Concerns After Unprotected Oral Sex: STD Risks and Skin Issues - Urology

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One week ago, I had oral sex?


A week ago, I had unprotected oral sex, and there haven't been any significant changes.
I don't have any discomfort while urinating.
However, I have three small abrasions on my arms, each less than 0.5 cm: one on my left arm and two on my right arm.
I'm very concerned that these might be similar to viral ulcers.
I would like to ask the doctor if this condition could be a sexually transmitted infection or if I'm just overthinking it, and it could be from insect bites or accidental abrasions.
If I need to provide photos, how should I do that? Thank you, doctor, for your patience in reading this.

QQQQ, 20~29 year old female. Ask Date: 2018/10/28

Dr. Chen Jiansheng reply Urology


Oral sex leading to skin lesions?

Reply Date: 2018/10/28

More Info


When it comes to concerns about sexually transmitted diseases (STDs) after engaging in unprotected oral sex, it is essential to understand the risks involved, the symptoms to watch for, and the appropriate steps to take for diagnosis and treatment.

1. Risk of STDs from Unprotected Oral Sex: Engaging in unprotected oral sex can expose individuals to various STDs, including but not limited to herpes, gonorrhea, chlamydia, syphilis, and human papillomavirus (HPV). The risk of transmission can vary based on several factors, including the presence of sores or cuts in the mouth, the overall health of both partners, and whether either partner has an active infection. Oral sex is generally considered a moderate-risk activity for STD transmission, especially if there are any open wounds or bleeding gums involved.

2. Symptoms and Skin Issues: The small skin lesions you described on your arms could be due to a variety of causes, including insect bites, allergic reactions, or even minor abrasions. However, if these lesions are accompanied by other symptoms such as fever, unusual discharge, or persistent sores, it would be prudent to seek medical attention. Skin manifestations can sometimes be indicative of systemic infections, including certain STDs, but they are not definitive on their own.

3. Testing and Diagnosis: If you are concerned about potential STD exposure, it is advisable to get tested. Many STDs can be asymptomatic, meaning you might not show any symptoms even if you are infected. Testing is typically recommended about 1-2 weeks after potential exposure for some STDs, while others may require a longer waiting period for accurate results. Regular testing every 3-6 months is a good practice if you are sexually active, especially with new or multiple partners.

4. Treatment Options: If you do test positive for an STD, many infections can be effectively treated and managed. Bacterial infections like gonorrhea and chlamydia can often be cured with antibiotics. Viral infections, such as herpes and HIV, can be managed with antiviral medications, but they are not curable. Early diagnosis and treatment are crucial for the best outcomes.

5. Preventive Measures: To reduce the risk of STDs in the future, consider using barriers such as condoms or dental dams during oral sex. Regular communication with partners about sexual health, including testing history, is also vital. Vaccinations are available for certain STDs, such as HPV and hepatitis B, and should be considered as part of a comprehensive sexual health strategy.

In summary, while the risk of contracting an STD from unprotected oral sex exists, the presence of skin lesions on your arms may not necessarily indicate an STD. It is essential to monitor your symptoms, get tested if you have concerns, and consult with a healthcare provider for personalized advice. If you decide to provide photos to your doctor, ensure they are clear and focused on the areas of concern, and follow any specific guidelines your healthcare provider may have for submitting images. Your health and peace of mind are paramount, so do not hesitate to seek medical attention if you feel it is necessary.

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