Anonymous
Hello, about a 7-10 days ago i received oral sex from a transgender woman I met on an app. We kissed and she gave me oral sex. I did not notice or taste any blood or cuts. However, I started to get inflamed lymph notes and feeling tired all the time. I now have night sweats, feeling hot all the time, and feel a sore throat coming. I spoke with her about her status, and she said that she is actually and escort who has unprotected sex with her clients. Assuming she is positive, what is my risk of getting HIV from deep kissing and receiving oral sex? 
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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 engaging in deep kissing and 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).

In order for transmission to occur, a number of requirements must be met (see below). 

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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.

HIV is not transmitted through saliva, as it contains enzymes that break down the virus (1). Additionally, assuming there were no open wounds present, there was no direct access to the bloodstream. Therefore, the transmission equation is not satisfied, and there is a Negligible Risk of transmission in this case.

Recommendation: There is no evidence or no documented cases of transmission. Refer to a healthcare professional for follow up regarding symptoms.

Regards,

AIDS Vancouver Helpline/Online, Ashley

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Additional Resources:
HIV Transmission and Saliva (1)
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