Get E-Book on COVID-19

Q. I received oral sex for only two minutes. Am I at risk of HIV?

Answered by
Dr. Kakkar
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Feb 01, 2018 and last reviewed on: Oct 09, 2018

Hello doctor,

I am a 26 year old male. I only received unprotected oral sex for roughly two minutes around 46 days ago from a commercial sex worker. I did not have any intercourse. I do not know her HIV status. I had an episode of diarrhea immediately after within the next five days and it resolved after taking Levofloxacin and Lomotil (which I guess was food poisoning as it occurred the very next day). I tested for all STI’s (chlamydia, gonorrhea, hepatitis, and HIV) in 14 days after exposure and all came back as negative. It is an early test for HIV. I traveled abroad for vacation in the meantime and I took Azithromycin 500 g for three days as I had throat ache and mild fever in 20 days after my potential low-risk exposure. I developed a sore on my upper gum and it has been there for 16 days. It is painless now. Also applied Orasore ointment. Recently after 40 days after exposure, I developed small red bumps only in my hand and behind the ear with a sore throat and mild fever. The doctor has prescribed me Amoxicillin antibiotic for five days and Vizylac once for five days. My throat is feeling better now.

My questions are:

  1. Am I at risk of HIV?
  2. Are these recurring mild fever and sore throat acute HIV symptoms?
  3. Is the sore in my mouth a concern?
  4. As I have had an eye transplant and my immune system is weak would I have contracted HIV from my exposure?


Welcome to

I have noted your concern. Unprotected insertive oral sex with an HIV positive woman has a negligible/non-existent risk of transmission of HIV for the male partner unless she had oral sores or blood mixed saliva or bleeding gums which might increase the risk.

You have had two episodes of a sore throat after this sexual encounter which can be because of seasonal flu and change in weather.

I have a few questions.

  1. What was the HIV test done in 14 days?
  2. You told that you are on immunosuppressives. I would like to know what all immunosuppressive medication you were or have been taking?

The sore on your gum could be more of a dental problem rather than an STD. I suggest you take oral Metronidazole 400 mg, thrice daily in addition to the Amoxicillin that you are already taking.

Also apply Metrogyl DG gel (Metronidazole), twice daily. Regards.

For more information consult a dermatologist online -->

Hello doctor,

Thank you for your response. I had been on Prednisolone tablet one year back after the transplant. But now I am only applying Prednisolone eyedrops once a day. Last known, I took Prednisolone three months ago for wheezing for three days. I took the test in an STD clinic. I am not sure which test that was. I presume it should be antibody test. I will be taking the test in another 14 days. That will be a total of 63 days after exposure. I knew it was a negligible risk but since these sort of symptoms appeared I panicked. As my fever, sore throat, and red lumps (only in right hand and behind ear total of six or seven scattered) are going away they got nothing to do with HIV? Please let me know your advise. Am I overthinking myself?



Welcome back to

You may take a 4th generation HIV screening test (antigen/antibody test) even now. It is considered conclusive at six weeks (45 days) from a risk contact. This is CDC recommendation, whereas HIV antibody test has a longer window period of three months.

You may upload images of the skin lesions on your hand/back of ear so that I am able to have a look at and guide you better. Regards.

For more information consult a dermatologist online -->

Thank you doctor,

I will be taking the HIV test once I am back home in two weeks. I can say that there was no visible bleeding In her mouth when this happened. I have attached the photos of the skin lesion that I have. The ones in the ears have gone already. It has actually reduced after Amoxicillin and Vizylac and few are gone already. Should I still be worried about HIV risk?



Welcome back to

I have viewed the images (attachment removed to protect patient identity). These lesions seem like those of folliculitis - bacterial skin and soft tissue infection. Amoxicillin is an oral antibiotic and would definitely help.

In addition, I suggest you apply a topical antibiotic either Mupirocin 2 % cream (T-Bact Cream) or Fusidic acid 2 % cream (Fucidin cream), twice daily.

Bacterial folliculitis is not a specific symptom of HIV.

There is a negligible risk of HIV with insertive oral sex but of course, you may get it documented when you return back or you may take a 4th generation HIV screening test here itself. Regards.

For more information consult a dermatologist online -->

Was this answer helpful?


Related Questions:
I performed oral sex right after getting scaling done. What is my risk of HIV?

Hi doctor, A few weeks ago, I had oral sex with a female sex worker ... I did oral sex initially after I came from scaling ...   Read full

I received oral sex for only two minutes. Am I at risk of HIV?

.. noted your concern. Unprotected insertive oral sex with an HIV positive woman has a negligible/non-existent risk of transmission of HIV for the male partner unless she had oral sores or blood mixed saliva or bleeding gums which might increase the ...   Read full

What are the chances of STD from my encounter, especially HIV?

.. of acquisition of HIV (human immunodeficiency virus) in both the instances is unlikely. You can easily relax. Although, I advise all my patients who are sexually active to know their baseline HIV status. There is no harm in that. Hope your query ...   Read full

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers

Is immuno-concentration HIV test conclusive after 15 months of sexual exposure?

Query: Hello doctor, I am a 25-year-old boy. I had a partner for past 2 to 3 years. We performed sex 6 to 7 times. Last was before 14 months and then had a break-up. Now I see that she is HIV positive. Now I fear about HIV because there is high risk and I want to marry another girl. My symptoms are a sore...  Read Full »

Is it possible to have hairy leukoplakia three months after risky sexual activity?

Query: Hello doctor, I am a 28 year old male who discovered this lesion on my tongue by accident while brushing my teeth. It does not come off easily with the toothbrush. Actually, it does not, unless I apply significant force to remove it. It has been a month since I first discovered it and no other symp...  Read Full »

Can STD spread through oral sex?

Query: Hi doctor, Four days ago, I had oral sex with a lady, who I already know. Though no intercourse happened, I am worried about STDs. Please suggest if I have to undergo any test. I am very tensed for this and I want to clear my mind. I do not have any problem except stress. Also, please explain where ...  Read Full »

Also Read

Sinusitis - Causes, Symptoms and Treatment
Sinusitis is the infection of the air cavities within the nasal passages. Normally, the healthy sinuses are filled with ...  Read more»
Asthma and Its Rising Incidence
This article explains about asthma and its causes. It also focuses on the benefits of starting early treatment to lead a...  Read more»
Parkinson's Disease: Historical Aspects and Current Treatment Approaches
This article discusses the historical aspects of Parkinsonism and, the evidence based approaches currently available for...  Read more»

Ask your health query to a doctor online?

Ask a Dermatologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.