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我贴一个帖子过来,这样大家都可以看看:
Unprotected oral with prostitute
by warren22, Apr 25, 2011 06:24PM
Hi Doctor,
I've read the forums, and realize this is an often touched upon subject. I received unprotected oral sex (blowjob) from a prostitute in January. She may have been a drug user, it's possible she had blood in her mouth due to poor dental hygiene, but I didn't specifically see any blood. I got tested for HIV a few days after the occurance, and it came back negative. I also tested for chlamydia, gonorrhea and syphilis. Syphilis came back negative, but they were not able to give me results for chlamydia and gonorrhea due to lab error.
In your opinion, do I need to get tested for HIV/STDs after this? The testing clinic was very uncomfortable and I'd rather not go if I was never at any risk for HIV or STDs. I could go to my doctor, but would this be a waste of money/time/resources?
Thanks in advance for your help.
by H. Hunter Handsfield, M.D., Apr 25, 2011 10:56PM
Welcome to the forum. Thanks for scanning it for similar questions before asking your own. Having done that, you will not be susprised by my reply.
One of the most common themes on this forum, and a solid consensus among all HIV experts, is that oral sex carries little or no risk for HIV, especially from mouth to penis
Cancer - penis. The estimate from CDC is that the transmission risk is 1 in 20,000, if the oral partner is infected. That's equivalent to receiving BJs by infected people once a day for 27 years before there might be a significant chance of infection. And the large majority of commercial sex workers don't have HIV anyway. Oral hygiene, blood in the mouth, etc seem to make no difference.
Your HIV test after only a few days doesn't mean anything. Based on the risk level, you do not need HIV testing at all. But if you would like the reassurance of a negative negative test result, you can have a standard HIV antibody test at any time. You can expect it to be negative.
As for other STDs, the gonorrhea and chlamydia tests are valid within a few days of exposure, so those negative results are reliable and do not need to be repeated. Syphilis blood tests, like those for HIV, are not relable until 6 weeks after exposure. The chance you caught syphilis is almost as low as for HIV, but it would make sense to be retested at this time.
I hope this helps. Best wishes-- HHH, MD
Oops -- an error above. The 1 in 20,000 risk is equivalent to oral-penile exposure to infected people once a day for 55 years, not 27. |
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