Can Oral Sex Transmit STDs or HPV Even with Cleanliness? - Urology

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Can oral sex transmit diseases?


If both partners are each other's first sexual partners and oral sex is performed, is there a risk of contracting sexually transmitted infections (STIs) or human papillomavirus (HPV)? The oral sex was performed after thorough cleaning, and there has been no sore throat afterward, with approximately three instances.
What is the likelihood of transmission?

Niming, 10~19 year old female. Ask Date: 2018/05/20

Dr. Chen Jiansheng reply Urology


The likelihood of contracting an illness is lower among individuals with a single sexual partner.

Reply Date: 2018/05/20

More Info


Oral sex can indeed transmit sexually transmitted diseases (STDs), including human papillomavirus (HPV), even when both partners are clean and have no visible symptoms. While the risk of transmission is generally lower for oral sex compared to vaginal or anal intercourse, it is not negligible.

Understanding the Risks
1. Transmission of STDs: Oral sex can transmit various STDs, including HPV, herpes simplex virus (HSV), gonorrhea, chlamydia, and syphilis. The risk of transmission depends on several factors, including the presence of sores or cuts in the mouth, the viral load of the infected partner, and the specific type of STD.

2. HPV and Oral Sex: HPV is primarily transmitted through skin-to-skin contact, which can occur during oral sex. Certain strains of HPV are associated with oropharyngeal cancers, and while most HPV infections are asymptomatic and can be cleared by the immune system, some can persist and lead to health issues. The likelihood of contracting HPV through oral sex is present, even if both partners are each other's first sexual partners.

3. Symptoms and Asymptomatic Carriers: Many individuals with HPV do not show symptoms, which makes it challenging to determine if one is infected. Even if there are no symptoms like a sore throat or lesions, transmission can still occur. The absence of symptoms does not guarantee that one is free of infection.


Preventive Measures
1. Use of Barriers: Using barriers such as condoms or dental dams during oral sex can significantly reduce the risk of transmitting STDs, including HPV. While these methods may not eliminate the risk entirely, they provide a layer of protection.

2. Vaccination: The HPV vaccine is effective in preventing the most common and high-risk strains of HPV. It is recommended for both males and females, ideally before they become sexually active. If you or your partner have not been vaccinated, consider discussing this with a healthcare provider.

3. Regular Screenings: Regular sexual health check-ups are essential, especially if you have multiple partners or engage in sexual activities that may increase your risk of STDs. For men, HPV testing is not routinely performed, but if there are concerns, discussing them with a healthcare provider can help determine the best course of action.


Conclusion
In summary, while the risk of contracting STDs or HPV through oral sex is lower than through other forms of sexual activity, it is still a possibility. Engaging in safe sex practices, including the use of barriers and getting vaccinated against HPV, can help mitigate these risks. If you have concerns about potential exposure or symptoms, it is advisable to consult a healthcare professional for appropriate testing and guidance. Regular communication with your partner about sexual health and practices is also crucial in maintaining a healthy sexual relationship.

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