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Chances of HIV infection through RECEPTIVE FELLATIO.

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What are the chances of hiv infection through receptive fellatio? The fellatio lasted no longer than 1 minute with no ejaculation. However I do have sensitive/bleeding gums; but nothing too extreme.

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 26 Doctors Online

Thank you for your query at
Fellatio/ Receptive fellatio has very low chance of transmitting HIV infection. The only way oral sex can transmit HIV is if the male partner ejaculates inside the mouth. Without any ejaculation, there is no risk of HIV transmission through such an act. Still to further protect against other STDs like herpes, a condom can be used.
Feel free to discuss further,

Patient replied :

Thanks doctor. Would any pre - ejaculatory fluid pose a risk? Also does the fact my gums are a little rough make a big difference?

Is there any reason for concern here?

No pre-ejaculatory fluid can't transmit HIV. It does not have enough viral load even if the other person is HIV positive.
Yes bleeding gums will increase the risk but in this case, since there was no ejaculate, there is no concern.
Dr. Jaydeep

Patient replied :

How much does bleeding gums increase the risk? Have you ever came across a case of oral hiv transmission in the past?
Thanks again

If there is active bleeding gums there will be open lesions on the mucosa, and if it comes in contact with ejaculate, virus can go in through the lesion.
It increases the risk slightly.
But no: there has never been a reported case of HIV from oral sex.
Dr. Jaydeep

Patient replied :

Last question, i heard saliva can act as a barrier is that true?
So overall this is a very low risk situation?

No saliva won't act as a barrier in case of HIV transmission.
If there is ejaculate in the mouth with good viral load, and there are open lesions, HIV will be spread.
But in your situation, there is no risk.
Hope this was helpful,

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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