Risks of Unprotected Oral Sex: STIs and Hygiene Concerns - Urology

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The risks of unprotected oral sex?


Hello doctor, recently I had unprotected oral sex with my girlfriend, and it was both of our first experiences with any sexual activity.
I would like to know if this could lead to sexually transmitted infections (STIs).
Additionally, before oral sex, the male genitalia was not thoroughly cleaned.
Could this cause any oral infections for the female partner or any issues for the male genitalia?

Nìmíng, 10~19 year old female. Ask Date: 2016/12/28

Dr. Du Shixi reply Urology


Hello: If both parties do not have any sexually transmitted infections, there is generally no issue.
However, if one has oral herpes, it can be transmitted to the genital area.
Thank you for your inquiry.

Reply Date: 2016/12/28

More Info


When it comes to the risks associated with unprotected oral sex, it's essential to understand the potential for sexually transmitted infections (STIs) and the importance of hygiene. Engaging in unprotected oral sex can expose both partners to various STIs, including but not limited to herpes, gonorrhea, chlamydia, syphilis, and human papillomavirus (HPV). While the risk of transmission through oral sex is generally lower than through vaginal or anal intercourse, it is not negligible, especially if one or both partners have an undiagnosed infection.

1. Risk of STIs: Since both you and your girlfriend are inexperienced and this was your first encounter, the risk of contracting an STI largely depends on your sexual health status. If either partner has an STI, unprotected oral sex can facilitate transmission. For instance, oral herpes can be transmitted through kissing or oral contact, while other infections like gonorrhea and chlamydia can infect the throat through oral sex. It's crucial to note that many STIs can be asymptomatic, meaning one might not show any signs or symptoms but can still transmit the infection.

2. Hygiene Concerns: Not cleaning the male genitalia before oral sex can pose hygiene issues. Bacteria and other pathogens can be present on the skin, which may lead to infections in the mouth or throat of the partner performing oral sex. Additionally, if there are any cuts or abrasions in the mouth, the risk of infection increases. It is always advisable to maintain good hygiene practices before engaging in sexual activities to minimize the risk of infections.

3. Preventive Measures: To reduce the risk of STIs, consider using barriers such as condoms or dental dams during oral sex. These barriers can significantly lower the chances of transmission of infections. Regular STI screenings for both partners are also recommended, especially if engaging in sexual activities with new partners.
4. Testing and Monitoring: If you have concerns about STIs after engaging in unprotected oral sex, it is wise to get tested. Many health organizations recommend getting tested for STIs at least once a year, or more frequently if you have multiple partners or engage in high-risk behaviors. If you experience any symptoms such as unusual discharge, sores, or persistent sore throat, seek medical attention promptly.

5. Communication: Open communication with your partner about sexual health, STI testing, and safe sex practices is vital. Discussing your sexual history and any concerns can help both partners feel more comfortable and informed about their sexual health.

In summary, while the risk of contracting STIs from unprotected oral sex is lower than other forms of sexual activity, it is still present. Practicing good hygiene, using protection, and getting regular STI screenings are essential steps in maintaining sexual health. If you have any concerns or symptoms, consult a healthcare professional for personalized advice and testing.

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