Can Oral Sex with a Cut Lead to HIV Infection? Risks and Symptoms - Urology

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HIV infection issues


I would like to ask the doctor if I have broken skin in my genital area, but the other person's mouth is not bleeding, and if that person is an HIV-infected individual or carrier, would I be at risk of contracting HIV through oral sex? In short, is there a possibility of infection if the saliva of an HIV-positive person comes into contact with broken skin? Two weeks ago, I had oral sex, and in the past few days, I have experienced throat discomfort, night sweats during sleep, and fatigue.
Is it possible that these are early symptoms of HIV?

Liu, 20~29 year old female. Ask Date: 2020/05/14

Dr. Du Shixi reply Urology


Hello: If your sexual partner has a sexually transmitted infection (STI), please refer to the following risk levels:
- No risk: Masturbation
- Low risk: Mutual masturbation, light kissing, mutual rubbing, sexual activity with condom use
- Moderate risk: Deep kissing, oral sex, withdrawal method (pulling out)
- High risk: Engaging in sexual activities without any protection, resulting in cuts or bleeding
Some patients with HIV may show symptoms within one week to several weeks, but not all do.
However, the presence of HIV cannot be diagnosed based solely on symptoms; it requires testing for confirmation.
If you are concerned, you can visit a hospital for STI testing.
Wishing you good health.

Reply Date: 2020/05/14

More Info


When it comes to the risk of HIV transmission through oral sex, especially in the context of having a cut or sore on the genital area, it is important to understand the various factors involved. HIV (Human Immunodeficiency Virus) is primarily transmitted through direct contact with certain bodily fluids from an infected person, including blood, semen, vaginal fluids, and breast milk. The risk of transmission through oral sex is generally considered to be lower than through anal or vaginal intercourse, but it is not zero.

In your specific scenario, if you have a cut or sore on your genital area and engage in oral sex with a partner who is HIV positive or a carrier of the virus, there is a potential risk of transmission. The presence of a cut can create an entry point for the virus, especially if there is contact with infected bodily fluids. However, saliva itself is not a significant vector for HIV transmission. The virus does not survive well outside the human body and is not transmitted through saliva in the same way it is through blood or semen.

Regarding your symptoms—such as throat discomfort, night sweats, and fatigue—these can be associated with various conditions, including viral infections, but they are not specific to HIV. The initial symptoms of HIV infection, often referred to as acute retroviral syndrome (ARS), can include flu-like symptoms such as fever, sore throat, fatigue, and swollen lymph nodes. However, these symptoms can also be caused by many other illnesses.

It is crucial to consider the timing of your symptoms in relation to your potential exposure. HIV has a window period, typically ranging from 2 to 4 weeks, during which the virus may not be detectable in standard tests. If you suspect you may have been exposed to HIV, it is advisable to get tested. Testing can be done as early as 2 weeks after exposure, but for more accurate results, it is recommended to test again at 6 weeks and 3 months post-exposure.

If you are experiencing anxiety about your symptoms and potential exposure, it is important to seek medical advice. A healthcare provider can offer guidance, perform necessary tests, and provide support. Additionally, if you are concerned about HIV, you may want to discuss the possibility of post-exposure prophylaxis (PEP), which can reduce the risk of infection if taken within 72 hours of potential exposure.

In summary, while there is a potential risk of HIV transmission through oral sex if there is a cut involved, the overall risk remains relatively low compared to other forms of sexual activity. Your symptoms could be related to various factors, and the best course of action is to consult a healthcare professional for testing and personalized advice. Remember, prevention strategies, such as using condoms and dental dams, can significantly reduce the risk of HIV and other sexually transmitted infections (STIs).

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