What to Do After Unprotected Oral Sex with a Transgender Partner?

Q: What to Do After Unprotected Oral Sex with a Transgender Partner?

Hello： Assuming the other party has a sexually transmitted infection, oral sex is considered a moderate risk. <br>It is recommended to get tested for syphilis and HIV at one month and three months. <br>If there are any unusual symptoms in the throat, medical attention should be s

If you have engaged in unprotected oral sex with a partner of the same sex, it is important to take the following steps: 1. Get Tested: Schedule an appointment for sexually transmitted infection (STI) testing as soon as possible?

Hello, doctor.
Yesterday, I went to a party and engaged in oral sex with a person of multiple genders without using a condom.
Although there was no ejaculation in my mouth, I did notice a slightly salty fluid during the act (possibly pre-ejaculate).
I'm quite worried because the person has been taking female hormones and seemed to have no unusual symptoms.
However, I felt some pain in my throat today, and I'm not sure if it's psychological or something else.
Could you please give me some advice on whether I should see a doctor and if I need any medication? Which department should I visit? Are there any specific symptoms I should watch out for? I found some scary information online, and while I know the risk of HIV is low, I'm concerned about other potential infections.
I really regret this experience and won't do it again.
Thank you, doctor.

Fa, 20~29 year old female. Ask Date: 2018/03/14

Dr. Du Shixi reply Urology

Hello: Assuming the other party has a sexually transmitted infection, oral sex is considered a moderate risk.
It is recommended to get tested for syphilis and HIV at one month and three months.
If there are any unusual symptoms in the throat, medical attention should be sought.
Wishing you good health.

Reply Date: 2018/03/14

More Info

Engaging in unprotected oral sex, particularly with a partner whose sexual health status is unknown, does carry certain risks for sexually transmitted infections (STIs). In your case, you mentioned having oral sex with a transgender partner without a condom, and you are experiencing some throat discomfort afterward. Here’s a comprehensive overview of the situation and what steps you should consider taking.

Understanding the Risks
1. STI Transmission: Oral sex can transmit various STIs, including gonorrhea, chlamydia, syphilis, and herpes. While the risk of HIV transmission through oral sex is lower compared to vaginal or anal sex, it is not zero, especially if there are open sores or bleeding gums in the mouth. The presence of any cuts or abrasions in the oral cavity can increase susceptibility to infections.

2. Symptoms to Monitor: After engaging in unprotected oral sex, it’s essential to monitor for symptoms such as:
- Sore throat or difficulty swallowing
- Unusual discharge from the mouth or throat
- Swollen lymph nodes in the neck
- Fever or flu-like symptoms
- Any lesions or sores in the mouth
Your mention of a sore throat could be a sign of an infection, which may or may not be related to the sexual encounter. It’s also possible that anxiety about the encounter is contributing to your discomfort.

Recommended Actions
1. Seek Medical Attention: Given your symptoms, it is advisable to consult a healthcare provider. You should consider visiting a clinic that specializes in sexual health or an infectious disease specialist. They can provide a thorough examination and determine if any tests are necessary.

2. Testing for STIs: It’s important to get tested for STIs, especially if you have engaged in unprotected sex. Testing is typically recommended:
- Immediately after the encounter for some infections (like gonorrhea and chlamydia).

- At three months post-exposure for HIV and other STIs, as some infections may take time to become detectable.

3. Discuss Symptoms: When you see a healthcare provider, be sure to discuss all your symptoms in detail, including the sore throat and any other discomfort you may be experiencing. This will help them determine the best course of action.

4. Avoid Further Risk: Until you have been tested and received results, it’s wise to avoid any sexual activity that could put you or others at risk. This includes using protection in future encounters.

5. Mental Health Consideration: It’s common to feel anxious or regretful after a risky sexual encounter. If you find that your anxiety is overwhelming, consider speaking with a mental health professional who can help you process these feelings.

Conclusion
While the risk of contracting HIV from oral sex is lower than from other forms of sexual activity, it is not negligible, especially if there are any open sores or if the partner is HIV positive. Monitoring your symptoms and seeking medical advice is crucial. Regular testing and open communication with sexual partners about health status can significantly reduce the risks associated with sexual activity. Remember, taking proactive steps in your sexual health is essential for your well-being.

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