STD Risk Calculator

pointz

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Feb 20, 2010
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Well, according to those figures, the math is still on your side. The background figures they use on that site are from sex workers in the United States, so risk still depends a lot on how well SP get tested and treated for infections. With that said, a very significant proportion of SPs have herpes, and you can't cure it, so it is very likely that you will get herpes after enough encounters with SPs. Transmission rates for herpes though, on a per-event basis are pretty low, so it could take a number of years before you finally get infected. Interestingly, rates are twice as high for women than men. One other thing that is interesting is that HSV1 and HSV2 are generally mutually exclusive for site of infection. So if you are infected with HSV1 in your genital area (from receiving oral sex earlier in life), you will generally get less severe symptoms if you have an outbreak, and it will protect you from being infected with HSV2 at the genital site. Herpes is really not a big deal, it's more of a social stigma thing...

Generally if you use condoms for intercourse, that is the most important thing for your health. It's a lot less important for oral and few people use condoms for oral. If you end up with gonorrhea, herpes or HPV, it's not the end of the world. None of those infections will ruin your life, you just get the necessary treatment and move on. It's really the HIV you are worried about!
Do you personally opt for BBBJ or CBJ?
 

ug00100

New member
Jan 26, 2013
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Do you personally opt for BBBJ or CBJ?
Haha, honestly, for how much better it feels, the risk increase isn't that much higher. I think unprotected oral, and protected intercourse is a good balance to strike. If everybody did that, there would be very little HIV infection compared to what the rates are now, even though HIV infection is quite possible from oral sex.
 

ug00100

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Jan 26, 2013
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I can't figure out whether you're an MD or a statistician :). In any case, your figures seem fine.
Could be both, but I will abstain from identifying myself as either for liability reasons. For the purposes of my advice, I'm just a person on the internet who works in the medical field ;)
 

pointz

Banned
Feb 20, 2010
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Haha, honestly, for how much better it feels, the risk increase isn't that much higher. I think unprotected oral, and protected intercourse is a good balance to strike. If everybody did that, there would be very little HIV infection compared to what the rates are now, even though HIV infection is quite possible from oral sex.
Say what??? You can get HIV from BBBJ? That's news to me.
 

pointz

Banned
Feb 20, 2010
681
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Could be both, but I will abstain from identifying myself as either for liability reasons. For the purposes of my advice, I'm just a person on the internet who works in the medical field ;)
Well, welcome aboard kind sir. We can definitely use your knowledge on the subject here :thumb:!
 

ug00100

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Jan 26, 2013
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Say what??? You can get HIV from BBBJ? That's news to me.
Yeah, I will qualify that remark. Risk is very very low.

Generally when you talk about getting HIV from oral sex, the risk is to the person who gives oral sex to a man. Precum can contain HIV, although the saliva has enzymes that rapidly deactivate it. Ejaculate (i.e. semen/cum) can be loaded with HIV in a person who has a high viral load (due to untreated HIV), and if there are cuts in the mouth, transmission is actually quite likely. All the factors need to be in place though.

Receiving oral sex as a man is very low risk. However, if SP is HIV-infected and has a high viral load, and she has blood in her mouth for any reason, transmission is much more likely. So for example, if teeth were just flossed, or there was a visit to the dentist, or there is significant gum disease, etc. Then blood could be present which, in this scenario, would be teeming with HIV, which could enter your body through your urethra, urethral meatus, or through small breaks in the skin of your foreskin/shaft or the mucosa of your foreskin/glans. Again, risk of this happening is very low but there are cases. If you have lesions on your penis from herpes, or even breaks due to trauma from sexual intercourse this is also a factor.

For oral sex on a woman (giving or receiving) it is basically nil.

About HIV and Oral Sex: http://www.cdc.gov/hiv/resources/factsheets/pdf/oralsex.pdf
 

msog87

Banned
Dec 11, 2011
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You are completely wrong.

According to CDC, 12875 of approximately 46913 infections (that is 27.4%) were as a result of heterosexual activity.

Source: http://www.cdc.gov/hiv/topics/surveillance/basic.htm#hivaidsexposure
fuck the CDC, govt propaganda I just gave you real world experience. btw, ive read other stats where the overwhelming majority of new hiv carriers and existing carriers are gay men. even the non biased experts on medhelp all say this. but like I said, ive seen it with my own eyes bud.
 

pointz

Banned
Feb 20, 2010
681
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Yeah, I will qualify that remark. Risk is very very low.

Generally when you talk about getting HIV from oral sex, the risk is to the person who gives oral sex to a man. Precum can contain HIV, although the saliva has enzymes that rapidly deactivate it. Ejaculate (i.e. semen/cum) can be loaded with HIV in a person who has a high viral load (due to untreated HIV), and if there are cuts in the mouth, transmission is actually quite likely. All the factors need to be in place though.

Receiving oral sex as a man is very low risk. However, if SP is HIV-infected and has a high viral load, and she has blood in her mouth for any reason, transmission is much more likely. So for example, if teeth were just flossed, or there was a visit to the dentist, or there is significant gum disease, etc. Then blood could be present which, in this scenario, would be teeming with HIV, which could enter your body through your urethra, urethral meatus, or through small breaks in the skin of your foreskin/shaft or the mucosa of your foreskin/glans. Again, risk of this happening is very low but there are cases. If you have lesions on your penis from herpes, or even breaks due to trauma from sexual intercourse this is also a factor.

For oral sex on a woman (giving or receiving) it is basically nil.

About HIV and Oral Sex: http://www.cdc.gov/hiv/resources/factsheets/pdf/oralsex.pdf
That's my concern too. Some SPs seem to think that brushing their teeth before an appointment is a good idea. I'd rather they do not though for the simple reason that they can start gum bleeding unintentionally and cause all kinds of other issues. Anyone from the SP side care to chime in?
 

pointz

Banned
Feb 20, 2010
681
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Toronto
fuck the CDC, govt propaganda I just gave you real world experience. btw, ive read other stats where the overwhelming majority of new hiv carriers and existing carriers are gay men. even the non biased experts on medhelp all say this. but like I said, ive seen it with my own eyes bud.
The things that should concern you are the ones that you don't see though. No need to attack a new member who's trying to use his expensive knowledge for our benefit. :D
 

ug00100

New member
Jan 26, 2013
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fuck the CDC, govt propaganda I just gave you real world experience. btw, ive read other stats where the overwhelming majority of new hiv carriers and existing carriers are gay men. even the non biased experts on medhelp all say this. but like I said, ive seen it with my own eyes bud.
What's your problem exactly? The same CDC source I just showed you confirms what you are saying, which is that a very significant among of HIV infections are among the MSM population (which includes gay men) and among injection-drug users. This doesn't change the fact that HIV is also transmitted by heterosexual people. Are you denying that HIV is transmitted between heterosexual people? What is your argument exactly? Just because it occurs in one group, this does not preclude it from occurring in another.

There are bisexual men (who are in MSM category) with very high rates of HIV. MSM rates are about 20% infected in a lot of cities. Those men also have sex with heterosexual women. HIV can go on for years with no symptoms, while those women pass it on to straight men. Similarly, are you certain that every SP you ever had sex with was not an injection drug user? If you are certain, then you need to have your head examined. HIV occurs in heterosexual people.

By the way, "real world experience" is frequently unreliable and what's true in one hospital or clinic or city may not be true elsewhere. That's why you need to understand the research and the epidemiology.
 

fuji

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Jan 31, 2005
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UG, your claim about the risk of oral sex is flat wrong and amounts to fear mongering. I challenged you on cases and you ran away saying it was hard to know how people get infected.

Nonsense.

There was some talk about the theoretical possibility of oral transmission but if it ever has happened it is extraordinarily rare. If you disagree reply with references.
 

pointz

Banned
Feb 20, 2010
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UG, your claim about the risk of oral sex is flat wrong and amounts to fear mongering. I challenged you on cases and you ran away saying it was hard to know how people get infected.

Nonsense.

There was some talk about the theoretical possibility of oral transmission but if it ever had happened or is extraordinarily rare. If you disagree reply with references.
Can you provide references to that "some talk" too please? The man is clearly in the medical profession and seems to have some first-hand experience. What's your source? A link will be fine.
 

fuji

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fuji

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Pointz my comments go back to this:

If you use condoms consistently, then your main risks are: (a) genital warts from HPV (b) HIV from unprotected oral sex.
This statement about HIV being a main risk from unprotected oral sex is doubly wrong. There are indeed risks from unprotected oral sex but HIV is not one of them, certainly not a main one.
 

pointz

Banned
Feb 20, 2010
681
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Toronto
Pointz my comments go back to this:



This statement about HIV being a main risk from unprotected oral sex is doubly wrong. There are indeed risks from unprotected oral sex but HIV is not one of them, certainly not a main one.
Yes, fuji. I asked him to clarify right away as that was news to me too. He expanded on the topic adding that the risk is still very low. Peace?
 

ug00100

New member
Jan 26, 2013
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Pointz my comments go back to this:



This statement about HIV being a main risk from unprotected oral sex is doubly wrong. There are indeed risks from unprotected oral sex but HIV is not one of them, certainly not a main one.
I stand by that remark. The risk of infection is your main risk because the severity of the outcome is so much greater than a gonorrhea infection, despite the odds being lower.

In medicine, Risk = (Severity of Outcome)x(Probability of Event)

Review this concept here: http://en.wikipedia.org/wiki/Risk_Matrix
 

ug00100

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Jan 26, 2013
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UG, your claim about the risk of oral sex is flat wrong and amounts to fear mongering. I challenged you on cases and you ran away saying it was hard to know how people get infected.

Nonsense.

There was some talk about the theoretical possibility of oral transmission but if it ever has happened it is extraordinarily rare. If you disagree reply with references.
You say I "ran away", but actually I am here talking to you. No need to be so rude.

I will reply with references.
 

ug00100

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Jan 26, 2013
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The man has some sort of agenda and is fear mongering, exaggerating risks for who knows what purpose.
I am not "fear-mongering". You are just reacting to new information that affects you because of your lifestyle. Sorry that I have shaken your worldview.
 

pointz

Banned
Feb 20, 2010
681
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Toronto
I stand by that remark. The risk of infection is your main risk because the severity of the outcome is so much greater than a gonorrhea infection, despite the odds being lower.

In medicine, Risk = (Severity of Outcome)x(Probability of Event)

Review this concept here: http://en.wikipedia.org/wiki/Risk_Matrix
Nothing better to prove the point than hard cold math. The man seems to know the topic quite well, why not just listen to his opinion and take (or not) that as good advice?
 
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