Can Deep Kissing Transmit STDs? Risks and Safety - Urology

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Deep kissing, often considered a more intimate form of physical affection, can indeed carry risks for the transmission of sexually transmitted diseases (STDs), although the level of risk varies depending on several factors. In your case, you've engaged in various sexual activities, including deep kissing, and have expressed concerns about potential STD transmission. Let's break down your questions and concerns.

1. Risk of STD Transmission through Deep Kissing: The risk of transmitting STDs through deep kissing is generally considered to be moderate. While saliva is not a primary vehicle for the transmission of most STDs, certain infections can be transmitted through oral secretions if there are open sores or bleeding gums in either partner's mouth. In your situation, since both you and your partner reported having no open wounds in your mouths, the risk is lower, but not entirely absent. Infections like herpes simplex virus (HSV) can be transmitted even when no visible sores are present, as the virus can shed asymptomatically.

2. Cases of STD Transmission through Deep Kissing: While there are limited documented cases of STDs being transmitted through deep kissing, it is important to note that most studies focus on more common routes of transmission, such as vaginal or anal intercourse. However, the Centers for Disease Control and Prevention (CDC) classifies deep kissing as a moderate risk activity, particularly if there are any cuts or sores in the mouth. Therefore, while the likelihood is low, it is not zero.

3. Conflicting Information on Risk Levels: The discrepancy between organizations regarding the risk of deep kissing can be attributed to varying definitions of "risk" and the contexts in which these activities occur. The Red Ribbon Foundation may emphasize that deep kissing is not a common route for HIV transmission, while health departments may categorize it as a moderate risk due to the potential for other STDs. If both partners are healthy and free of STDs, the risk is significantly reduced.

4. Impact of Eczema and Skin Conditions: If you have eczema or any skin condition, and your partner's saliva comes into contact with affected areas, there is a potential risk for transmission of infections, particularly if the skin is broken or inflamed. However, the likelihood of contracting an STD from such contact is still relatively low, especially if both partners are asymptomatic.

5. Testing and Results: Your recent testing results showing no infections after engaging in sexual activities are reassuring. Most STDs have a window period during which they may not be detectable, so it is generally recommended to retest after a period of 3 to 6 months following potential exposure, especially if symptoms develop or if you have further concerns. The fact that your RT-PCR results were normal and that you underwent a comprehensive STD screening is a positive indicator of your sexual health.

In conclusion, while deep kissing does carry some risk for STD transmission, particularly if there are any sores or cuts present, the overall risk is considered moderate, especially if both partners are asymptomatic and healthy. It is always advisable to maintain open communication with sexual partners about health status, practice safe sex, and undergo regular testing to ensure sexual health. If you have ongoing symptoms or concerns, consulting with a healthcare provider for further evaluation and guidance is recommended.