Oral Sex Risks: Can It Transmit STDs? - Urology

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If there are small spots on the foreskin that have been present for a long time without any issues, and if my girlfriend performs oral sex on me, what could happen? Could she contract a sexually transmitted infection (STI)? I have never had sexual relations with any girl before, so is there a risk of STIs for either the girl or the guy during oral sex?

Jiang Xin Bi Xin, 10~19 year old female. Ask Date: 2016/05/20

Dr. Li Xinyi reply Urology


If both individuals do not have sexually transmitted infections, then there will be no transmission of such infections.
However, issues related to the foreskin should be assessed in person.
It is advisable to consult a urologist for examination and discussion with the physician.

Reply Date: 2016/05/20

More Info


When it comes to understanding the risks associated with oral sex and the transmission of sexually transmitted diseases (STDs), it is essential to consider several factors, including the nature of the sexual activities involved, the health status of both partners, and the specific STDs in question.

Oral sex can indeed transmit STDs, although the risk varies depending on the type of sexual activity and the presence of infections. Common STDs that can be transmitted through oral sex include gonorrhea, chlamydia, syphilis, herpes, and human papillomavirus (HPV). The transmission occurs when infectious bodily fluids come into contact with mucous membranes, which are present in the mouth, throat, and genital areas.

In your case, if your girlfriend performs oral sex on you, and you have a condition such as small spots on the foreskin, it is crucial to consider whether these spots are indicative of an infection. If they are harmless and not associated with any STD, the risk to your girlfriend may be minimal. However, if there is any uncertainty about the nature of these spots, it is advisable to consult a healthcare professional for an evaluation.
If you have never had sexual relations with anyone else and are confident that you do not have any STDs, the risk of transmitting an infection to your girlfriend during oral sex is significantly reduced. However, it is important to note that some STDs can be asymptomatic, meaning that a person can carry the infection without showing any signs or symptoms. This is particularly true for infections like chlamydia and gonorrhea, which can sometimes go unnoticed.

For your girlfriend, the risk of contracting an STD through oral sex is also influenced by her sexual history and health status. If she has not been exposed to any STDs and both partners are free from infections, the likelihood of transmission is low. However, if either partner has an undiagnosed infection, there is a potential risk.

To minimize the risk of STD transmission during oral sex, consider the following precautions:
1. Communication: Openly discuss sexual health with your partner. Share any concerns about past sexual history and get tested for STDs together.

2. Use Barriers: Using condoms or dental dams during oral sex can significantly reduce the risk of STD transmission. This is especially important if there is any uncertainty about either partner's health status.

3. Regular Testing: Regular STD screenings are essential for sexually active individuals, even if there are no symptoms. This helps in early detection and treatment of any infections.

4. Avoid Oral Sex During Outbreaks: If either partner has visible sores, lesions, or any signs of infection, it is best to avoid oral sex until a healthcare provider has evaluated the situation.

In conclusion, while oral sex does carry some risk for STD transmission, the extent of that risk depends on various factors, including the health status of both partners and the presence of any infections. If you have concerns about your health or the health of your partner, it is always best to consult with a healthcare professional for personalized advice and testing.

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