Jan 9, 2014
last week i was in the dominican and met a girl, we went to my room were she performed unprotected oral then protected vaginal intercourse. She turned out to be a prostitute and asked for money afterwards, I went to the doctor because I have been not feeling well, my lymphocytes are high. could this be HIV?
Response from Ms. Southall
Hi Your experience was actually very safe and what was needed to prevent HIV transmission. First The risk of HIV transmission with oral sex is extremely low. It is even reasonable to state that for the person receiving oral sex (that is on whom oral sex is being performed) the risk of acquisition of the virus is practically zero. For the person placing his or her mouth on someone else's genitals, the risk may be slightly higher but still very very low. Theoretically, obvious cuts, wounds, sores, or infections in the mouth could raise this risk. But relatively speaking this is still considered to be a low-risk sexual activity as the mouth is not a hospitable place for the HIV virus. Please note that other sexually transmitted infections are readily spread via oral contact and you may need to be checked for these. Next, HIV transmission can only occur when there is a direct and prolonged exposure to body fluids, semen, vaginal fluid, blood or mother to child through breast feeding. This most commonly occurs through unprotected vaginal or anal sex and sharing of needles. Casual contact, sharing utensils, drinking after someone, etc are not way for HIV transmission to occur. If you go to this link HIV101 it will take you to our page that talks about the ways in which HIV is and is not transmitted.
As for HIV testing, guidelines for are to be initially tested at 3 weeks post exposure and then again at 90 days. As long as there are no other exposures happened during this time frame than the results are conclusive.
It is good that you are following up with your health care provider for evaluation because of your symptoms. There are other sexually transmitted infections that can be a possibility or you may just have a viral infection. But again your risk for HIV is incredibly low as you did everything right to protect yourself.
Be well and stay safe, Shannon
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