my penis.

My question is am I at risk? And also I think if her lips has cuts, there will be blood. Will the risk higher?

Thanks,
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Anonymous
Thank you for reaching out to AIDS Vancouver. It sounds like you have some concerns about the risk of HIV transmission from receiving oral sex, and I hope the following information will clarify these issues for you.

When assessing the risk of HIV transmission, we look at the activity that occurred and not the type of person you had sex with.

To acquire HIV you must be exposed to a bodily fluid capable of transmitting HIV, and you must engage in an activity that gives the virus in that bodily fluid direct access to your bloodstream. Here's a chart that has more details:

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
Receiving oral sex is considered to be NEGLIGIBLE RISK because it involves a bodily fluid that can transmit HIV but there are no confirmed reports of an individual acquiring HIV through this activity in BC. As you mentioned, the presence of saliva does provide some protection from HIV. Additionally, the HIV virus is no longer transmissible after exposed to an open air environment.

Blood on her lips or in her mouth (if it had been there) would have been exposed to the air and to her saliva. Your penis was also exposed to air and to her saliva. In addition there is no direct route from the outside of your penis to your bloodstream. So that would not be considered a higher risk activity than receiving oral sex.

If you would like to read more about the risk of HIV transmission from oral sex, here is some [additional information](http://www.aidsmap.com/Estimating-the-risk-per-exposure/page/1323967/) from the website of the U.S. Center for Disease Control. One thing to note is that most information about the risk of acquiring HIV through oral sex focuses on the risk of performing oral sex, which is not applicable in your case.

I hope this clarifies your situation. If you have further questions, check out our website or call us at the number below for immediate assistance with general inquiries.

Yours in health,

Matt, Volunteer

AIDS Vancouver Helpline/Online

Monday - Friday 10am-4pm (PST)

604-253-0566 Ext. 299

Private and Confidential
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= RISK OF HIV TRANSMISSION