转2组MEDHELP关于无套口交感染艾滋病毒风险的专家贴。有兴趣的看 带翻译

shit

Dear Doctor,

I am a 52 years old male in Hong Kong.  Today I just received unprotected oral sex from a female sex worker.

After the oral sex,  I found several red cuts  on my penile head that should be caused by the teeth biting of the sex workers.

Doctor, can you please tell me what is my risk of HIV infection by saliva of the sex worker through the cuts on my penile head?  (If the sex worker is infected)

Do I need to test for HIV?

Thanks
Welcome to the forum. But this question is really no different than innumerable other ones and the answers are the same:  It is unlikely your partner had HIV; and when someone has HIV, the risk of transmission by oral sex (mouth to penis) is so low that many experts believe it is no risk at all (one estimate by CDC is once for every 20,000 events).  In theory if there are bite wounds associated with oral sex, the risk might be higher -- but still extremely low.  From a risk assessment perspective, you do not need HIV testing.  However, you might want to do it for peace of mind.  In other words, if this reassurance doesn't settle your fears, it's fine with me if you want to have an HIV test in a few weeks.  You can expect negative results.

Please scan the existing threads or use the search link to find many discussions on all these points.

Best wishes--  HHH, MD


亲爱的医生:
我是一个来自香港52岁的男性.。今天，我刚从女性性工作者那接受到了一个无保护的口交（无套接受KJ）
口交过后，我发现在我的阴茎头上（龟头）有几个红色的小伤口,应该是由性工作者咬伤的。
医生，你能告诉我的HIV风险是什么,通过性工作者的唾液到我的阴茎头上的伤口?(如果性工作者是感染者）
我需要做HIV测试吗？
谢谢。


欢迎来到论坛。但是这个问题真的没有和其他的问题有所不同。答案是相同的:你的伴侣不太可能是HIV感染者，当有人感染HIV了，通过口交的传播风险（由口至阴茎）是如此之低许多专家认为这是没有风险的(CDC的估计是2W分1)，从理论上讲，口交中如果有相关咬伤的，风险可能会高点-但是依然非常低，从风险的角度评估，你不需要测试HIV。但是，您可能希望自己的安全的。换句话说，如果这个保证不能解决你内心的恐惧，it's fine with me(这句不知道怎么翻译了）如果你想在几个星期后测试HIV，你可以期待一个阴性的结果。
Please scan the existing threads or use the search link to find many discussions on all these points. 这句不翻译了 额外话题。
良好的祝愿-DR。HHH




Hello,

I am a man who received unprotected oral sex from a woman late last night. Afterwards she said her mouth was sore because she had had a wisdom tooth out earlier in the day. I didn't see any blood or have any cuts on my penis. What are the risks for HIV? Thanks



Oral sex is very low risk for HIV.  Transmission from the oral to the penile partner is especially rare; even if the oral partner has HIV, CDC estimates the risk at around one transmission for every 20,000 events.  To put that in perspective, this is equivalent to receiving oral sex by HIV infected partners once a day for 55 years, and perhaps still not catching HIV.  Your risk is even lower than that, because the odds your partner had HIV were extremely low.

Might the risk be higher because your partner had recent tooth extraction?  Conceivably, yes -- but for practial purposes it probably makes no difference.  The 1 in 20,000 risk includes the fact that many people have oral lesions -- everything from inflamed gums to tooth wounds of the cheek to oral herpes, and others.  Saliva inactivates HIV, so that even if a bleeding lesion is present, most likely there is little infectious virus to transmit.

So there was zero risk for all practical purposes.  Don't worry about it.  You don't need HIV testing.

Best wishes---- HHH, MD


你好：
我是一个男人，昨天晚上从一个女人那收到无保护的口交，后来她告诉我她嘴痛，因为她今天早上有了颗智齿。我没有看到我阴茎上有血或者一些小伤口。什么是HIV的风险？谢谢

口交感染HIV是非常低的风险。从口腔到阴茎的传播是非常罕见的。即使口腔方感染了HIV。CDC的估计是大约2W分1。为了让大家有个观点，这相当于每天接受感染者的保护口交需要55年才能感染上。也许还感染不上HIV。你的风险比他（指的是如果对方口腔方是HIV感染者，所以用了个Than That，是相比较与他的意思。2者比较的的意思）还低，因为你的伴侣感染HIV的可能是非常低的。
可能较高的风险因为你的伴侣最近拔过牙？可以想象，是的-但是实际情况下它可能没什么区别。在2W分之1的风险里包括事实上有很多有人有口腔病变-一切从牙龈红肿到牙齿伤口面部的口腔疱疹（说实话，我还真不会翻译这段话），和其他一些。唾液灭活病毒。因此即使如果存在出血病变，大多数可能很少有传染性病毒的传播（很难理解啊）。

所以就出现了实际情况是0风险的。不要担心它，你不要检测HIV。

良好的祝愿-DR。HHH

shit

有翻译不当的地方，请高手帮忙看下

shit

但是真正有多少人去看呢？等到恐KJ了，再来看，看的进去吗？

sorrylove

可是口交会不会被传染到性病呢？我指的是女给男做无套口交

shit

我发的是被动方 接受KJ方 主动方也有 DR。HOOK有个涉及到主动和被动的评论 需要我可以发上来

shit

http://www.medhelp.org/posts/HIV ... ccurate/show/468421

Was it accurate?
by fcollinz, Mar 18, 2008 09:48AM
I am a young 20s male and in the past year since my last HIV test prior to this recent test I've given oral sex to about 15 different men, and received oral sex from nearly all in that group too and maybe 2 additional others who I didn’t give oral sex to.  No one ejaculated semen in mouth, but probably pre-semen was in my mouth. I asked them of their STD status but I didn't know them well, so it is difficult to know if they were being truthful. Of these encounters, 4 were in the period of 6 weeks to 10 weeks ago, the others were prior to 12 weeks ago. I decided to stop doing these sorts of activities and exactly 43 days after my last possible exposure of giving/receiving unprotected oral I had an HIV EIA Antibody test run via LabCorp . The HIV EIA Antibody test included Western Blot confirmation if it was positive but it did not include the P24 antigen test.  Thankfully, the test returned a NEGATIVE result. I am unsure how to interpret these results given that three of my episodes of giving and receiving unprotected oral sex and one of just receiving oral sex were from 43 days (6 weeks) to 10 weeks ago.  I never have engaged in unprotected anal or vaginal sex and the only ailments I’ve felt in the past months has been diarrhea and  fatigue.   
1. How accurate, given my situation, is the negative results of my HIV EIA test without the P24 antigen test at the 43 day point since last possible exposure of giving/receiving oral with an additional three unprotected oral sex exposures (2 giving&receiving, 1 just receiving) from 6.5 to 10 weeks ago?
2.Is further HIV testing necessary from your scientific/medical perspective?  One counselor said no because of the low risk that is oral sex and 6 weeks is fine, another said because it was before the 12 week point from last possible exposure.
3.  Finally, I just want to confirm receiving oral sex and kissing (even with a canker sore) are 0 risk activities?

Thanks




by Edward W Hook, MD, Mar 18, 2008 10:53AM
To: fcollinz
Congratulations on your decision to curb your activities.  While as we say repeatedly pral sex is very, very low risk, there are other problems which can be transmitted this way as well.  As for your questions:

1.  At 6 weeks 95% of tests that are going to be positive will be.  Things look very good.  The additional benefit of a P24 test at this time is unknown.  I don't think you need it.
2.  I agree with the counselor.  Given the low risk of oral exposures and your negative results at this time, I do not think you need further testing unless you are going to worry about it.  I don't think you have much to worry about.
3.  Kissing = 0 risk.  Oral sex, very low, but not 0 risk.

Hope this helps.  Stay safe.  EWH



To: FCollinz
You do not have to worry about receiving oral or kissing.  There have not any well documented cases of HIV resulting from receiving oral and kissing is perfectly fine. No worries.

by fcollinz, Mar 18, 2008 02:03PM
To: Dr. Hook
Thank you for your response.  When you say oral sex is very low risk at the end of the comment, do you mean giving or receiving oral sex?

I've heard on other places on this forum that being the recipient of oral sex is 0 risk, while giving oral sex carries a very low risk.   



by Edward W Hook, MD, Mar 18, 2008 08:22PM
To: fcollinz
My comment pertains to both giving and receiving oral sex.

The difference between very low risk and no risk is that it is conceivable that someday someone will get HIV through oral sex.  That will happen however only after many, probably millions of exposures.   On the other hand, no risk means never.  For any one person the two are equivalent.  EWH


翻译最后1段话吧。DR。HOOK说，他给予KJ的评论都涉及到接受和给予

低风险和无风险的区别不同在于，（他用了个it is指的是低风险）它是可以想象到某人在某一天通过KJ感染HIV，这种情况会发生，但是要经过很多次，可能是数百万次的风险。在另一方面，无风险就意味着永远（理解成，无风险就意味着永远无风险）。对于任何一个人，2者是等价的是相同的。
如有翻译的不恰当，望指出。谢谢

shit

最后1段话的意思就是 放大了 低风险和无风险有区别。算到个人头上的话2者是相同的概念，就看你自己怎么去理解了。
DR。HOOK感觉比较保守的。DR。HHH是比较开放的。你看他回的帖就知道了