Anonymous
Hi,

I am a gay guy.

Is there any chance of transmission from being bitten on the nipple hard so the teeth puncture the skin?

Also, what is the risk of oral sex (giving and receiving)? ..and if you have gum disease does this realistically mean there's a risk? 

I have been having a sore throat, mouth ulcers, sore on the inside of my cheek and slightly swollen lymph nodes under my jaw. as well as trouble sometimes swallowing food. Not sure if these are symptoms? 

The only penetrative sex I have had has been with condoms. 

Many thanks! 
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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 from being bitten hard enough to break the skin, as well as from giving/receiving oral sex.

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 first scenario in which you describe being bitten hard enough to break the skin, is considered No Risk (Transmission of HIV is not possible with the given scenario). HIV is not transmitted through saliva. Kissing, and other forms of social contact such as hugging, sharing cutlery, and shaking hands do not allow for the transmission of HIV. Since there was no High Risk activity or exchange of HIV positive fluid in this case, this scenario is considered No Risk.

The second scenario in which you describe giving/receiving oral sex, is considered Low Risk
(Evidence of transmission occurs through these activities when certain conditions are met). For there to be a risk of transmission in this case, there would need to be an exchange of bodily fluid such as semen, in addition to cuts or open sores present in the mouth, to provide the virus with direct access to the bloodstream. Since there was an exchange of bodily fluid in this case, this scenario is considered Low Risk.

Finally, having penetrative sex with a condom is also considered to be Low Risk 
(Evidence of transmission occurs through these activities when certain conditions are met). This is considered a High Risk activity, however, consistent condom usage is one of the primary methods to protect against HIV transmission (1). Condoms do not reduce the risk of transmission to zero, which is why this scenario is considered Low Risk

Recommendation: Refer to a health care provider for HIV testing and follow-up regarding your symptoms.

Condoms reducing HIV transmission (1) 

Regards,

AIDS Vancouver Helpline/Online, Ashley 

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