STD Risks After Unprotected Oral Sex: A Teen's Concern

Q: STD Risks After Unprotected Oral Sex: A Teen's Concern

Hello： Oral sex is considered a moderate risk; of course, if the duration is short, the risk is somewhat lower. <br>Additionally, there is a condition known as genital warts that cannot be completely prevented by condoms. <br>If the check-up after three months shows no issues, yo

I have phimosis and engaged in oral sex without a condom for less than a minute, then immediately wiped my penis and glans with a wet wipe before using a condom for oral sex. Is there still a risk of contracting a sexually transmitted infection (STI)? If so, how significant is the risk?

Hello Doctor, I am 17 years old and I have phimosis.
Due to curiosity about sex and various reasons, I accidentally had sexual relations with different sex workers twice this year.
I deeply regret it and feel like hitting myself; I am very afraid of contracting a sexually transmitted infection (STI) and worry that I have made irreversible mistakes.
The first time was on March 10 of this year, where I had intercourse with a sex worker.
We used a condom for both oral and vaginal sex (the partner put it on for me), and I did not ejaculate during that encounter.
I ejaculated later at home after masturbating and cleaned myself afterward.
The second time was on April 7 (last Saturday).
During oral sex, there was brief unprotected contact for less than a minute, but then I immediately cleaned up with a wet wipe (my foreskin only exposed a small part of the glans, about one-seventh to one-sixth of it).
After that, I used a condom for oral sex and then for vaginal intercourse.
We also kissed (just lip-to-lip contact), and finally, I ejaculated after the partner helped me with hand stimulation while I was wearing a condom.

I would like to know if there is still a risk of contracting an STI.
If so, how significant is the risk? Today, I experienced some minor stinging near the glans, and I have a canker sore on my tongue.
I went to a general ENT clinic for an examination, and the doctor said there was no issue with my foreskin and that the sore on my tongue was just a regular canker sore.
They prescribed medication and ointment (for the glans) for me.
However, I am still very worried and want to go to the hospital for a check-up next week.
As a minor, can I go to the hospital for an examination on my own? I am afraid my parents will find out, and I want to go by myself.
How long should I wait before going for a check-up? After researching, I found that it is recommended to check three to four weeks later.
It is almost the right time since the first sexual encounter, but it is not yet time since the second encounter.
If I go for a check-up, should I make an appointment with the urology department and then tell the doctor that I want to be tested for STIs? After the check-up, how often should I return for follow-up tests? I am under a lot of stress because of this situation, constantly worrying, and I am having trouble sleeping.
I really regret this and am scared that something bad will happen to me, even to the point of death...

Yu, 10~19 year old female. Ask Date: 2018/04/10

Dr. Du Shixi reply Urology

Hello: Oral sex is considered a moderate risk; of course, if the duration is short, the risk is somewhat lower.
Additionally, there is a condition known as genital warts that cannot be completely prevented by condoms.
If the check-up after three months shows no issues, you can generally feel reassured.
For genital warts, monitor for any unusual growths.
Furthermore, if you experience urethral pain, discharge, blisters, skin redness, or broken skin, you should seek medical attention immediately.
Wishing you good health.

Reply Date: 2018/04/10

More Info

It's understandable to feel anxious and worried after engaging in sexual activities, especially when it involves unprotected oral sex. Let's break down your concerns regarding the risks of sexually transmitted diseases (STDs) and what steps you can take moving forward.

First, it's important to recognize that while oral sex is generally considered to carry a lower risk of transmitting STDs compared to vaginal or anal sex, it is not risk-free. Certain infections, such as gonorrhea, chlamydia, syphilis, and herpes, can be transmitted through oral sex. The risk of HIV transmission through oral sex is significantly lower than through anal or vaginal sex, especially if there are no open sores or bleeding gums involved. However, if either partner has an STD, there is still a possibility of transmission.

In your case, you mentioned that during your first encounter, you used a condom for both oral and vaginal sex, which greatly reduces the risk of STD transmission. The fact that there was no ejaculation during oral sex further minimizes the risk. However, during your second encounter, there was a brief period of unprotected contact. While this does introduce some risk, it is important to consider the duration and the actions taken afterward, such as cleaning with a wet wipe and then using a condom.

Regarding your symptoms, such as the pain near the glans and the mouth sore, these could be unrelated to any STD. It's good that you consulted a doctor who indicated that your symptoms were likely not serious. However, if you continue to experience discomfort or if new symptoms arise, it would be wise to seek further medical evaluation.

As for testing, it is generally recommended to wait about 2-3 weeks after potential exposure to get tested for STDs, as this is when most infections can be reliably detected. Since you are concerned about your privacy, many clinics and hospitals allow minors to seek medical care without parental consent, especially for sexual health issues. It would be best to call ahead to confirm their policies regarding confidentiality for minors.

When you go for testing, you can simply inform the healthcare provider that you want to be screened for STDs. They will guide you through the process and recommend which tests are appropriate based on your sexual history and symptoms. If your results come back negative, it is generally advisable to get tested again in about 3-6 months, especially if you continue to have new sexual partners.

Lastly, it's crucial to address the emotional toll this situation has taken on you. Anxiety and regret are common feelings after such experiences, but it's important to remember that you can take proactive steps to protect your health moving forward. Consider speaking with a mental health professional or a counselor who can help you process these feelings and develop coping strategies.

In summary, while there is some risk associated with unprotected oral sex, the steps you took to mitigate that risk are significant. Regular testing and open communication with healthcare providers will help you manage your sexual health effectively. Remember, taking care of your mental health is just as important as taking care of your physical health.

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