Deep Kissing and HIV Risks: What You Need to Know - Internal Medicine

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When it comes to the risks associated with deep kissing and the potential transmission of HIV and other sexually transmitted infections (STIs), it's important to understand the various factors that can influence the likelihood of infection. In your case, you mentioned engaging in deep kissing with a woman while having a sore in your mouth and being on long-term immunosuppressive medication. Let's break down the risks and considerations involved.


Understanding the Risks of Deep Kissing
1. Transmission of HIV: HIV is primarily transmitted through specific bodily fluids such as blood, semen, vaginal fluids, and breast milk. The risk of HIV transmission through kissing is generally considered to be very low, especially if there are no open sores or bleeding gums in either partner's mouth. However, if one partner has a significant oral wound or bleeding gums, and the other partner has HIV, there is a theoretical risk of transmission, albeit very low.

2. Presence of Open Sores: Since you mentioned having a sore in your mouth, this could potentially increase the risk of transmission if the other person is HIV positive. Open sores can provide a pathway for the virus to enter the bloodstream. However, the actual risk remains low unless there is direct contact with infected bodily fluids.

3. Immunosuppressive Medication: Being on immunosuppressive medication can increase your susceptibility to infections in general. This means that while the risk of contracting HIV through deep kissing is low, your immune system may not respond as effectively to any potential infection, making it crucial to monitor your health closely.

4. Other STIs: Besides HIV, deep kissing can also pose a risk for other STIs, such as herpes simplex virus (HSV), syphilis, and cytomegalovirus (CMV), especially if there are open sores or cuts in the mouth. Herpes, for example, can be transmitted through skin-to-skin contact, even when sores are not visible.


Recommendations
Given your situation, here are some recommendations:
- Get Tested: It is advisable to get tested for HIV and other STIs, especially since you have a sore in your mouth and are on immunosuppressive medication. Testing can provide peace of mind and help you understand your health status. The window period for HIV testing can vary, so consult with a healthcare provider about the appropriate timing for testing.

- Monitor Symptoms: Keep an eye on any symptoms that may arise, such as fever, fatigue, swollen lymph nodes, or any unusual sores. If you experience any concerning symptoms, seek medical attention promptly.

- Consult a Healthcare Provider: Discuss your concerns with a healthcare provider who can offer personalized advice based on your medical history and current health status. They can also provide guidance on preventive measures and the importance of safe practices in intimate relationships.

- Practice Safe Kissing: While deep kissing is generally safe, being aware of any oral health issues (like sores or bleeding gums) in yourself or your partner can help mitigate risks. Maintaining good oral hygiene and avoiding kissing when you or your partner have open sores can reduce the risk of transmission of infections.


Conclusion
In summary, while the risk of contracting HIV through deep kissing is low, it is not zero, especially in the presence of open sores and when on immunosuppressive medication. It is essential to get tested and consult with a healthcare provider to ensure your health and safety. Remember, practicing safe behaviors and being aware of your health status are key steps in preventing the transmission of HIV and other STIs.