Concerns About HIV After Unprotected Oral Sex: What You Need to Know - Urology

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Inquiry about HIV/AIDS?


Recently, I engaged in unprotected oral sex with another person, and afterward, I developed genital warts and urethritis.
I sought medical treatment for these issues, but I have been experiencing persistent diarrhea and difficulty breathing.
I am worried that I may have contracted HIV, although the other person has tested negative.
Is it possible that I could be infected? I apologize for bothering you, and I appreciate your help.
Thank you.

Liao Xiansheng, 20~29 year old female. Ask Date: 2015/12/11

Dr. Li Yilun reply Urology


Your symptoms resemble those of an upper respiratory infection; it is advisable to drink plenty of water and get ample rest.
However, this alone cannot determine if you have contracted a specific infectious disease.
Many sexually transmitted infections, such as HIV, may have a window period of 3 to 6 months, meaning that a normal blood test result can only confirm that you were likely not infected more than 3 months ago, and you may still be in the window period.
Reducing sexual activity with multiple partners can decrease the risk of infection.
Consistently using condoms can minimize fluid contact and lower the likelihood of contracting diseases.
You are considered to be in a high-risk group; if you continue to experience symptoms of infection without improvement, it is essential to seek medical attention.
When consulting a healthcare provider, be sure to inform them of your high-risk sexual behavior so that they can conduct appropriate HIV screening.
The more sexual partners you have, the greater the chance of transmitting sexually transmitted infections, and prevention is better than treatment.
It is important to note that a simple description of your symptoms cannot determine your condition; therefore, it is strongly recommended to consult a professional physician for evaluation and testing.
Physicians often need to take a medical history, perform visual examinations, palpation, and other tests to establish a diagnosis and treatment plan.

Reply Date: 2015/12/11

More Info


When it comes to concerns about HIV transmission after engaging in unprotected oral sex, it's important to understand the risk factors involved and the nature of HIV transmission. While oral sex is generally considered to be a lower-risk activity compared to vaginal or anal intercourse, it is not without risk. The risk of HIV transmission through oral sex can vary based on several factors, including the presence of cuts or sores in the mouth, the viral load of the HIV-positive partner, and the presence of other sexually transmitted infections (STIs).

In your case, you mentioned that you engaged in unprotected oral sex and subsequently developed symptoms such as genital warts and urethritis, along with ongoing diarrhea and difficulty breathing. These symptoms can be concerning and may warrant further investigation. It's crucial to note that while genital warts are caused by the human papillomavirus (HPV) and are not directly related to HIV, the presence of any STI can increase the risk of acquiring HIV if exposed to the virus.

Regarding your concerns about HIV, it is essential to remember that the only way to definitively determine your HIV status is through testing. If your partner has tested negative for HIV, that reduces the likelihood of transmission, but it does not eliminate it entirely, especially if they were tested during the window period (the time after infection when the virus may not be detectable).
The symptoms you are experiencing, such as diarrhea and respiratory issues, could be related to various causes, including infections, stress, or other medical conditions. These symptoms are not specific to HIV and could be due to a range of factors. However, if you are experiencing persistent symptoms, it is advisable to seek medical attention for a thorough evaluation.

In terms of testing, it is recommended to get tested for HIV at least 2-4 weeks after potential exposure, with follow-up testing at 3 months to ensure accurate results. If you are experiencing symptoms that concern you, it may be beneficial to consult with a healthcare provider who can assess your situation, provide appropriate testing, and offer guidance on managing your symptoms.

Additionally, if you are feeling anxious or fearful about your health, consider reaching out to a mental health professional or support group. Managing anxiety and stress is an important aspect of overall health, especially when dealing with concerns about sexually transmitted infections.

In summary, while the risk of HIV transmission through oral sex is lower compared to other forms of sexual activity, it is not zero. Given your symptoms and the nature of your sexual encounter, it is advisable to seek medical evaluation and testing. Remember that early detection and treatment are key to managing any health concerns effectively.

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