Anonymous
I had 3 episodes of receiving unprotected oral sex in the past 3 months, all were performed by 3 different vietnamese massage ladies in the massage parlours. There was one time that I ejaculated in the mouth. There was no any other forms of sex involved and I did not perform oral sex on them. Occasionally I experienced muscle ache and joint pain mostly on my left arm, both knees and ankles. Also occasional diarrhea (very mild) and discomfort under my left armpit and left side of my neck. There wasn't any swollen lymph nodes so far. I just wanna know, do I need to get tested for HIV since the risk is negligible from most of the posts in this page? Or is it I am too anxious and over-reacted to my risky encounters that caused all the symptoms? Thank you.
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Anonymous
Hi there and thanks for reaching out to the AIDS Vancouver Helpline. My name is Colin and I'm happy to answer your questions.

I can see you're worried about the risk of having acquired HIV after receiving oral sex and experiencing some symptoms. I hope the information I give you can help put your mind at ease.

As you have read previously, you are right in thinking that receiving unprotected oral sex is considered a negligible risk activity. This means that while it is theoretically possible to make the case that HIV could be transmitted this way, it is never known to have happened and if it could would be under certain identifiable conditions. These conditions would include things like the known presence of a high viral load of HIV *AND* large, freely-bleeding injuries to either/or her mouth or your penis *AND* all without any fluid being exposed to the air. Because these conditions aren't likely to be met in most real-world scenarios, it is safe to categorize receiving oral sex as negligible risk.

In terms of the symptoms you describe, while they do sound upsetting, there are no symptoms specifically associated with HIV and no symptoms used in the diagnosis of HIV. While some people who have recently acquired HIV do experience flu-like symptoms during their [seroconversion](http://www.aidsmap.com/Seroconversion/page/1322973/), these are again not specific to HIV and are simply characteristic of most viral infections. If you continue feeling unwell, I would recommend partnering with your primary care physician and treating the symptoms as they come.

In terms of an HIV test, from what you've described it sounds like it would help you. Here at AIDS Vancouver we recommend all sexually active people get regularly tested for HIV and other STIs and in your case because it seems like you're feeling pretty anxious over the situation, getting tested could maybe help you gain a better peace of mind and a solid handle on your health.

I hope I managed to answer your questions today. Please feel free to post again if you have any questions or would like any more clarification.

All the best,

Colin

AIDS Vancouver Helpline

Private & Confidential
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Jas 74
Is it safe to receive oral with a condom
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helpline-volunteer
Hi there,

Thank you for your inquiry. From what we gather from the question, you were asking about the possibility of HIV transmission after receiving oral sex with a barrier. From the information given, this scenario is determined to be No Risk (transmission of HIV is not possible in the given scenario).

From the HIV Transmission Equation (see image below), HIV transmission requires HIV particles in a bodily fluid (e.g. vaginal fluids) to have direct access to the bloodstream through a High, Low, or Negligible Risk activity. The scenario mentioned above does not meet the three components of the HIV Transmission Equation. HIV is not transmitted through saliva, therefore receiving oral sex does not provide direct access of an HIV-containing fluid to the bloodstream.

The easiest way to lower the risk of transmitting HIV through performing or receiving oral sex is to use a barrier such as a condom or dental dam (1). One can reduce the risk even further if an HIV-negative partner is taking medicine to prevent HIV (pre-exposure prophylaxis aka PrEP) or an HIV-positive partner is taking medicine to treat HIV (antiretroviral therapy aka ART) and is virally suppressed (1).

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

Take care,
AIDS Vancouver Online/Helpline, Shirley

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Helpline Transmission Equation .jpg
Additional Resources:
(1) Oral Sex
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