Dr. Hunter Handsfield, M.D. (40 years of STD experience): "We get frequent questions about STD/HIV risks associated with oral sex. The consistent answer is that oral sex can be considered safe sex, because of generally low risks for all STDs and zero risk for some. Sometimes this seems to conflict with other advice, perhaps especially in settings where social or religious conservatism influence school based and other education that tend to inflate the risks associated with sex of any kind. But the fact is that even among the most sexually active people with multiple partners (including sex workers), most have no transmissible oral STDs; and that the vast majority of oral sex events do not lead to any STD. Accordingly, we almost never recommend STD testing after any single oral sex exposure unless there are symptoms, or sometimes if the partner is known to be infected. We also generally recommend that people with such exposures can safely continue their normal sexual practices with their regular partners. While of course there can be no guarantees along these lines, in general the risk is low enough that it shouldn't be a serious worry."
http://www.medhelp.org/posts/STDs/or...n/show/2159728
Similar responses are here: http://www.medhelp.org/posts/STDs/ri...t/show/1999445
Dr. Handsfield continues (same first web link above): "I forgot to mention herpes. Oral to genital transmission of HSV-1 is always a potential risk, but isn't actually all that frequent. And when it happens, genital herpes due to HSV-1 typically has few recurrent outbreaks and a low potential for sexual transmission to other partners, so for the most part it's not a big deal and shouldn't be a major concern."
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----- NO RISK OF HIV -----
A top STD forum advisor replies about HIV and oral sex: "There is no debate (among experts) about the HIV risks associated with oral sex. The risk is so low that almost nobody who cares for HIV infected patients has ever had a patient believed to have been infected that way."
http://www.medhelp.org/posts/HIV-Pre...p/show/1757568
More 'no risk of HIV from oral' quotes can be found here: http://www.medhelp.org/posts/HIV-Pre...l/show/2039007
Another response by Dr. Handsfield: "HIV risk is virtually zero. Even if your partner had HIV, which she probably did not, one estimate is a chance of 1 in 20,000. That's equivalent to receiving oral sex by infected partners every day for 55 years and maybe never getting infected."
http://www.medhelp.org/posts/STDs/My...t/show/1271916
Actual research studies say that even if a partner actually HAS HIV, only about 1% of them would even have it present in their saliva: ..."the frequency with which infectious HIV can be found in the saliva of HIV-infected patients is low, approximately 1%..." (first paragraph of Discussion section)
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3931238/
Top STD forum advisor about getting HIV from BBBJ: "No risk."
http://www.medhelp.org/posts/HIV-Pre...-/show/2396716
Dr. Handsfield's response to another worried unprotected oral sex recipient and giver: "Oral sex is safe sex -- low risk for all STDs and zero risk for some. In general, it is hard to transmit infection from the mouth or throat to penis, even if your partner was infected orally. And cunnilingus is even safer. In my 40 years in the STD business, I don't think I ever had a patient with an oral STD acquired by oral contact with a partner's vaginal area."
http://www.medhelp.org/posts/STDs/Un...x/show/2100927
http://www.medhelp.org/posts/STDs/or...n/show/2159728
Similar responses are here: http://www.medhelp.org/posts/STDs/ri...t/show/1999445
Dr. Handsfield continues (same first web link above): "I forgot to mention herpes. Oral to genital transmission of HSV-1 is always a potential risk, but isn't actually all that frequent. And when it happens, genital herpes due to HSV-1 typically has few recurrent outbreaks and a low potential for sexual transmission to other partners, so for the most part it's not a big deal and shouldn't be a major concern."
-
----- NO RISK OF HIV -----
A top STD forum advisor replies about HIV and oral sex: "There is no debate (among experts) about the HIV risks associated with oral sex. The risk is so low that almost nobody who cares for HIV infected patients has ever had a patient believed to have been infected that way."
http://www.medhelp.org/posts/HIV-Pre...p/show/1757568
More 'no risk of HIV from oral' quotes can be found here: http://www.medhelp.org/posts/HIV-Pre...l/show/2039007
Another response by Dr. Handsfield: "HIV risk is virtually zero. Even if your partner had HIV, which she probably did not, one estimate is a chance of 1 in 20,000. That's equivalent to receiving oral sex by infected partners every day for 55 years and maybe never getting infected."
http://www.medhelp.org/posts/STDs/My...t/show/1271916
Actual research studies say that even if a partner actually HAS HIV, only about 1% of them would even have it present in their saliva: ..."the frequency with which infectious HIV can be found in the saliva of HIV-infected patients is low, approximately 1%..." (first paragraph of Discussion section)
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3931238/
Top STD forum advisor about getting HIV from BBBJ: "No risk."
http://www.medhelp.org/posts/HIV-Pre...-/show/2396716
Dr. Handsfield's response to another worried unprotected oral sex recipient and giver: "Oral sex is safe sex -- low risk for all STDs and zero risk for some. In general, it is hard to transmit infection from the mouth or throat to penis, even if your partner was infected orally. And cunnilingus is even safer. In my 40 years in the STD business, I don't think I ever had a patient with an oral STD acquired by oral contact with a partner's vaginal area."
http://www.medhelp.org/posts/STDs/Un...x/show/2100927