Experiencing Tingling After Oral Sex: Is It an Infection? - Urology

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After oral sex, the tongue feels prickly?


Hello doctor, I had oral sex with a female online friend yesterday, and that night I felt a slight burning and tingling sensation in my mouth and on my tongue.
After rinsing with mouthwash, the tingling sensation has mostly subsided, but my tongue still feels a bit tingly.
Am I infected?

Xiao Zhao, 30~39 year old female. Ask Date: 2018/09/14

Dr. Chen Jiansheng reply Urology


Please seek medical examination.

Reply Date: 2018/09/14

More Info


Experiencing tingling or discomfort in the mouth and tongue after oral sex can understandably cause concern about potential infections. In your case, the symptoms you describe—heat and a tingling sensation in your mouth and tongue—could be attributed to several factors, including irritation, allergic reactions, or even the onset of an infection.

Firstly, it's important to recognize that oral sex can carry risks for sexually transmitted infections (STIs), including herpes, gonorrhea, chlamydia, and syphilis, among others. If either partner has an active infection, there is a possibility of transmission through oral contact. However, the symptoms you are experiencing do not definitively indicate an STI.
The tingling sensation could be a result of several benign causes:
1. Irritation: The act of oral sex can sometimes cause minor irritation to the mucous membranes in the mouth, especially if there was vigorous activity or if there were any pre-existing cuts or abrasions in the mouth. This irritation can lead to sensations of heat or tingling.

2. Allergic Reaction: If any lubricants, flavored products, or even bodily fluids were involved, you might be experiencing an allergic reaction. This could manifest as tingling, swelling, or discomfort in the mouth.

3. Oral Hygiene: If you have recently brushed your teeth or used mouthwash, the ingredients in these products can sometimes cause temporary sensitivity or tingling, especially if there are any abrasions or sensitive areas in your mouth.

4. Infections: While it is possible that you could have contracted an STI, the symptoms you describe are not specific to any particular infection. For example, herpes may cause tingling or burning sensations, but it is usually accompanied by visible sores or blisters. Other infections may present with additional symptoms such as fever, swollen lymph nodes, or persistent pain.

Given your symptoms, it is advisable to monitor your condition closely. If the tingling persists, worsens, or is accompanied by other symptoms such as sores, fever, or significant discomfort, it would be prudent to seek medical attention. A healthcare provider can perform appropriate tests to rule out STIs and provide guidance based on your specific situation.

In the meantime, here are some general recommendations:
- Avoid Irritants: Refrain from using mouthwash or other oral products that may further irritate your mouth until the tingling subsides.

- Maintain Oral Hygiene: Continue to practice good oral hygiene, but be gentle to avoid further irritation.

- Stay Hydrated: Drink plenty of water to keep your mouth moist and help with any irritation.

- Limit Sexual Activity: Until you have clarity on your symptoms, it may be wise to avoid further sexual activity to prevent potential transmission of infections.

Lastly, if you have concerns about STIs, consider getting tested. Regular screenings are an essential part of sexual health, especially if you engage in sexual activities with new or multiple partners. Remember, early detection and treatment can significantly improve outcomes for many STIs.

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