Anonymous
Please Help I received oral from a gay man 48 days ago,no visible blood from him and no visible marks on my penis,at about the thirty day mark i started getting a white covering on my tongue (top of tongue)the white turns to the color of whatever I eat if i scrape it off it still leaves white fuzzy looking spots all over my tongue,at the 40 day mark i tested NEG for STD's at the 45 day mark i tested NEG for hiv with the pin stick fast blood test at the health Dept,my Dr thinks the white coating is fungial,I'm afaird it Hairy Leukoplakia,could the Hairy Leukoplakia show up in only 30 days,(most sites say it may be the first sign you get in hiv) I'm so scared most sites say if your first sign is Hairy Leukoplakia the outcome is not going to be good 20 months survival time,please advise thats the first time in my life I've done something like this I'm in my early 60's
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Anonymous
Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about the risk of acquiring HIV from receiving oral sex with no visible blood present. 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).

Although hairy leukoplakia is most common in people with HIV (1), the scenario mentioned above could only rarely meet the three components of the [HIV Transmission Equation]( Transmission equation https://www.aidswindsor.org/healthy-me/hiv-transmission/). To acquire HIV, you need an activity (ex: giving or receiving oral sex), a bodily fluid capable of transmitting HIV (blood, semen, pre-semen, rectal secretions, vaginal fluids, or breast milk), and direct access to your bloodstream. Saliva isn't on that list of bodily fluids. In fact, saliva has an enzyme in it that provides some protection from from HIV. The easiest way to lower the risk of transmitting HIV through performing or receiving oral sex is to use a condom.

In this case, I would listen to the instructions of your Doctor and assume that the white coating you have been experience is fungal.

Recommendation: I would recommend seeing a doctor again to assess whether you have Hairy Leukoplakia, which is easily determined through a physical exam. Further HIV retesting (3rd or 4th generation tests) can be conducted for conclusive HIV results.

Regards,
AIDS Vancouver Helpline/Online, (Samantha)

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