How Do You Give Oral
Performing oral sex on your partners anus can be part of any sexual relationship, whether gay, bisexual or straight.
If you are concerned about hygiene, ask your partner to wash first. You could also bathe together as part of foreplay.
Before you begin, your partner may like it if you gently kiss and touch the area around the anus including the perineum . You can then focus on the anus, circling your tongue around the outer area and finally inserting your tongue. Remember to listen to your partner and do what they enjoy, whether thats licking, sucking or gently probing.
If you are giving oral sex to a woman, dont move from the anus to the vagina as this can transfer bacteria and cause infection.
Can I get HIV and STIs from oral sex?
The risk of HIV transmission from oral sex is very low unless the person receiving oral sex has an STI or sores on their genital area, or the person giving oral sex has sores in their mouth or bleeding gums. If the person living with HIV is on medication and has undetectable levels of HIV then there is no risk of passing the virus on.
However, other STIs can easily be passed on during oral sex, in particular herpes, gonorrhoea and syphilis. Certain infections and viruses that are found in faeces can be passed on through oralanal sex, this includes hepatitis A and E.coli.
Knowing you have taken precautions to keep you and your partner safe can help make you more relaxed during oral sex. There are simple ways to protect you both:
What Is The Risk From Oral Sex
According to Public Health England, around 1-3% of sexual HIV transmissions in the UK are because of oral sex. Other studies found that the risk is very low but is not zero.
Unprotected anal and vaginal sex leads to far more HIV infections than oral sex.
The risks are higher if the person giving oral sex has:
- cuts, sores or abrasions in their mouth or gums
- a sore throat or infection in the mouth or throat.
Or if the person receiving oral sex is:
- HIV positive
Ways To Prevent Passing Hiv
There is very little to no chance of HIV being passed through oral sex, but for people who are at risk of passing or coming into contact with HIV through vaginal or anal sex here are some prevention options:
- Condoms are a great way to help prevent HIV and STIs. Just make sure to use them correctly each time you have sex.
- People who do not have HIV can also take medications to help prevent getting it. PrEP is medication that a person takes starting before and continuing after they might come into contact with HIV. Most people on PrEP take it every day.
- PEP is medication that can be taken up to 72 hours after a person might have come into contact with HIV, to help prevent the person from getting HIV. PEP is taken for 28 days. It is meant for emergencies only .
- People who have HIV can take medications daily to keep their bodies healthy and also prevent them from passing HIV to others through sex. This is because HIV medications can lower the amount of HIV in the body to a level so low that tests can’t detect it. This is called an undetectable viral load. When a person maintains an undetectable viral load, they cannot pass HIV through sex.
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Hiv Treatment & Undetectable
Todays HIV treatments, called antiretroviral therapy or ART, are extremely effective. Some treatments are a single tablet. Long-acting injectable medications are likely to be approved and available soon. Medicine has come a long way since the first HIV treatment options became available in the 1990s.
There is still no functional cure for HIV, but ART can help people live long, healthy lives. Todays medications are provided in combinations that reduce a persons viral load to levels so low its undetectable. People who become undetectable cannot transmit the virus to others.
Viral load is a term that describes how much virus a person living with HIV has in their body.
Without HIV medications, the virus replicates which causes the amount of virus in the body to increase.
HIV medications prevent HIV from making copies of itself. Then, the amount of HIV in the body goes down.
To see how well HIV treatments are working, doctors and other providers measure the amount of virus in the blood and report a measurement called your viral load. Its simply a measurement of how many copies of the virus are in a single unit of blood.
A very low amount of virus may even be undetectable by viral load tests . A common undetectable level is < 20 copies per milliliter of blood. Low viral loads are those that are less than 200 copies per milliliter. Very high viral loads can be over 500,000 copies per milliliter.
Establishment Of Hiv Infection
Documented cases of HIV acquisition after oral exposure have occurred predominantly through ROI, where individuals are exposed to virus in semen or pre-ejaculatory fluid, and breastfeeding, when virus is consumed in maternal breast milk. All three fluids are well populated by leukocytes, particularly macrophages , that can harbor infectious virus, and contain detectable titers of cell-free virus, although the viral load in these fluids is generally lower than that observed in the blood . However, the relative contribution of cell-free and cell-associated virus to HIV transmission is still unclear.
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Very Rare Ways Hiv Is Spread:
- Oral sexputting the mouth on the penis , vagina , or anus . In general, theres little to no risk of getting HIV from oral sex. But transmission of HIV, though extremely rare, is theoretically possible if an HIV-positive man ejaculates in his partners mouth during oral sex. To learn more about how to lower your risk, see CDCs Oral Sex and HIV Risk.
- Receiving blood transfusions, blood products, or organ/tissue transplants that are contaminated with HIV. This was more common in the early years of HIV, but now the risk is extremely small because of rigorous testing of the US blood supply and donated organs and tissues.
- Eating food that has been pre-chewed by an HIV-infected person. The contamination occurs when infected blood from a caregivers mouth mixes with food while chewing. The only known cases are among infants.
- Being bitten by a person with HIV. Each of the very small number of documented cases has involved severe trauma with extensive tissue damage and the presence of blood. There is no risk of transmission if the skin is not broken.
- Contact between broken skin, wounds, or mucous membranes and HIV-infected blood or blood-contaminated body fluids.
- Deep, open-mouth kissing if both partners have sores or bleeding gums and blood from the HIV-positive partner gets into the bloodstream of the HIV-negative partner. HIV is not spread through saliva.
For more information about HIV transmission, visit CDCs HIV Transmission.
Theoretic Vs Documented Risk
Whenever discussing HIV risk, it is important to differentiate between a theoretic and documented risk. A documented risk is based on the actual number of cases to which HIV can be directly attributed to an act of oral sex. And, when looking through that lens, the risk of infection by oral sex is actually extremely low. Not zero, perhaps, but edging close to it.
In fact, according to a study from the University of California San Francisco’s Centers for AIDS Prevention Studies, the probability of HIV infection through unprotected oral sex was statistically zero, although the researchers went so far as to add that “we can not rule out the possibility that the probability of infection is indeed greater than zero.”
For an individual perspective, there are numerous factors and situations that can increase personal risk, sometimes considerably. By understanding and identifying these factors, you can make better, more informed choices about the sexual health of you and your partner.
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Ways Hiv Is Not Transmitted
How well does HIV survive outside the body?
HIV does not survive long outside the human body , and it cannot reproduce outside a human host. It is not transmitted
- Through saliva, tears, or sweat.
- Through other sexual activities that dont involve the exchange of body fluids .
- Through the air.
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Hiv Is Mainly Spread In The United States By:
- Having anal or vaginal sex with someone who has HIV without using a condom or taking medicines to prevent or treat HIV.
- For the HIV-negative partner, receptive anal sex is the highest-risk sexual behavior, but you can also get HIV from insertive anal sex .
- Either partner can get HIV through vaginal sex, though it is less risky for getting HIV than receptive anal sex.
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The Words We Use To Talk About Oral Sex
Everyone has a right to choose the words that they want to use to talk about their bodies and genitals. The medical words for genitals are penis, vulva and anus.
Most guys have penises. A penis can be soft or hard . A penis has a head and a shaft. Some penises have foreskins and some don’t. A penis can also be called a dick, cock, strapless, etc.
Most women have vulvas. Many people call these genitals the vagina, but the vagina is actually just one part of the vulva. Vulvas also have other parts, including inner and outer lips and the clitoris. A vulva can also be called a pussy, front hole, etc.
Anus is the word for the opening of a person’s butt. An anus can also be called a butthole, ass, arse, bum, etc.
Oral Sex And Hiv Acquisition
Oral sex is not likely to transmit HIV under most circumstances. Many large studies have shown that a person living with HIV who takes HIV drugs and has an undetectable viral load cannot transmit the virus to their sexual partners. This includes any kind of sex, including oral sex and sex without using condoms or barriers. This reality is known in the HIV community as Undetectable Equals Untransmittable, or U=U.
When a person living with HIV is not on treatment, oral sex is still a low-risk activity for HIV. If a person is not taking HIV drugs and/or has a detectable viral load, that low chance of transmission is greater if one of the partners has bleeding gums, mouth ulcers, gum disease, genital sores, and other sexually transmitted infections or diseases .
A number of studies have tried to figure out the exact level of HIV transmission risk that oral sex poses, but this is not easy to do. When HIV is transmitted, it is difficult to tell if oral sex or another activity that poses more risk was responsible.
The chances of HIV being passed from one person to another depend on the type of contact. HIV is most easily spread or transmitted through unprotected anal sex, unprotected vaginal sex, and sharing injection drug equipment that has not been cleaned. Unprotected sex means sex in which no condoms, other barriers, or HIV treatment-as-prevention methods are used.
For HIV transmission to be possible:
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Studies On The Risks Of Oral Sex
Oral sex is a low-risk activity for HIV. Factors that increase the risk of HIV transmission through oral sex include having bleeding gums, mouth ulcers, gum disease, genital sores, and other sexually transmitted infections. Several reports suggest that people have acquired HIV through oral sexual activity in rare instances. A number of studies have tried to figure out the exact level of risk of oral sex, but it can be difficult to get accurate information. When HIV is spread, it is difficult to tell if it was the oral sex or another, more risky sexual activity that was responsible for transmitting HIV.
The take home message is that oral sex may, under certain circumstances, carry a small but real risk of HIV transmission.
Is It True That Gay Men Are More At Risk For Hiv Than Other People
Although anyone can be at risk for HIV, some people can be more at risk depending upon the types of sexual practices and drug use they are engaging in. Being gay does not necessarily mean you are at higher risk, but certain activities gay men sometimes participate in might put them at greater risk. Overall, the gay male population in Canada has higher rates of HIV infection than some other populations. Stigma and homophobia can affect a person’s ability to access information about safer sex specifically for gay men.
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How Do You Give A Man Oral Sex
A mans penis does not need to be erect for you to start oral sex but you may want to use your hand to arouse him first. If you hold his penis during oral sex, you can control how deep it goes into your mouth. You can move your hand allowing the penis to go as far into your mouth as you are comfortable with.
A mans penis is highly sensitive, so be gentle at first and slowly work up to a faster pace. You can try different tongue, mouth and head movements to see what works best but never use your teeth unless asked.
When you give a man oral sex you can stop at any time and its up to you to decide if you want to let him ejaculate in your mouth. Of course, if hes wearing a condom this isnt an issue, and it means you will both be protected against sexually transmitted infections .
What Is Oral Sex
Oral sex involves using your mouth or tongue to stimulate your partners genitals or anus.
Many people enjoy oral sex as part of their sex life but it is a very personal thing and not everybody likes it or chooses to do it. Different people like to give or receive oral sex in different ways. There are a whole variety of ways to lick, suck and stimulate someone. You may decide not to have oral sex at all, or you may enjoy experimenting with your partner to find out what gives you both pleasure.
It is important to talk to your partner so you can understand what you both enjoy and what you would prefer to avoid.
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Body Fluids That Transmit Hiv
What body fluids transmit HIV?
Only certain body fluids from a person who has HIV can transmit HIV. These fluids include
- vaginal fluids, and
- breast milk.
These fluids must come in contact with a mucous membrane or damaged tissue or be directly injected into the bloodstream for transmission to occur. Mucous membranes are found inside the rectum, vagina, penis, and mouth.
What If You Do Swallow It
You can swallow or spit, but its probably a little safer to swallow as the entry point for the HIV is much more likely to be via a cut in your gums than the stomach. HIV transmission from oral sex is very rare whatever you choose. Whichever you decide its better to do it quickly rather than keep the cum in your mouth for any significant amount of time.
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When Is The Risk Greater
These risk factors can increase the chances for transmission of HIV:
- Status: Risk varies based on whether the person with HIV is giving or receiving oral sex. If the person with HIV is receiving oral sex, the person giving it may have a higher risk. Mouths may have more openings in the skin or lesions. Saliva, on the other hand, is not a carrier of the virus.
- Viral load: The risk of contracting HIV is higher if the person with HIV has a high viral load. Higher viral loads increase infectivity.
- Ejaculation: During oral sex, ejaculation may increase risk for sharing the virus, but ejaculation alone isnt the only possible way of contracting HIV.
- Cuts or sores: Openings in the mouth, vagina, anus, or on the penis are possible routes for HIV. These may be cuts or lesions from another infection or condition. For example, HIV-related infections like candidiasis can cause sores that compromise the integrity of the tissue in the mouth. Any break in the skin puts a person at risk for transmitting or contracting the virus.
- Menstruation: HIV-bearing cells do shed from the cervix during menstruation. Coming into contact with menstrual blood with the mouth may increase contraction risk.
- Urethritis: This condition causes inflammation and irritation in the urethra. It may increase the chances of HIV contraction, too. People with HIV are likely to shed the virus when they have this condition.
How Do You Give A Woman Oral Sex
Before you begin giving a woman oral sex, she may enjoy it if you spend some time kissing and touching her upper thighs and the area around her vagina first, to help her get aroused.
The whole genital area is sensitive, but for most women the clitoris is the most sensitive part. Gently part the outer lips of the vagina and look for the vaginal opening, and the hooded clitoris just above it.
Start off softly, using a relaxed tongue to make slow movements and work up to faster movements with a firmer tongue. You can experiment moving your tongue in different ways and try different rhythms taking cues from your partner to find out what she enjoys most.
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