Throat Discomfort After Oral Sex: Is It a Sign of STD? - Urology

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A week after oral sex, my throat feels strange?


Hello doctor, last week I engaged in unprotected oral sex with an online acquaintance.
A week later, I started feeling something unusual in my throat.
It feels cool when I breathe, but the sensation eases somewhat after drinking water.
I also feel like there is a foreign object in my throat when swallowing.
I have a history of gastroesophageal reflux disease (GERD) and have previously experienced a sensation of a foreign body in my throat.
Currently, these are the only two symptoms I have.
Am I at risk of having contracted a sexually transmitted infection (STI)? Thank you.

Jinzhang, 30~39 year old female. Ask Date: 2017/08/19

Dr. Du Shixi reply Urology


Hello: If you experience difficulty swallowing and pain in your throat, it is advisable to seek medical evaluation.
Wishing you good health.

Reply Date: 2017/08/19

More Info


It's understandable to be concerned about potential sexually transmitted infections (STIs) after engaging in oral sex, especially if you're experiencing throat discomfort. Let's break down your situation and address your concerns.

First, it's important to note that while oral sex can transmit certain STIs, the risk varies depending on the specific infection and the circumstances of the encounter. Common STIs that can be transmitted through oral sex include gonorrhea, chlamydia, syphilis, and herpes. Human papillomavirus (HPV) can also be transmitted, which is associated with oropharyngeal cancers. However, the likelihood of contracting an STI from oral sex is generally lower compared to vaginal or anal intercourse.

In your case, the symptoms you're experiencing—throat discomfort and a sensation of something being stuck in your throat—could be attributed to several factors. Given your history of gastroesophageal reflux disease (GERD), it's possible that acid reflux is contributing to your throat discomfort. GERD can cause irritation in the throat, leading to sensations of tightness or the feeling of a lump. This is often exacerbated by certain foods, lying down after eating, or even stress.

However, it's also essential to consider the possibility of an STI. The symptoms you've described, such as throat discomfort, could potentially be related to an infection, especially if the discomfort persists or worsens. Gonorrhea and chlamydia can cause pharyngeal infections, which may present with sore throat symptoms. Other signs of an STI might include fever, swollen lymph nodes, or unusual discharge, but these symptoms may not always be present.

Since you are experiencing throat discomfort a week after the encounter, it would be prudent to seek medical attention. A healthcare provider can perform a thorough examination, including a throat swab if necessary, to test for STIs. They may also evaluate your throat for other potential causes of discomfort, such as allergies, viral infections, or irritation from reflux.

In terms of managing your anxiety about STIs, it's important to remember that many STIs can be asymptomatic, meaning you might not show any signs even if you are infected. Regular STI screenings are recommended for sexually active individuals, especially after new sexual partners or unprotected sex. If you have concerns about your sexual health, discussing them openly with a healthcare provider can help alleviate anxiety and provide clarity.

In summary, while your throat discomfort could be related to your history of GERD, it is also wise to consider the possibility of an STI, especially given the recent sexual encounter. Seeking medical advice is the best course of action to determine the cause of your symptoms and to receive appropriate treatment if necessary. Regular check-ups and open communication with healthcare professionals can help you maintain your sexual health and peace of mind.

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