HIV seroconversion in two homosexual men after receptive oral intercourse with ejaculation: Implications for counseling concerning safe sexual practices

Seroconversion for HIV antibody occurred in two homosexual men who reported no anal intercourse for ≥ 5 years and multiple episodes of receptive oral intercourse with ejaculation. Neither man reported intravenous drug use or receipt of blood products. The last antibody-negative specimen was also negative by the polymerase chain reaction and p24 antigen assays. All sexually active persons should be clearly counselled that receptive oral intercourse with ejaculation carries a potential risk of HIV transmission.