Oral Health Issues After Oral Sex: What to Do Next - Urology

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Oral sex for others?


Hello Doctor, I performed oral sex on someone on February 29 of this year.
By early April, I noticed small red spots on my tongue, which worsened the next day, becoming very prominent and painful when eating.
I also experienced a slight burning sensation in my throat.
After about a week, the pain subsided, but my tongue gradually developed red and white spots.
Currently, my tongue is almost entirely covered in a white coating, except for the base, and it appears quite thick, resembling oral thrush but not exactly.
It has a somewhat fuzzy texture, and when I scrape it with my teeth, the fuzziness slightly protrudes but does not come off.
Additionally, I have noticed some lumps in my throat.
I tested for HIV on July 4, and the results were normal.
Could you please advise me on which department I should visit at the hospital?

Zhuó jí de nán zǐ, 20~29 year old female. Ask Date: 2016/07/26

Dr. Sun Hongshun reply Urology


Hello, oral sex can not only transmit HIV but also increase the risk of bacterial or fungal infections.
It is advisable to seek consultation with an infectious disease specialist or an otolaryngologist as soon as possible.

Reply Date: 2016/07/26

More Info


It sounds like you're experiencing some concerning symptoms following oral sex, and it's understandable that you're feeling anxious about your health. Let's break down your situation and provide some guidance on what steps you should take next.

Firstly, the symptoms you described—red spots on your tongue, a burning sensation in your throat, and a white, fuzzy coating on your tongue—could be indicative of several conditions. One possibility is oral thrush, a fungal infection caused by an overgrowth of Candida yeast. This condition can occur when the balance of microorganisms in the mouth is disrupted, which can happen due to various factors, including recent antibiotic use, a weakened immune system, or even certain sexual practices.

Another potential cause of your symptoms could be a viral infection, such as herpes simplex virus (HSV), which can lead to oral lesions and discomfort. Given that you mentioned having oral sex, it's important to consider the possibility of sexually transmitted infections (STIs) that can affect the oral cavity.

Since you have already tested negative for HIV, that's a positive sign, but it doesn't rule out other STIs. If you are experiencing persistent symptoms, it's crucial to seek medical attention. You should consider visiting an Ear, Nose, and Throat (ENT) specialist or a dentist who has experience with oral health issues. They can perform a thorough examination of your mouth and throat, and if necessary, take swabs or cultures to identify any infections.

In addition to seeking medical advice, here are some general recommendations for managing your oral health:
1. Maintain Oral Hygiene: Continue to brush your teeth and tongue gently, and use a mouthwash that is alcohol-free to avoid further irritation. However, be cautious if brushing causes pain.

2. Stay Hydrated: Drink plenty of water to keep your mouth moist and help wash away any irritants.

3. Avoid Irritants: Stay away from spicy, acidic, or very hot foods that may exacerbate your symptoms.

4. Monitor Symptoms: Keep track of any changes in your symptoms, including the appearance of new lesions or changes in pain levels.

5. Consider STI Testing: If you haven't already, it may be wise to get tested for other STIs, including herpes, syphilis, and gonorrhea, especially if you have had unprotected oral sex.

6. Discuss Your Concerns: When you see a healthcare provider, be open about your sexual history and any concerns you have regarding STIs. This information will help them provide you with the best care.

In summary, while your negative HIV test is reassuring, your current symptoms warrant a visit to a healthcare professional. An ENT specialist or a dentist can help diagnose the issue and recommend appropriate treatment. It's essential to address these symptoms promptly to ensure your oral health and overall well-being. Don't hesitate to seek help; your health is important, and getting the right care can alleviate your concerns.

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