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Read these Q&A before you post something like that and scare the sh*t out of people.

Confused about inertive oral sex
Posted: Dec 13, 2002

Hi Ryan.

I am stressed and confused about the risk for insertive oral sex. You state that the risk is zero unless there is some cuts in the mouth of the person. I wonder what you say about the study that was published in Int STD and AIDS journal in 1997 that claimed that they had found 2 cases of transmission from the mouth to the penis?I have not found the transcript from it so thats why i ask you to clarify that study. Was there visible blood present or not?

Hope to get a fast reply since im driving myself craszy with the risk of having HIV from a insertive oral sex occasion.

Response from Mr.Kull

That article looked at two cases or oral-to-genital transmission of HSV (herpes simplex virus) NOT HIV (human immunodeficiency virus). It is clear that a person can transmit an oral herpes infection to a sexual partner's genitals.

There is still no concrete evidence that the insertive partner in oral sex is at any real risk for infection with HIV, even though risk is never absent. The CDC states that the insertive partner is at risk if the receptive partner is HIV infected and has blood in his/her mouth, but again, an event of this nature has not been confirmed by the CDC.

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Old studies that are worth a look
Posted: Jan 18, 2003

Dr. Ryan, I was searching for more information related to transmission by oral sex and I found 2 studies that kinda contradict mostly everything I constantly read. The studies are "109. Spitzer PG, Weiner NJ. Transmission of HIV infection from a woman to a man by oral sex [letter]. New Engl J Med 1989;320:251." and "110. Quarto M, Germinario C, Troiano T et al. HIV transmission by fellatio [letter]. Eur J Epidemiol 1990;6:339-340.". Both of them have reported cases of infection through insertive oral sex. Im all confused and desperate again. I beg you to comment on those studies... are they reliable? why doesnt anyone talk about them and say that there are no reported cases? I thank you from the bottom of my heart.

Response from Mr. Kull...
If you really look hard for the exceptions to the rule, you'll probably find them. However, the two cases you cite are probably NOT the exception to the rule, and there is still no confirmed, reliable data that supports transmission to the insertive partner in oral sex.

The available information regarding oral sex overwhelmingly agrees that risks associated with insertive oral sex are negligible.

The evidence of transmission through insertive oral intercourse in the two cases you cite have not been confirmed. This means that the findings are primarily anecdotal, and that they are not conclusive. It is possible that transmission occurred through other routes (like receptive cunnilingus) and that infection did not occur in the route described.

Please, be careful with what you read. While you might find one case that suggests the exception, that does not mean that the finding was accurate or is applicable to the majority.

RMK

Also those case reports are from 19"88".

Buy Hey man, I did ask for all opinions and really do appreciate your input! I just wanted to clarify those case reports before many ppl like me start going crazy!...But once again, thank you for replying.

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