Urological Concerns After Unprotected Oral Sex - Urology

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Unsure if I am ill?


Hello Doctor: On October 12, I just received my salary and became a bit curious about sexual activities, so I contacted a woman via Line.
She performed oral sex on me without a condom, but I used a condom during intercourse.
The next day, I occasionally felt a slight soreness or pain in my urethra and glans, but there was no pain while urinating.
The condition has remained about the same until today.

Wei Ge, 10~19 year old female. Ask Date: 2016/10/16

Dr. Sun Hongshun reply Urology


Hello: I'm not sure if the illness you mentioned is genital warts, HIV, or a common urinary tract infection.
In fact, all of the above conditions cannot be ruled out, and it may simply be due to pulling or strain on the penis or testicles after sexual activity.
I recommend visiting a urology or infectious disease clinic for further evaluation.
Wishing you good health.

Reply Date: 2016/10/16

More Info


When it comes to concerns about urological symptoms following unprotected oral sex, it is essential to understand the potential risks and the appropriate steps to take. Engaging in unprotected oral sex can expose individuals to sexually transmitted infections (STIs), including but not limited to gonorrhea, chlamydia, syphilis, and herpes. While the risk of contracting HIV through oral sex is generally lower compared to vaginal or anal sex, it is not zero, especially if there are cuts or sores in the mouth or on the genitals.

In your case, experiencing a slight burning or discomfort in the urethra and glans (the head of the penis) the day after unprotected oral sex could indicate a few possibilities. One common cause of such symptoms is urethritis, an inflammation of the urethra that can be caused by STIs. Gonorrhea and chlamydia are two of the most common bacterial infections that can lead to urethritis. Other potential causes could include non-infectious factors such as irritation from friction, allergic reactions to substances like lubricants or latex, or even a urinary tract infection (UTI).

Given that your symptoms have persisted for several days, it is crucial to seek medical attention. A healthcare provider can perform a thorough examination, including a urinalysis and possibly swabs from the urethra, to determine if an infection is present. If an STI is diagnosed, treatment is typically straightforward and effective, often involving a course of antibiotics.

Regarding your specific concerns about the risk of HIV, while the likelihood of transmission through oral sex is lower, it is still advisable to get tested, especially if you have engaged in unprotected sexual activities. Testing for STIs, including HIV, is a responsible step to take for your health and the health of your partners. The Centers for Disease Control and Prevention (CDC) recommends that sexually active individuals get tested for STIs at least once a year, or more frequently if they have multiple partners or engage in high-risk behaviors.

In summary, while your symptoms may not necessarily indicate a severe issue, they warrant a professional evaluation to rule out any infections. Early diagnosis and treatment of STIs can prevent complications and further transmission. Additionally, practicing safer sex, including the use of condoms during oral sex, can significantly reduce the risk of STIs in the future. If you have any further questions or concerns, do not hesitate to reach out to a healthcare professional.

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