Can Oral Sex Without Protection Cause Prostatitis?

Can oral sex without a condom transmit sexually transmitted infections (STIs)?

On September 9th, due to physiological needs, I sought the services of a sex worker.
There was unprotected oral sex and protected vaginal intercourse.
However, immediately after, I felt something unusual in my urethra.
On September 13th, I went to a urology clinic for a urine test, which came back normal, but the clinic doctor prescribed me a three-day course of antibiotics.
On September 16th, I went to a large hospital for another examination, and again the urine test results were normal.
Just as the doctor was about to discharge me, I mentioned that I experienced slight discomfort while urinating and some pain during ejaculation.
He diagnosed me with "acute prostatitis" and prescribed medication, instructing me to return in a week, on September 23rd.

I am unsure whether the issue arose from the unprotected oral sex or from my habit of engaging in sexual activity at least five times a day.
I would like to ask: 1.
Can unprotected oral sex lead to prostatitis? 2.
Today, September 17th, after engaging in sexual activity, I noticed that a pearly papule on my corona has developed a small hole.
I am uncertain if this is a sexually transmitted infection or if it resulted from excessive force during the activity.
However, after looking at some images of STIs, my lesion does not resemble those photos at all.
I deeply regret my actions and feel like I have spent money only to bring back worries.
If I can get through this, I will never engage in such risky behavior again.
I would appreciate any feedback from Dr.
Lee.
Thank you.

Niming, 30~39 year old female. Ask Date: 2017/09/18

Dr. Li Xinyi reply Urology

Your prostatitis may be related to excessive DIY activities.
Engaging in unprotected oral sex can potentially transmit sexually transmitted infections (STIs), so it is advisable to use condoms throughout.
Even with consistent condom use, there is still a risk of transmitting HPV (which can cause genital warts) or pubic lice.
While it may seem like there are no issues, there are no guarantees regarding the outcomes, and it may not alleviate your anxiety if you feel unwell.
It is recommended to continue seeing a urologist for examinations and to discuss your concerns with your physician.

Reply Date: 2017/09/18

More Info

Engaging in unprotected oral sex can indeed pose certain health risks, including the potential for prostatitis, although the likelihood is relatively low compared to other sexual activities. Prostatitis, an inflammation of the prostate gland, can be caused by bacterial infections, and while it is more commonly associated with urinary tract infections or direct bacterial infections, there are instances where sexually transmitted infections (STIs) can contribute to its development.

1. Can Unprotected Oral Sex Cause Prostatitis?
Unprotected oral sex can theoretically lead to the transmission of certain STIs, such as gonorrhea or chlamydia, which could, in turn, lead to prostatitis. However, the direct correlation between unprotected oral sex and the onset of prostatitis is not well-established. The risk of contracting an STI through oral sex is generally lower than through vaginal or anal intercourse, but it is not negligible. In your case, the symptoms you experienced, such as discomfort during urination and pain during ejaculation, could suggest an underlying infection, which may or may not be related to the sexual encounter you described.
2. Understanding Your Symptoms:
The discomfort you felt after the encounter and the subsequent diagnosis of acute bacterial prostatitis could be linked to a bacterial infection, which may have been exacerbated by your sexual activity. The fact that you were prescribed antibiotics suggests that your healthcare provider suspected a bacterial cause. It's important to follow up with your doctor to monitor your symptoms and ensure that the infection is adequately treated.

3. The Role of Sexual Activity:
Frequent sexual activity, including masturbation, can sometimes lead to irritation or inflammation of the prostate, especially if done aggressively. This could explain the sensation you described regarding the "pearly penile papules" or any irritation you noticed. It’s crucial to differentiate between irritation from physical activity and symptoms indicative of an STI. If the irritation persists or worsens, it would be wise to consult a healthcare professional for further evaluation.

4. Future Sexual Practices:
Moving forward, it’s essential to practice safer sex to minimize the risk of STIs. Using condoms during oral sex can significantly reduce the risk of transmission of infections. Additionally, regular STI screenings and open communication with sexual partners about health status can help in making informed decisions regarding sexual activities.

5. Addressing Anxiety and Sexual Health:
Your concerns about sexual health and the anxiety stemming from your experiences are valid. It’s common for individuals who have had similar encounters to feel anxious about potential health consequences. If you find that your anxiety about sexual health is affecting your quality of life, it may be beneficial to speak with a mental health professional who specializes in sexual health or addiction. They can provide strategies to manage anxiety and help you develop a healthier relationship with sexual activity.

In conclusion, while unprotected oral sex can carry risks, the direct link to prostatitis is not straightforward. It’s essential to maintain open communication with your healthcare provider, adhere to treatment plans, and consider safer sexual practices in the future. If you have ongoing concerns or symptoms, do not hesitate to seek medical advice. Your health and well-being should always come first.

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