Questions about sexually transmitted infections (STIs)?
Hello Doctor, I am the person who asked question #142246.
Thank you for your response, but I still have some questions I would like to confirm.
I have a steady partner, and we have never engaged in sexual intercourse; at most, I have helped her with manual stimulation and we have shared deep kisses.
1.
Assuming I am at risk for genital warts, does any skin contact with my partner pose a risk for her to contract the virus, or does it require direct contact with an infected area?
2.
If I have a potential sexually transmitted infection (STI), can I still kiss my partner, including deep kissing?
3.
I have read many responses from doctors to other questioners and am curious: if two individuals with no STIs engage in what is considered unsafe sexual practices (oral or anal sex) and there are no open wounds on their genitals, is there still a risk of STI transmission?
4.
If I plan to have children in the future, I understand that HIV and syphilis can be transmitted to infants through blood.
Does this mean that individuals with STIs cannot have children? What impact does genital warts have on the childbirth process?
5.
Following up on point 4, if individuals with STIs can still have children after treatment, will the child's health be affected by the treatment, such as potential cognitive impairments?
6.
In the context of safe sexual practices (no oral or anal sex), but with deep kissing and mutual masturbation, besides the risk of genital warts, what other STIs could potentially be transmitted? Or, in safe sexual practices, which STIs are particularly difficult to prevent?
Thank you very much for your answers, Doctor.
Niming, 30~39 year old female. Ask Date: 2018/12/06
Dr. Du Shixi reply Urology
1.
Cauliflower warts (genital warts) primarily pose a risk of transmission through direct contact with the affected area, although it is also possible for transmission to occur if hands come into contact with the warts and then touch another person.
2.
If I have a potential sexually transmitted infection (STI), can I still kiss my partner, even deeply? (Deep kissing is considered a moderate risk, while light kissing is a low risk.)
3.
I have read many responses from doctors to other questioners and am curious: if two individuals are completely free of STIs, can they engage in so-called unsafe sexual practices (oral or anal sex) without the risk of STI transmission, even if there are cuts on their genitals? --> If both individuals are free of STIs, there is no risk of transmission.
4.
If I plan to have children in the future, I know that HIV and syphilis can be transmitted to infants through blood.
Does this mean that individuals with STIs cannot have children? What impact does cauliflower warts have on the childbirth process? (- Cauliflower warts are difficult to treat but not untreatable; once treated, individuals can conceive.)
5.
Following up on point 4, if individuals with STIs can still have children after treatment, will the child's health be affected by the treatment, such as potential impacts on intelligence? --> No, but for detailed information, it is advisable to consult an obstetrician.
6.
In the context of safe sexual practices (not engaging in oral or anal sex), but involving deep kissing and mutual masturbation, aside from cauliflower warts, what other STIs could potentially be transmitted? Or, what STIs are particularly difficult to prevent even during safe sexual practices? (Safe sexual practices can protect against almost all STIs, except for cauliflower warts; however, the risk of transmission for cauliflower warts can also be reduced under safe sexual practices.)
Reply Date: 2018/12/06
More Info
When it comes to understanding the risks associated with sexually transmitted diseases (STDs) and engaging in safe relationships, it's essential to consider various factors, including the nature of your sexual activities, the health status of your partners, and the preventive measures you take. Here’s a comprehensive overview addressing your questions and concerns.
1. Transmission of HPV (Warts): Human Papillomavirus (HPV), which can cause warts, is primarily transmitted through direct skin-to-skin contact. If you have HPV, it is crucial to note that transmission can occur even if there are no visible warts. Therefore, any skin contact with your partner, especially in areas where the virus is present, poses a risk. However, simply touching non-infected skin does not typically result in transmission. The risk is higher when infected skin comes into contact with your partner's skin.
2. Kissing and Deep Kissing: If you have a potential STD, including HPV, it is generally advisable to avoid intimate contact, including kissing, until you have been evaluated and treated. While many STDs are not transmitted through kissing, some, like herpes, can be. If you have any sores or symptoms, it’s best to refrain from kissing to protect your partner.
3. Risk of Infection with Open Wounds: Engaging in any form of sexual activity, including oral or anal sex, carries a risk of STD transmission, especially if there are open wounds or cuts involved. Even if both partners are believed to be free of STDs, the presence of any injuries can increase susceptibility to infections. It’s always best to ensure both partners are tested and clear of STDs before engaging in any sexual activity.
4. Having Children with STDs: Individuals with STDs can still have children, but it’s essential to manage and treat the infections appropriately. For instance, HIV and syphilis can be transmitted from mother to child during pregnancy or childbirth. However, with proper medical care, including antiretroviral therapy for HIV, the risk of transmission can be significantly reduced. HPV does not typically affect pregnancy or childbirth directly, but it’s crucial to discuss any concerns with a healthcare provider.
5. Effects of Treatment on Children: If a parent has an STD and receives appropriate treatment, the likelihood of having a healthy child is high. However, untreated STDs can lead to complications that may affect pregnancy and childbirth. It’s essential to follow medical advice and treatment plans to minimize risks to both the parent and child.
6. Safe Sexual Practices: Engaging in safe sexual practices, such as using condoms and avoiding high-risk activities (like unprotected oral or anal sex), significantly reduces the risk of STD transmission. However, it’s important to note that some STDs can still be transmitted through skin-to-skin contact, so practices like mutual masturbation and deep kissing still carry some risk, albeit lower than penetrative sex.
In summary, maintaining open communication with your partner about sexual health, getting regular screenings for STDs, and practicing safe sex are vital steps in reducing the risk of transmission. If you have concerns about your health or potential exposure to STDs, consulting a healthcare provider for testing and guidance is always a wise decision. Regular check-ups and honest discussions with your partner can help ensure a healthy and safe sexual relationship.
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