my risk providing oral to my poz friend

  • Posted by a hidden member.
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    Mar 29, 2015 12:57 PM GMT
    Hi, I'm kinda new to this whole world, and want to educate myself...my friend is poz and takes his meds . I am neg and have started getting closer to him...what is my risk in providing oral to him? I already have, but made sure not to get his cum in my mouth... I understand that cum or precum apparently "could" still carry virus even if one's bloodwork is undetectable...but I cannot believe that I cannot find any studies that have been done which confirm or refute this. Please let me know your thoughts or share some links if you have something...thanks so much .
  • Sincityfan

    Posts: 409

    Apr 01, 2015 6:15 PM GMT
    You can catch it from pre-cum as it still contains the virus, but oral sex is considered "low-risk" behavior.
    The best steps to take for that is...oral sex with a condom, or don't brush your teeth for several days (people say hours before) to ensure that you don't have any open wounds for the virus to go into- no flossing! You shouldn't swallow either.
    I wouldn't do it, but that's just me.
    You could also go on prep. That's $1.3k month without insurance.
  • BLSHJ

    Posts: 36

    Apr 01, 2015 6:25 PM GMT
    The less talked about risk is HPV, until last year where they discover what the ancient Japanese has known for thousands of years, it has been thought to be incurable [So much so for medical science].

    HPV give rise to Throat Cancer and is a very real threat among an increasingly younger generation.
  • Posted by a hidden member.
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    Apr 01, 2015 9:23 PM GMT
    BLSHJ saidThe less talked about risk is HPV, until last year where they discover what the ancient Japanese has known for thousands of years, it has been thought to be incurable [So much so for medical science].

    HPV give rise to Throat Cancer and is a very real threat among an increasingly younger generation.


    Some facts:

    Nearly all sexually active people will get human papillomavirus (HPV) at some time in their life.
    Although most HPV infections go away on their own without causing problems, HPV can cause men to develop genital warts, or some kinds of cancer. Getting vaccinated against HPV can help prevent these health problems.

    http://www.cdc.gov/std/hpv/stdfact-hpv-and-men.htm
  • Destinharbor

    Posts: 4433

    Apr 02, 2015 8:31 PM GMT
    the HIV virus is pretty easy to kill in contact with saliva, gastric juices, even air. The risk is an open wound, even just a small cut around a vigorously brushed tooth. If he's undetectable, the risk is small giving a blow job but it is still there.
  • Rhi_Bran

    Posts: 904

    May 02, 2015 1:17 AM GMT
    If you don't brush your teeth before, you don't have gum disease, he's on meds, and he doesn't cum in your mouth, the risk of transmission is astronomically low. The mucous membranes of the mouth are somewhat more resilient than the mucous membranes of the rectum and colon, which are incredibly thin and easily damaged and are more closely intertwined with your lymphatic / immune system. The mouth also has the protection of saliva, which has highly variable pH and denaturing enzymes(which HIV cannot tolerate).

    Oral / throat chlamydia and gonorrhea though can be transmitted easily, even if he doesn't cum.
  • musclmed

    Posts: 3274

    May 03, 2015 6:42 AM GMT
    MuchMoreThanMuscle said
    Sincityfan said
    You could also go on prep. That's $1.3k month without insurance.


    Insurance covers prEP as a way to prevent HIV infection.

    Rather pointless to talk about the exorbitant price of Truvada. No one is paying for it out of pocket. Additionally, there are many programs available to help finance the medication.


    You may want to ask this "friend" to inquire whether his strain of HIV is resistant to Truvada. Rare but possible.

    Prep has to be taken every day. Its not a morning after pill.
  • Posted by a hidden member.
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    May 03, 2015 9:16 PM GMT
    musclmed said
    MuchMoreThanMuscle said
    Sincityfan said
    You could also go on prep. That's $1.3k month without insurance.


    Insurance covers prEP as a way to prevent HIV infection.

    Rather pointless to talk about the exorbitant price of Truvada. No one is paying for it out of pocket. Additionally, there are many programs available to help finance the medication.


    You may want to ask this "friend" to inquire whether his strain of HIV is resistant to Truvada. Rare but possible.

    Prep has to be taken every day. Its not a morning after pill.


    Actually, maybe not. There is a french study of "PrEP on Demand".
    http://www.advocate.com/31-days-prep/2014/10/29/study-shows-demand-prep-drastically-reduce-hiv-infection

    You say: "You may want to ask this "friend" to inquire whether his strain of HIV is resistant to Truvada. Rare but possible."

    A person on PrEP doesn't have an HIV strain.
    It is a MYTH: http://www.advocate.com/31-days-prep/2014/10/15/myth-or-truth-will-prep-create-drug-resistanceOnly positive people do. If they are Undetectable and are developing a resistance they need a new regimen because resistance means it is failing.

  • Posted by a hidden member.
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    May 03, 2015 11:31 PM GMT
    What I find extremely frightening here is that you, the OP, are coming to an internet forum for advice on such a dangerous topic, instead of consulting an MD who is read in the subject.....it's like we learned about sex as kids; on the corner 'cause hey, they were our age and our peers...of course they didn't know shit from shinola.....go ask a qualified MD for fuck sakes...please.
  • musclmed

    Posts: 3274

    May 04, 2015 2:12 PM GMT
    timmm55 said
    musclmed said
    MuchMoreThanMuscle said
    Sincityfan said
    You could also go on prep. That's $1.3k month without insurance.


    Insurance covers prEP as a way to prevent HIV infection.

    Rather pointless to talk about the exorbitant price of Truvada. No one is paying for it out of pocket. Additionally, there are many programs available to help finance the medication.


    You may want to ask this "friend" to inquire whether his strain of HIV is resistant to Truvada. Rare but possible.

    Prep has to be taken every day. Its not a morning after pill.


    Actually, maybe not. There is a french study of "PrEP on Demand".
    http://www.advocate.com/31-days-prep/2014/10/29/study-shows-demand-prep-drastically-reduce-hiv-infection

    You say: "You may want to ask this "friend" to inquire whether his strain of HIV is resistant to Truvada. Rare but possible."

    A person on PrEP doesn't have an HIV strain.
    It is a MYTH:


    Sorry you misunderstood.

    Someone mentioned Prep , and his "friend " is Hiv +.

    So his "friend" is positive.

    Since this situation is different than what the study was designed for. The study looked at a whole population with randomness. In this situation he is mentioning a single individual with a specific situation.

    There was an assumption he was undetectable. If this was an is the case lets assume that then.

    Thankfully we have a lot of prior research , some that is conflicting but most that is in concert.

    Again bringing in Prep here is the WRONG way to answer here because Prep lowered risk in a population that was large with multiple partners. Since there is presumably 1 partner here "we" can give him a better answer since we can know the specifics of his "friends" health. In the Prep study there was a decrease in transmission. But this individual can do better knowing the specific information.

    Most individuals can figure out this calculator for SPECIFIC situations. Choose, semen and mucous membrane and the risk based on a retrospecitve study is generated. I did it for you and the risk is low

    http://www.mdcalc.com/hiv-needle-stick-risk-assessment-stratification-protocol-rasp/
    0.02%
    Or, 1 in 5000. Treatment recommended, but optional, according to the article. For POST exposure prophylaxis.

    Last part is knowing what this individuals sensitivities are. If this individual has a strain that is Truvada resistant, Prep is likely to be worthless. If it is sensitive it may help.

  • Posted by a hidden member.
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    May 04, 2015 2:30 PM GMT
    SkidooMe saidHi, I'm kinda new to this whole world, and want to educate myself...my friend is poz and takes his meds . I am neg and have started getting closer to him...what is my risk in providing oral to him? I already have, but made sure not to get his cum in my mouth... I understand that cum or precum apparently "could" still carry virus even if one's bloodwork is undetectable...but I cannot believe that I cannot find any studies that have been done which confirm or refute this. Please let me know your thoughts or share some links if you have something...thanks so much .

    I used to give oral to my HIV+ partner, now deceased. Although oral presents a lower risk of HIV transmission than anal, and his viral load was very low, by mutual agreement all our sex was with condoms. My gums sometimes bleed after brushing my teeth, a possible entry point for the virus.

    My only problem with latex condoms was the taste - like sucking a party balloon. And worse if it was coated with lube and a spermicide, as many are. So I just wiped it off with a damp dishcloth after I had it on him. Still didn't remove the latex taste, but that was OK.

    As the saying goes (or should), a dick in your mouth is worth 2 in the pants. icon_biggrin.gif

    Oh, and BTW, he also topped me, with a condom. I remain negative to this day.
  • Posted by a hidden member.
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    May 05, 2015 11:05 AM GMT
    Well theoretically speaking you could. You just need to watch out whether your gums bleed or not. I read somewhere here that you shouldn't brush your teeth before engaging.

    But I'm rather skeptic about it