HIV Risks in Oral Sex: What You Need to Know - Urology

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HIV infection issues


I started having unprotected oral sex with a regular male partner last year, and last week he ejaculated in my mouth.
Now my throat is very itchy, and I am also coughing and sneezing.
Is there a risk of contracting HIV? I am very scared.

Niming, 10~19 year old female. Ask Date: 2016/09/24

Dr. Sun Hongshun reply Urology


Hello, to determine if the individual has HIV, if they do, your risk of contracting the virus naturally increases.
Personally, I believe your chances of having a cold are higher.
If the symptoms persist or if you are very concerned, you can consult an infectious disease specialist.

Reply Date: 2016/09/24

More Info


When it comes to understanding the risks of HIV transmission through oral sex, it's essential to consider several factors, including the nature of the sexual activity, the presence of any cuts or sores in the mouth, and the HIV status of your partner.
Firstly, oral sex is generally considered to be a lower-risk activity for HIV transmission compared to anal or vaginal sex. However, it is not without risk. The virus can be present in the bodily fluids of an HIV-positive individual, including semen, pre-ejaculate, and blood. If these fluids come into contact with mucous membranes in the mouth or throat, there is a potential risk for transmission, especially if there are any open sores or cuts in the mouth.

In your case, you mentioned that your partner ejaculated in your mouth. If your mouth was intact without any cuts or sores, the risk of HIV transmission is significantly reduced. However, if you have any oral injuries, such as cuts or sores, this could increase the risk. Additionally, if your partner is HIV-positive and not on effective treatment, the risk would be higher.

Regarding your symptoms of throat itchiness, coughing, and sneezing, these are not specific symptoms of HIV. They could be related to a variety of other conditions, such as allergies, a common cold, or another viral infection. HIV acute infection symptoms typically include fever, fatigue, swollen lymph nodes, and rash, but these symptoms can also mimic other illnesses.
If you are concerned about HIV exposure, it is advisable to get tested. The window period for HIV testing can vary. Most modern tests can detect HIV within 10 to 14 days after exposure, but for conclusive results, it is generally recommended to wait at least 4 to 6 weeks for an initial test and 3 months for a final confirmation.
To reduce the risk of HIV and other sexually transmitted infections (STIs) in the future, consider the following preventive measures:
1. Use Protection: Always use condoms or dental dams during oral sex to reduce the risk of transmission of HIV and other STIs.

2. Know Your Partner's Status: Discuss HIV status and testing with your partner. Regular testing is crucial for sexually active individuals, especially those with multiple partners.

3. Limit Partners: Reducing the number of sexual partners can lower the risk of exposure to HIV and STIs.

4. Regular Testing: Get tested regularly for HIV and STIs, especially if you have new or multiple partners.

5. Consider Pre-Exposure Prophylaxis (PrEP): If you are at high risk for HIV, talk to your healthcare provider about PrEP, a medication that can significantly reduce the risk of contracting HIV.

In conclusion, while the risk of HIV transmission through oral sex is lower than through other forms of sexual activity, it is not zero. If you have concerns about your health or potential exposure to HIV, seeking medical advice and getting tested is the best course of action. Remember, early detection and treatment are key to managing HIV effectively.

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